Inspection on 10/11/05 for Adderley Care Home

This inspection was carried out on 10th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Adderley Care Home 01/07/09

Adderley Care Home 13/06/07

Adderley Care Home 06/04/06

Adderley Care Home 09/08/05

Adderley Care Home 02/02/05

Adderley Care Home 10/08/04

Adderley Care Home 29/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Adderley Care Home Adderley House 23 London Road Long Sutton Lincs PE12 9EA Lead Inspector Mr Toby Payne Unannounced Inspection 10th November 2005 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Adderley Care Home Address Adderley House 23 London Road Long Sutton Lincs PE12 9EA 01406 364309 01406 363981 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Adderley House Ltd Joan Auton Care Home 43 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (24), Old age, not falling within any other of places category (17) Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Condition of Registration The second place in the category DE, registered in November 2003, is for one named person only (named in the letter of proposal to register dated 6th November 2003). A review of the home`s ability to meet this person`s needs must take place within one month of his admission, and review documentation including any available medical and social work assessments of his needs supplied to the NCSC. Condition of Registration A condition of registration is that the maximum number of service users in the home with nursing needs does not exceed 22 and the maximum number of service users with personal care only does not exceed 21. 9th August 2005 2. Date of last inspection Brief Description of the Service: Adderley Care Home provides nursing and personal care for up to 43 people. There are 17 places for older people over 65 years of age, 24 for people over the age of 65 years who have dementia and 2 places for people under the age of 65 years who have a dementia. On the day of the inspection there were 18 people receiving personal care and 23 nursing. There is a dedicated self contained unit in the home specifically for people who have a dementia. The home is situated in the small market town of Long Sutton and is part of a complex, which includes a separately registered home providing personal care with some self contained flats in the same grounds. The home is close to shops, banks, post office and other facilities. Accommodation is purpose built with single and double bedrooms on the ground and first floors. The first floor is served by stairs and a shaft lift. There are accessible gardens and car parking is available at the front of the home. The philosophy of the home includes encouraging people to exercise their rights to the full, to treat each person as an individual and to respect privacy at all times with the aim to create a warm, caring and friendly atmosphere. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 8.30 am. It took place over 5 and a half. The inspector spoke to 10 residents, 8 staff and the deputy manager. The main method was called “case tracking”. This involved selecting 2 residents and tracking the care they received. This was done through the checking of records, discussion with them, the care staff and observation of how care was delivered. A pre-inspection questionnaire was completed by the home. Four comment cards completed by residents and their relatives were also received. There were no concerns. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6 Adderley Care Home meets the needs of people entering the home. People receive an assessment, which results in their needs being met. Residents and their relatives receive information to allow them to choose whether or not to stay in the home. EVIDENCE: All residents are assessed before entering the home and written confirmation is sent to them that the home is able to meet their needs. There is a detailed statement of purpose and service user’s guide and a copy of the service user’s guide is given to each person when being admitted to the home. Copies of both documents and the most recent inspection report are in folders at the entrance to the home. Staff receive a comprehensive induction programme, which enables them to understand the needs of the residents in the home. One recently appointed new member of staff commented, “I received a well planned induction and was supported and guided during my induction”. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 8 Each resident receives a contract with terms and conditions when entering the home. The home does not provide intermediate care. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9 and 11 There is a new detailed care planning system in this home. This ensures that the health and welfare needs of people living in the home are fully met. Medication is safely administered by nurses. Residents and their relatives are cared for and supported at the time of death. EVIDENCE: A new system for recording care has been introduced. This includes assessment details, psychological and physical assessment, care plan, risk and moving and handling assessments, nutritional assessment and daily record. Training has been provided to enable staff to know how to complete the new records. There was evidence of review but again this needs further development to ensure that wherever possible residents are involved in identifying their needs. Each resident has their own Key Worker and staff work in teams. Registered nurses administer medication. Records were well maintained. Residents commented that staff respected their privacy and dignity and the inspector observed staff talking to residents in a calm and polite manner and handling many of the frail residents in a gentle unhurried manner. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 10 Staff receive training on how to care and support those residents who are dying and to their relatives. The home also has a detailed policy concerning death and bereavement, which gives guidance to staff. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 There is a social activities programme, which provides stimulation and interest for people living inn the home. Visitors are made to feel welcome and supported. EVIDENCE: The home employs a member of staff who is responsible for providing activities. He is to receive training in the future. Activities are varied and involve all residents. For residents who cannot take part in group activities the person spends individual time with them. Visitors are welcome to visit whenever they wish to do so and local churches have links with the home. The inspection took place during breakfast and lunch. Comments from residents were “I don’t like the food”, “I like the food here” and “the food is very enjoyable”. Staff were seen to assist residents who were unable to feed themselves. This was done by staff sitting with them and helping them in an unhurried manner. The home was awarded by South Holland District Council on the 30/8/2005 a Food Safety Award in recognition of the catering standards in the home. This has been displayed on the wall in the entrance to the home. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Any complaints received are handled properly and residents know that any complaints they have will be listened to and taken seriously. EVIDENCE: No complaints have been received by the CSCI or the home since the last inspection. Residents felt they could approach staff if they had any concerns. Lincolnshire Social Services and Lincolnshire Police investigated an allegation of abuse in August 2005. This was thoroughly investigated but there was insufficient evidence to support the case. There was full co-operation by the home throughout the investigation. There was no concern about the care of residents in the home. All staff receive abuse prevention training. Staff who spoke to the inspector were aware of what abuse was and what they should do if abuse was suspected. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 24 and 26 Residents live in clean, well decorated and safe accommodation. Any maintenance is promptly addressed. EVIDENCE: Residents who spoke to the inspector said how satisfied they were with the decoration and cleanliness of the home. They also said they liked their bedrooms. There were also colourful, accessible, safe garden areas. Since the last inspection improvements to the decoration and furniture continue. Comments from residents were, “I like my bedroom” and “it is very nice here”. On the ground floor there are 6 toilets with one assisted bathroom and one shower room. On the first floor there are 8 toilets, 2 showers, one special Parker bath and one assisted bath. There are also 2 bedrooms, which have en-suite facilities. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 14 All bedrooms, toilets and bathrooms have locks for privacy but also to enable staff to enter in case of an emergency. The home employs separate laundry and domestic staff and residents commented that the home was clean and tidy. Domestic staff and laundry staff were seen to be going about their work with pride. The home was odour free throughout. Gloves and aprons were also available. The home also has an infection control policy. The laundry has 2 commercial washing machines and 2 commercial tumble dryers. In addition there are enclosed sluices provided. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29 The home was adequately staffed with employees who are experienced and competent to care for older service users. A wide range of in-house training and National Vocational Qualification training is provided. Staff are correctly recruited. EVIDENCE: Each member of staff is recruited correctly with checks by the Criminal Records Bureau. They then receive a comprehensive training programme following their induction and individual training issues are identified and a training plan is produced. Each employee is given a mentor to assist them through their induction and ongoing training programme. Staff also receive formal supervision. This training is in addition to training in care (NVQ). Staff have also received specific training concerning the needs of people who have dementia. Comments from staff were “we receive a lot of training”, “I feel safe working here” and “I received a comprehensive induction which helped me understand the needs of residents in this home”. The home is also a centre for nurses from other European countries undertaking an adaptation programme to enable them to be registered by the Nursing and Midwifery Council. The home also provides training for nursing students. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 16 The employs separate staff for nursing, care, domestic, catering, laundry, maintenance, gardening and activities. The manager monitors the dependency of people living in the home. None of the staff or residents expressed any concerns about staffing levels. Comments from staff were “I have time to look after the residents”. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35, 36, 37 and 38 The home is well lead by a competent, experienced and committed manager. This has lead to a confident and trained staff team. People living in this home are confident in the staff and management in the home. EVIDENCE: The manager has extensive care and management experience. In addition to her nursing qualifications she has qualifications in management, care of older persons, care of the dying and those people who have a dementing illness. All care staff and nurses receive formal supervision 6 times a year and an annual appraisal. The home had detailed policies and procedures, which included clinical procedures. The policies were reviewed in August 2005. In addition the home also had comprehensive health and safety policies, which also included risk assessments. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 18 Residents commented, staff are very nice and helpful” and “I can’t find fault with anything”. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 3 3 3 Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 20 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP33 Regulation 26(1) Requirement The owner must carry out monthly unannounced monitoring visits to the home and ensure that the monthly monitoring reports are sent to the CSCI. Timescale for action 10/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP29 Good Practice Recommendations It is recommended that all care staff are given a copy of the General Social Care Council’s “Codes of Practice” and made aware of this document. Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Adderley Care Home DS0000002653.V264778.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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