Inspection on 17/08/05 for Alban House

This inspection was carried out on 17th August 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

Alban House 27/01/08

Alban House 30/01/07

Alban House 15/11/05

Alban House 26/01/05

Alban House 24/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Alban House 8/10 Apsley Terrace Highfield Road Ilfracombe EX34 9JU Lead Inspector Susan Taylor Announced 17 August 2005 10:00 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 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. Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Alban House Address 8/10 Apsley Terrace Highfield Road Ilfracombe EX34 9JU 01271 863217 None Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr David Svenson Mrs Frances Svenson Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Mental registration, with number Disorder, excluding learning disability or of places dementia (21), Mental Disorder, excluding learning disability or dementia - over 65 years of age (21), Old age, not falling within any other category (21) Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The total number of registered placements will be 21 (twenty one). Mental Disorder (MD) age range 40 years and over Date of last inspection 26/1/05 Brief Description of the Service: Alban House provides accommodation and varying degrees of care and support for 21 service users over the age of 40 years. The home promotes independence, choice and respect. There is a family and informal atmosphere in the home. The property is situated in the residential area of the coastal town of Ilfracombe. It is close to the facilities of the town centre and is easily accessed to all areas by local transport. The accommodation is provided on four levels and is unusual in that it is a large terraced house, which was formerly 3 separate houses converted to make 1. The home is in the process of continually being updated and refurbished by the owners. There are a variety of private rooms and communal areas. All of the bedrooms are single, some with ensuite facilities. A shaft lift provides access to all areas. The home will accommodate service users pets where possible. Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took six hours over one day. Records, and policies and procedures were examined. Nine residents gave their views of the home to the inspector. Comment cards were received from four relatives and five residents. Three staff, and the owners were spoken to during the day. A tour of the premises took place to monitor progress with the refurbishment of the home. Nine residents were spoken to during the inspection, and their comments included: “The staff and [the owners] are all very kind”, “they’re all really lovely”, “Very kind and considerate people”, “I’m quite contented here”, “This is the best place I’ve lived in”. Comments received from relatives in comment cards included: Alban House has “a warm caring environment”, “a friendly homely atmosphere”, “I cannot thanks the owners and staff for all the care they give.” The people living at Alban House told the inspector that they did not like the term ‘service user’ and that they preferred to be referred to as ‘residents’. This term is used throughout the report. What the service does well: Alban House has a friendly, homely atmosphere. There is a stable team of staff that are responsive to the changing needs of their residents. They make good use of health and social care resources available in the community to ensure that residents receive the best care available. Residents are treated with dignity and respect. They are actively encouraged to voice concerns about their care, safe in the knowledge that their views will be respected and properly investigated. Residents live in comfortable accommodation that is suitable for their needs and is maintained to a good standard. Major renovation work to the home continues and is being done in a way that ensures inconvenience to residents is kept to a minimum. Robust recruitment procedures and opportunities for training and development ensure that suitably qualified and experienced staff care for the residents at Alban House. Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 6 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. Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 8 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 standard(s) 3,6 Residents needs are well known, and met by competent carers. EVIDENCE: Three care files were inspected. A summary of the care management assessment and care plan had been obtained prior to each individual’s admission to the home. The owners verified that the home does not currently provide intermediate care. Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 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 standard(s) 7,8,10 Alban House staff are responsive to the changing needs of their residents. They make good use of health and social care resources available to them in the community to ensure that residents receive the best care available. Residents are treated with dignity and respect. EVIDENCE: Care plans were well-maintained, accessible to residents and/or where applicable their next of kin. Relatives in comment cards verified that they were kept fully informed about their family member’s care. Care plans inspected had been regularly reviewed. The inspector tracked the care for three residents and saw evidence of good outcomes for the people concerned. For example, one person’s care plan clearly identified risks with regard to mental health issues, and set out a strategy for minimising those risks. Records for that person demonstrated that the home had good relationships with other social and healthcare professionals such as the consultant psychiatrist, speech therapist, district nurses and community psychiatric nurses. The inspector observed staff to be kind and respectful towards residents. During a conversation, a resident told the inspector that they had been on a Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 10 weight loss programme by choice and that it had changed their life for the better. Five residents in comment cards, and nine others during the inspection, verified that they felt well cared for and that they were treated with respect. Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 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 standard(s) None EVIDENCE: Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 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 standard(s) 16,18 Residents are able to voice concerns about their care, safe in the knowledge that their views will be respected and properly investigated. Policies, procedures and training are in place to protect residents from abuse. However, the manager needs to ensure that all of the staff are made aware of the adult protection procedures during the induction training. EVIDENCE: The home has a complaints procedure that residents and relatives were aware of. Pre-inspection information verified that 3 complaints had been investigated in the last 12 months. A record of complaints had been kept by the home, which demonstrated that the issues had been properly investigated and appropriate action taken. No complaints were received during the inspection. Two out of three staff were not aware of adult protection procedures. They did verify, however, that the induction training had covered the issue of abuse and were shown the “No Secrets” video. Induction training records demonstrated the issue of abuse had been covered. The manager verified that no referrals had been made to the Protection of Vulnerable Adults list. Nine residents were spoken to during the inspection, and a further five in comment cards felt that the staff treated them well. Comments received from relatives in comment cards included: Alban House has “a warm caring environment”, “a friendly homely atmosphere”, “I cannot thanks the owners and staff for all the care they give.” Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 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 standard(s) 19,20,21,22,23,24,25,26 Residents live in comfortable accommodation that is suitable for their needs and is maintained to a good standard. Major renovation work to the home continues and is being done in a way that ensures inconvenience to residents is kept to a minimum. EVIDENCE: The inspector toured the premises, and was shown areas such as the laundry and a disabled bathroom, which have been completely refurbished. Bedrooms that had been renovated had new carpet, furniture and fittings. Domestic staff are employed for twenty five hours per week. The home was clean and odour free. A passenger lift provides access to all floors, and was in full working order. Nine residents told the inspector that they had been encouraged to personalise their bedroom, and had done so with their own furniture, photographs and ornaments. One person said “I chose the colours for my room from a chart” and “everything gets fixed really quickly if needed by [the handyman]”. Since the last inspection, the registered persons had contacted the Fire Safety officer for advice. The inspector was shown a letter from the Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 14 Fire Safety Officer about self-closing devices for fire doors, and went on to observe that the recommendations had been implemented throughout the home. The total communal space available provides at least 4.1m² for each service user. The accommodation provided comfortable, homely fittings and fixtures. Eight bedrooms have ensuite facilities. Pre-inspection information verified that a further ensuite and wc had been fitted since the last inspection. Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 Resident’s needs are well met by a stable team of staff. Robust recruitment procedures and opportunities for training and development ensure that suitably qualified and experienced staff care for the residents at Alban House. EVIDENCE: Staff were observed to be relaxed and unhurried as they went about caring for the people living at Alban House. The duty roster for the week beginning 15th August 2005 was inspected and demonstrated that there were sufficient numbers of staff on duty. Four relatives in comment cards verified that their opinion there was always sufficient numbers of staff on duty. Nine residents were spoken to during the inspection, and their comments included: “The staff and [the owners] are all very kind”, “they’re all really lovely”, “Very kind and considerate people”, “I’m quite contented here”, “This is the best place I’ve lived in”. Four personnel files were inspected, and found to contain written references, including CRB and POVA checks and other information required by law. According to the pre-inspection questionnaire, 50 of the care staff had attained an NVQ care qualification. Three staff were interviewed and told the inspector that they were actively encouraged to undertake training to develop their knowledge and skills. Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x x x x x Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 18 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 Regulation Requirement Timescale for action 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 18 Good Practice Recommendations Ensure that all staff are made aware of adult protection procedures during the induction course. Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Alban House D54-D07 S22139 Alban House V232506 170805 Stage 4.doc Version 1.40 Page 20 - 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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