Inspection on 08/02/07 for Albany House

This inspection was carried out on 8th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Albany House 18/01/08

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Albany House 5 Woodlands Road Woodlands Doncaster DN6 7JX Lead Inspector Ian Hall Key Unannounced Inspection 08:00 8th February 2007 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 Albany House DS0000066529.V312129.R01.S.doc Version 5.2 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. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Albany House Address 5 Woodlands Road Woodlands Doncaster DN6 7JX 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) 01302 723203 T/F 01302 723203 www.albanycare.co.uk Albany Care Limited Anita Louise McTaggart Care Home 40 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (18) of places Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total registration to include 18 beds for dementia Date of last inspection 24/01/06 Brief Description of the Service: Albany House is registered as a care home for up to 40 service users, providing care for 22 service users in the category of older people and 18 service users in the category of older people with dementia. The home is divided into 2 separate units that are joined by a short corridor. The areas are referred to as Albany House for the older people and Albany Court for the mentally infirm service users. The service users accommodation is mainly located upon the ground floor level. A further 7 bedrooms are located upon the first floor which is accessible by means of a passenger lift. Albany House is situated in the small community of Woodlands, located approximately six miles north of Doncaster. Many of the service users lived locally and maintain contact with the wider community. The home makes use of both the local amenities and events. The home does become busy with visits from family and friends of service users. A mini-bus is provided for the use of service users. The home is situated in its own grounds. There are two car-parking areas that are surveyed by security cameras. The home benefits from well-maintained and secure gardens. These feature shrubs, flower displays and colour throughout the year. Information gained on the 8th February 2007 indicated the current fees range from £380.00 for residential and £415.00 for residential EMI care, additional charges are made for hairdressing, chiropody and escort duties. These fee charges only applied at the time of inspection, more up to date information may be obtained from the home. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over six hours on the 8th February 2007. The emphasis of the inspection was placed upon meeting service users, relatives, visitors and the staff team. The inspector toured the site to assess the environment including redecoration and refurbishment that had taken place since the last inspection. The inspector case tracked 3 service user files and associated records. What the service does well: What has improved since the last inspection? What they could do better: Improve the quality and quantity of social and occupational activities and opportunities for service users who live in The Court. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 6 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. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Albany House DS0000066529.V312129.R01.S.doc Version 5.2 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 the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, their relatives and staff. The home had written information about the service for potential service users and their relatives. Assessments of service users had been completed prior to them moving into the home, to ensure that the home and staff were able to meet their needs. The staff team had received a range of training to ensure that they understood the needs of service users. EVIDENCE: The three case records examined had copies of pre-admission service user care assessments. They provided a detailed picture of the service user and their physical, psychological and social needs. These are needed to ensure that the home is suitably equipped and able to meet prospective service users care needs. The assessment formed the basis of the initial care plan. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 9 A visitor and five service users spoken with confirmed that they had been involved in the choice of care home, several had taken the opportunity to make visits before making a decision to live at Albany House. This was confirmed during discussions with care staff. Case files inspected contained a copy of a contract/statement of terms and conditions. These detailed the fees, including any extra charges, and the facilities and standard of care service users can expect to receive. Intermediate Care is not provided at Albany House. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 10 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, 8, 9 and 10. Quality in this outcome area is good. The judgement was made using available written evidence, discussion with service users, their relatives and observations made during the visit to the home. There were comprehensive assessments and care plans in place to identify what help and support service users needed. Service users appeared well cared for. The medication system was well managed with policies and procedures in place to guide staff and protect service users. EVIDENCE: A range of recognised assessment documents had been used to measure service user needs. These included mobility, mental ability, state of nutrition, and areas of risk such as falls. These provided a baseline for staff to assess service user progress or increasing level of need this enabled staff to plan the help and support they needed. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 11 Reassessment of service users and their changed needs were clearly recorded. Records were made daily of the care each service user received also records were made of any activities service users had participated in. Details of service users religious and cultural needs and the gender of staff that they wished to support them with their personal care were clearly identified. A visitor and one service user confirmed that they had helped draw up care plans and that they could have access to them whenever they wanted. Service users who were able, could retain control of their own medication, a lockable facility within their bedroom was provided to store such items. Records were kept of medication received, and disposed of. Medication was securely stored and administered according to the doctor’s instructions. Records of medicines given were completed in full and correctly. Staff had received additional training for the administration of medicines, they were observed assisting service users to take their medication safely. The manager confirmed that the supplying chemist provided guidance and support for staff to ensure service user safety. Policies and procedures to inform staff and protect service users taking medications were current and available for inspection. Service users and visitors to the home confirmed that “staff were caring and helpful” and that “nothing was too much trouble, they were always willing and keen to help”. All the service users spoken to said that the staff promoted their privacy and dignity. The inspector observed staff knocking on bedroom doors waiting to be invited in before entering. Service user meetings had been held on a regular basis and minutes of these meetings were available within the home. Discussion with five service users and four staff identified that a range of health professionals visited the home to assist in maintaining health care needs. These included district nurses, chiropodist and general practitioners. These visits and their outcome had been recorded in detail within care records. A wide range of aids to assist service users with mobility problems were provided; these included lifting hoists, walk in showers, assisted baths, walking frames and wheelchairs. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 12 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, 13, 14 and 15. Quality in this outcome area for standards is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Service users said that suitable were activities provided at the home to keep them stimulated Visits from relatives and friends were encouraged ensuring that service users kept in touch with people who were important to them. Service users said the food was good and they were offered choice; special dietary needs and preferences were recorded in the individual care plans. EVIDENCE: Service users confirmed that they were able to go to bed and rise as they chose. Breakfast was being served throughout the morning to service users who had chosen to stay in bed longer. Service users were observed to be reading, listening to music and watching television. None of the service users currently leave the home unless Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 13 accompanied by members of their family or staff. Staff accompanied service users to places of local interest weather permitting. The deputy manager took responsibility for organising activities to stimulate and encourage social interaction. Musicians visited the home and provided entertainment for service users as part of the planned entertainment. A monthly newsletter was seen that described the range of activities that were planned. The range of activities available within The Court was limited. Staff described their ideas and plans for this to be remedied from next month. Service users from The Court who were able and wanted to were encouraged to join activities provided within The House. A visiting Minister of Religion confirmed that he held multi-denominational services regularly for service users. During his discussion with the inspector he was very fulsome in his praise of all aspects of care and services he had seen provided at Albany House. Visitors confirmed that they were able to visit at any time and were always welcomed by the staff team. They stated that when they called to collect a service user for an outing staff was supportive and helped service users to prepare in good time. The inspector observed the breakfast and lunch offered to service users. The food provided both appeared and smelled appetising. It was served hot, was well presented with a good choice being offered. Several service users who required them had special diets provided for health reasons. Staff were observed to encourage and assist service users with meals as needed. Mealtimes were unhurried; meal size was in accordance with service user choice with extra portions available as required. The cook was observed preparing and baking cakes and buns for service users. She confirmed that these were freshly made each day. Service users said they enjoyed them with their cups of tea and there was always plenty to eat. A list of birthdays had been provided for the cook who said she prepared birthday teas for service users. The dietician had assisted with compiling the balanced diet. The menu was clearly displayed in the dining room there was evidence of service users choice of meal or amount of diet consumed. Adapted cutlery was available to assist service users to maintain their independence. Service users their visitors and staff confirmed that nourishing drinks were provided throughout the day and night time as needed. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. The home had a complaints procedure to allow service users to raise any concerns. The staff had been trained in the recognition and reporting of abuse and relevant checks were made prior to them starting work, this reduced the risk of harm to vulnerable service users. EVIDENCE: No allegations of abuse have been made to the CSCI since the last inspection. Service users who had no advocate or next of kin had been provided with access to advocacy services provided by Age Concern. Two complainants brought their concerns to the manager’s attention, two elements of their concerns that were investigated were acknowledged to be founded, actions were taken to remedy them. They were investigated, recorded and actioned promptly within the home’s policy and procedure. Visiting relatives and some service users were able to describe how they would raise concerns with staff. They stated that any matters they raise were acted upon promptly by staff and that they were satisfied with the outcome. The complaints procedure was available for service users, their relatives and staff. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 15 Staff had been provided with training in adult protection procedures to ensure service users were safe, and to inform staff what to do if an allegation was made. The inspector’s discussions with staff demonstrated that they felt confident and able to respond to concerns or complaints effectively. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 16 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 and 26. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. The home was clean, tidy and well maintained ensuring that service users live in pleasant and safe surroundings. The bedrooms were comfortable, clean, homely and reflected personal choice. EVIDENCE: Service users said the home was always clean, warm, well lit and there was always enough hot water. Some areas of the home had been decorated to service users satisfaction; the handyman was observed redecorating areas of damaged paintwork. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 17 There is level access throughout the home with handrails provided to assist service users to maintain their independence and mobility. Toilets were easily accessible as they were close to both lounge and dining areas. Toilets had been adapted for service users with physical disabilities. Door locks for identified toilets promote service user privacy and independence. There was an adequate number of baths, assisted bathing facilities were provided in convenient locations for service users. Service users were able to smoke in a designated smoking area. Appropriate seating has been provided in the secure garden for service users wishing to sit outside whenever the weather permitted. Service users that use this area could feel safe as they could easily observe and be observed by staff. Clinical waste was properly managed and stored. Staff confirmed that they were provided with protective clothing if they needed it and that equipment was in working order, being serviced as required. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 18 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, 29 and 30. Quality in this outcome area is a good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Adequate numbers of staff were deployed to meet service user’s needs. Staff had received statutory training to help them meet the needs of service users. Checks had been made on staff to reduce the risks to vulnerable people. EVIDENCE: Sufficient staff were available to meet service users care needs. Additional staff were on duty to undertake housekeeping and maintenance tasks. Staff confirmed that they were well supported in their work with a senior member of staff always being on duty. The staff files examined confirmed that CRB checks and correct staff recruitment policy and procedures had been followed in each of the three files selected for inspection. The staff training and development plan was examined and was seen to identify their training needs, courses completed and courses being undertaken. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 19 Staff spoken with confirmed they had undertaken statutory training and updates e.g. moving and handling, fire prevention. They were involved in national vocational qualification training, medication administration training, and dementia care training. The numbers of staff trained to level 2 NVQ in care exceeded the minimum 50 required by The National Care Standards Act 2000 and the associated Regulations. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 20 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, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available written evidence, discussion with service users, relatives, staff and observations made by the inspector during the visit to the home. Staff said the manager was supportive and approachable and there was a wellestablished system of professional supervision. Service users were involved in making decisions about their care and had control over issues that affected their lives. Checks had been made on the major systems in the home such as fire and gas installations to ensure the home was safe for service users. Fire training had been provided for staff to reduce the risk to service users in an emergency. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager had achieved the registered managers award and NVQ4. She had extended her skills by recently completing the professional trainers certificate. She is well supported by an experienced and qualified deputy manager. The service users, relatives and staff spoken with said the manager was approachable, very professional and they felt complete confidence in her. The manager had a job description that clearly defines her roles and responsibilities and staff were aware of her role. The management employed a range of methodologies to measure service users satisfaction with the care and services provided. This included ISO 9002 a self-assessment quality assurance system, external auditors verified this. Results of the recently conducted satisfaction survey had been analysed and comments used to further develop the service. Regular service user and staff meetings were held, minutes were kept and were available for inspection. The home’s owners visit the home regularly and submit detailed written reports of their monitoring visits to the CSCI (Commission for Social Care Inspection). All staff had received management supervision, this had taken place at regular monthly intervals; this is required to fully ensure individual staff development and monitoring care practices. Staff had received training on moving and handling, first aid, fire prevention, food safety and infection control. This ensured staff were well prepared for their roles and responsibilities to meet service users needs and maintain their safety. The manager handles money on behalf of some service users, account sheets were kept, receipts were available for all transactions, and all transactions were witnessed by a second individual. Records were up to date and well ordered to ensure the best interest of service users. The homes policies and procedures met the required standards. Statutory servicing and checks of equipment were complete. Health and Safety at Work risk assessments had been undertaken and reviewed regularly. During the inspection the weather changed and it began to snow, the manager ensured that the handyman spread rock salt on the pathways to reduce risk of accidents to service users, visitors and staff. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 3 x 3 X 3 X X 3 Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. 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 OP12 Good Practice Recommendations Improve the quality and quantity of social and occupational activities and opportunities for service users who live in The Court. Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Albany House DS0000066529.V312129.R01.S.doc Version 5.2 Page 25 - 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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