Inspection on 31/05/05 for Anbridge Care Home

This inspection was carried out on 31st May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Anbridge Care Home 18/09/07

Anbridge Care Home 24/05/06

Anbridge Care Home 20/09/05

Anbridge Care Home 22/02/05

Similar services:

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Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

SignHealth

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Bushell House

Ashwood Court Unit 1

Langrigg House

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

CARE HOMES FOR OLDER PEOPLE Anbridge Care Home 1 Herbert Street Watersheddings Oldham OL4 2QU Lead Inspector Carol Makin Unannounced 31st May 2005 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. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Anbridge Care Home Address 1 Herbert Street Watersheddings Oldham OL4 2QU 0161 665 2232 0161 626 7836 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) Mrs Sally Anne West Mr Charles Paul Jones Mr Charles Paul Jones Care Home 20 Category(ies) of DE(E) Dementia over 65 - 5 registration, with number OP Old age - 14 of places PD(E) Physical dis over 65 - 1 Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The home is registered for a maximum of 20 service users to include: *up to 5 service users in the category of DE(E) (Dementia over 65 years of age) *up to 1 service user in the category of PD (Physical disability under 65 years of age) *up to 14 service users in the category of OP (old age not falling within any other category) 2 The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 22nd February 2005 Brief Description of the Service: Anbridge is a privately owned care home registered to accommodate 20 people. The home is situated in the Watersheddings area of Oldham and is within easy reach of shops, a park, and other community facilities. The building is a detached property with pleasant gardens to the front and rear, and car parking space to the side. Accommodation for service users is provided on the ground, first and second floors of the building. A passenger lift has been installed between these floors and ramped access has been provided externally. There are 16 single bedrooms, 11 of which have en-suite toilet facilities (four rooms also have an en-suite shower), and two double bedrooms, one of which has en-suite toilet facilities. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 31st May 2005. Action had been taken in relation to some of the requirements, which were made as a result of previous inspections. Some had been fully addressed, but others required further improvement to meet the National Minimum Standards and the Regulations, and there were others for which no action had been taken. The inspector spoke with some of the residents, a visitor, the manager and a member of care staff, carried out a partial inspection of the premises, and examined records. Verbal feedback of the findings of the inspection was given to the manager, during, and at the end of the inspection. What the service does well: What has improved since the last inspection? Assessments of prospective residents needs had been completed before they moved into the home. The dining room and main lounges had been redecorated and had new curtains, and some of the bedrooms had been refurbished. There was a new reception area, and hairdressing facilities had been provided in the small lounge. The main corridor looked lighter and brighter as a result of a new lower ceiling and new lights being fitted. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 6 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. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 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 Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 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) 1, 2, 3 Information given to residents about the home needs to be improved. Resident’s needs are assessed before going into the home, but specialist needs cannot be met. EVIDENCE: Work was ongoing to amend the statement of purpose, service user guide and statement and terms of conditions of residency, within the timescale of 1st September 2005. Care files seen contained assessments of resident’s needs, which were provided by the home and social services prior to the person moving into the home. A resident had been admitted whose primary needs for residential care related to a sensory impairment, which was not included in the homes categories of registration. Staff need specialist training to enable them to meet the resident’s needs in relation the sensory impairment, and the registered person must apply to the Commission for Social Care Inspection for a variation of the conditions of registration to accommodate this resident. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 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) 7,9 The home did not provide care plans for newly admitted residents. Risk assessments were not carried out for residents who administered their own medication. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 10 EVIDENCE: Social work assessments and care plans had been provided before admission to the home took place, and the manager had completed pre-admission assessments of prospective residents needs. Care plans were detailed and well structured, but they were not completed at the time of admission, and a care plan had not been provided for a recently admitted resident. On discussing this with the manager and the deputy manager, it was clear that the needs of the resident were known, and the manager had been pro-active in obtaining community health and social care, support services for the resident. Similarly a risk assessment had not been completed when required, although preventative action had been taken. Monthly reviews had been carried out, but the care plans which were inspected, had not been signed by the service user or their representative. Since the last inspection all senior carers and 3 night staff had completed a 6 weeks medication course, provided by an external trainer coming into the home. A risk assessment was needed for a resident who self administered some of his medication. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 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) 12,13 Residents enjoy a flexible lifestyle in the home and maintain contact with their families and friends. EVIDENCE: Residents felt that the routines of daily living within the home were flexible. They were satisfied with the activities provided, and enjoyed having their hair done, and the beauty care which was available each week. During discussions with the Activities Organiser she said that was in the home 5 days a week. Activities included spending time talking to residents individually, and communal activities such as sing–songs, bingo, raffles, card games, dominoes, reminiscence, and recently there had been an outing to a pub for lunch, which had been a great success. A hairdresser and a beautician each spend 1 day a week in the home. Residents and a relative who spoke with the inspector confirmed that visiting was able to take place at any reasonable time, and said that visitors were made welcome by the staff. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 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) The standards in this section were not assessed on this occasion. EVIDENCE: Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 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) 19,25 The home was clean, and the owners were maintaining the property, and providing equipment and pleasant accommodation, for the people who live at Anbridge. EVIDENCE: A programme of refurbishment was continuing, with some bedrooms having new furniture, carpets and soft furnishings provided since the last inspection, and the dining room and main lounges had been redecorated and had new curtains. There was a new reception area and a small sitting area near to the entrance, and hairdressing facilities had been provided in the small lounge. The ceiling on the main corridor had been lowered and new lights had been installed, making the corridor look much brighter. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 14 The accommodation was clean and free from unpleasant odours, at the time of the inspection, and residents confirmed that this was the normal standard of cleanliness within the home. Residents were satisfied with their rooms, and they were able to bring in furniture and other personal possessions of their choice to meet their needs, and make the rooms homely. Risk assessments had been done regarding radiators, and action had been taken to reduce the risk of residents burning themselves on them, where necessary. The manager said that the installation of radiator guards had been delayed because contractors had been concerned that the guards would prevent the thermostatic valves from working properly, and it had taken some time to resolve the problem. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 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) 30 Staff training in certain areas needs to be improved. EVIDENCE: New members of staff had commenced induction training, which was based on the TOPSS training programme, but the manager said that he had found the training to be inadequate, and he was therefore putting new staff forward for NVQ 2 courses as soon as possible and providing in house training for them himself prior to them commencing the NVQ courses. Since the last inspection staff had received training regarding moving and handling, and medication. Training in relation to the Protection of Vulnerable Adults has been arranged for 28/6/05. During the course of the inspection, training needs were identified in relation to the sensory impairment (standard 3), and procedures regarding MRSA (standard 37). Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 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) 32,33,37 The home was being managed to a satisfactory standard. Record keeping could be improved to safeguard resident’s rights, and more opportunities were needed for visiting professionals and other interested parties to comment on the running of the home. EVIDENCE: Work was ongoing to improve the system for monitoring the quality of the service provided, within the timescale of 1st September 2005, as agreed following the last inspection. Residents said that Mr Jones and Mrs West were friendly and approachable, and “nothing was too much trouble for them”. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 17 Staff were equally positive in their comments about the owners. They had meetings with Mr Jones and Mrs West regularly and said that their views were listened to and acted upon. A staff meeting was, in fact held during the afternoon of the inspection. It was noted that the meeting was well attended. The records, which are required by statute had improved, but some did not meet the standard, as noted previously in this report when reporting on standard 7. A procedure was needed to provide staff with guidance when caring for residents with MRSA, and for notifying the necessary authorities about a resident in the home having MRSA. Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 18 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 2 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x 2 x STAFFING Standard No Score 27 x 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x 3 2 x x x 2 x Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 19 yes 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 1 Regulation 4.5 Requirement Timescale for action 1/9/05 2. 2 3. 3 The registered person must ensure that statement of purpose and service user guide are provided in accordance with the Regulations and the National Minimum Standards 5 The registered person must ensure that a statement of terms and conditions/contract, is provided for service users in accordance with the National Minimum Standards and Regulations. Section 15 The registered person must 1 (a) Care apply to the Commission for Standards Social Care Inspection for a Act 2000 variation of the conditions of registration to cater for a resident with a sensory impairment. 15 The registered person must ensure that care plans and risk assessments are provided and reviewed for all service users in accordance with the National Minimum Standards and the Regulations. The registered person must ensure that care plans are drawn up with the service user and F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc 1/9/05 1/7/05 4. 7,37 immediate Anbridge Care Home Version 1.30 Page 20 5. 9 13 (2)(4) 6. 25 13 7. 3,30 18 8. 30,37 13 agreed, signed and dated by the service user whenever possible. The registered person must ensure risk assessments are completed in relation to selfadministration of medication. The registered person must ensure that radiators and exposed pipe work within the home, are enclosed. The registered person must ensure that staff receive training in relation to sensory impairment. The registered person must ensure that a procedure is provided for staff guidance when caring for residents with MRSA, and for notifying the necessary authorities about a resident in the home having MRSA. immediate 1/12/05 1/10/05 1/8/05 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 Good Practice Recommendations Anbridge Care Home F54-F04 s62410 Anbridge un v222400 310505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 OQD 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. 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