CARE HOMES FOR OLDER PEOPLE
Anglebury Court 21 Bonnets Lane Wareham Dorset BH20 4HB Lead Inspector
Trevor Julian Unannounced Inspection 18th October 2005 11:00 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 Anglebury Court DS0000031937.V259380.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. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Anglebury Court Address 21 Bonnets Lane Wareham Dorset BH20 4HB 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) 01929 552585 01929 551984 Dorset County Council Mrs Susan Elizabeth Evans Care Home 36 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (21) of places Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Staffing levels must be those determined in accordance with guidance recommended by the Department of Health. 9th June 2005 Date of last inspection Brief Description of the Service: Anglebury Court is a purpose built facility situated within level walking distance of Wareham providing a range of local amenities including shops, cinema, library, churches etc. It was built by and has been run by the local authority, Dorset County Council since January 1989. The service is registered with the Commission for Social Care Inspection. The registered manager is Sue Evans. The home is sited adjacent to the local Social Services Offices and a day centre. The home benefits from some of the day centre facilities, particularly transport for social outings. The home is designed to accommodate a total of 36 older persons including 15 specialist dementia places, 31 in permanent beds and 5 short term care places. All accommodation is provided on ground floor level in 28 single rooms and 4 double rooms. All rooms are supplied with ensuite shower rooms with toilet and washbasin. Although in one premises, the home is arranged on a unit style basis incorporating 4 ‘bungalows’, a central service corridor known as ‘The Street’ links each bungalow. Each bungalow comprises of 7 single and one double bedroom, one bathroom and a lounge/dining room with kitchenette. There are 2 laundry rooms, each shared by 2 bungalows. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 18th October 2005 between 11:00-15:45. The total time for the preparation, inspection and reporting including travelling time amounted to 15 hours. Information was gathered through discussion with residents, visitors, the manager and staff. Further evidence was gathered through a tour of the premises and the examination of records and documentation. This was the second statutory visit during the year, for key standards not covered in this report please refer to the previous inspection. For the purpose of this report the terms resident and service user are interchangeable. Some comment cards had been returned from residents, family, GP’s, care managers and community nurses. All were very positive about daily life at Anglebury Court but several expressed concerns about staffing levels this is considered in the report. What the service does well:
The residents and visitors were all very positive about the standard of care provided at the home. Residents said they felt there were good levels of choice and gave food and their personal preferences as examples of areas where they were able to exercise choice. During a tour of the premises there was a good rapport noted between residents and staff. The residents’ said their meals were not rushed, this was seen to be the case during the visit. Activities were organised to suit individual and small groups. Residents said there was no compulsion to join in but a programme of events was available for them. The home was well managed and the views of the residents were sought and listened to. The senior staff were proactive in their developing and improving the standards in the home. Staff training was accessible to the staff who felt the standard of training was good. In terms of Adult Protection the staff were aware of their responsibilities. The topic was covered in their induction and NVQ training and was also reviewed
Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 6 during supervision meetings. Information was readily available to the residents and visitors about the Authority’s complaints procedure. Staffing levels were adequate to meet the needs of the residents, call bells were answered promptly during the visit and residents said this was normally the case but at busy times of the day there could be some delay. The home only used agency staff to cover staff absences; there were no vacant care posts at the time of the visit. 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. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 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 Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 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): Not assessed during this inspection. Please refer to the previous report. EVIDENCE: Anglebury Court DS0000031937.V259380.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): Care plans were in place to inform staff how residents’ needs were to be met. EVIDENCE: Since the last inspection the staff had reviewed the care information held on each of the bungalows. A small sample showed that the old information had been removed to avoid the risk of confusion. The three files examined each contained care plans, specialist referrals, risk assessments and evidence of reviews being carried out. There was evidence on file of resident and their carer involvement in the care review. None of the residents could recall involvement in the care planning or review process. One visitor said that the home kept in regular contact and staff had informed her of a recent fall. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 10 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 Activities organised in the home allow the residents to follow their own interests. EVIDENCE: The home’s activity organiser posts weekly programme of events in each bungalow. On the morning of the visit the home was visited by the “PataDog” scheme and several residents commented how much they had enjoyed the visit. Other events included clothes show and shopping, coffee morning Halloween crafts with entertainers most Saturdays. Christmas festivities were being planned. Church visitors come to the home monthly offering both Anglican and Catholic services. Several people attended local churches with support from volunteers. Social preferences were recorded during assessment and reviews. Several residents commented on the variety of activities offered and some mentioned their trips out during the warmer weather. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 11 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 18 The complaint’s system allows residents and visitors to raise concerns and that the concerns would be acted upon. Adult Protection training and procedures were in place to help keep residents from the risk of abuse. EVIDENCE: Information about the complaints procedure was provided to during the admission process. There was a copy of the procedure on display in the entrance hallway. None of the residents spoken to had made formal complaint’s as they were able to discuss concerns with the staff and management. During the visit staff confirmed that they were trained in responding to signs of abuse. The topic was also reviewed during the supervision process. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 12 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): Not fully assessed during this inspection. EVIDENCE: The home had recently been awarded a grant to redevelop a garden area. The plans were displayed in the hallways. Several of the residents were looking forward to seeing the work progress. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 13 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 Staffing levels were appropriate to the needs of the residents. Training available to the staff ensures that the workforce is appropriately trained. EVIDENCE: Several comment cards expressed concern about staffing levels in the home. A review of the staffing roster showed that care hours were varied from 6 to 4 carer during the day in response to care needs. Overnight there were 3 carers on duty including one shift leader. There were also officers on duty throughout the day along with the activity organiser, domestic staff and breakfast assistant. The home had no care hour vacancies and agency staff were only used for cover of unplanned absences. During the visit the alarm bells were answered promptly, residents said this was normally the case, but sometimes there were delays during busier part of the day. The system allowed the staff to prioritise their responses. The call alarm panel was also sited in the officers’ office allowing them an overview of any problems. Staff felt the shifts were very busy at times; the layout of the building with units tended to create difficulties for staff.
Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 14 The manager had reviewed staffing levels and there had been an increase in care staff hours and other improvements since her appointment. Staff said they had good access to training one person said she had completed NVQ 3 in care. Training was accessed through discussion during supervision meetings. A new recruit was started once all references and clearances had been received and was working through the induction programme. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 15 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 38 The management of the home and the monitoring systems in place provide a home that is run in the best interest of the residents. Residents and staff safety is promoted through the provision of good safety systems and staff training. EVIDENCE: The manager had completed the required level of management and care training. There were good communication channels between staff and residents and there were regular meetings. The residents said they were able to talk to the senior staff about any concerns or ideas. The manager said she was looking to review the care planning and recording process and a member of staff had attended a training event as part of the process. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 16 Responsible individuals carry out monthly visits to the home to monitor standards on behalf of the Authority. The staff attend health and safety training including safe moving and handling, arrangements had been made for all staff to complete fire safety training before the end of the month. Since the last inspection the accident book had been amended allowing each entry to be tracked while conforming to Data Protection requirements. Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Anglebury Court DS0000031937.V259380.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
