Inspection on 10/08/06 for Kings Abbot Rest Home

This inspection was carried out on 10th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Kings Abbot Rest Home 02/10/07

Kings Abbot Rest Home 03/10/05

Kings Abbot Rest Home 13/06/05

Kings Abbot Rest Home 01/02/05

Kings Abbot Rest Home 23/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Kings Abbot Rest Home Abbotsway Penwortham Preston Lancashire PR1 0BD Lead Inspector Mr Patrick Rooney Unannounced Inspection 10th August 2006 10:00 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 Kings Abbot Rest Home DS0000005885.V299448.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. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kings Abbot Rest Home Address Abbotsway Penwortham Preston Lancashire PR1 0BD 01772 746817 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) Mrs Julia Caroline Mather Mrs Julia Caroline Mather Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: Kings Abbot is situated in its own grounds in a secluded area of Penwortham, which is approximately one mile from Preston City centre. Penwortham shops and amenities are a short walk away, where there are a number of local community facilities. The home provides accommodation and personal care for thirteen residents in five single and four double rooms. Medical and nursing needs are provided by local general practitioners and district nurses. There is a stair lift providing access to the first floor. Fees for a place in the home are from £350 to £400 per week. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit and took place over a three-hour period from 10 am to 1pm. Information contained in the report was gathered from available evidence and by discussion with the registered persons, informal discussion with staff, discussion with residents. The owner completed a pre inspection questionnaire, and questionnaires were handed out to relatives and residents. General practitioners with patients in the home were written to and completed questionnaires received from them. A general Practitioner serving the home has previously commented in a questionnaire, “there is a consistent high standard of care”. A tour of the premises took place. Care records were examined and the care of three residents was tracked from assessment to the care plans. The homes policies and procedures were also examined. What the service does well: What has improved since the last inspection? The staff team working in the home continues to improve and provide a good stable environment for residents. Maintenance and decoration are always being improved and the home is safe and comfortable. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 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. Kings Abbot Rest Home DS0000005885.V299448.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 Kings Abbot Rest Home DS0000005885.V299448.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 Quality in this outcome group is excellent, this judgement has been made using available evidence including a visit to this service. There are excellent assessment and admission procedures, which provide good information to ensure that resident’s needs can be met by the home. EVIDENCE: Assessments for three residents were looked at and care received was discussed with these residents. All had very comprehensive assessments which looked at health, personal and social care needs. There was good information about personal history and all risks are identified and allowances made for individual needs. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome group is excellent, this judgement has been made using available evidence including a visit to this service. Residents care plans ensure their health and personal needs are closely monitored. The home provides excellent personal services for residents and has good relationships with residents, relatives and all support services. There are good provisions for the administration of medication however these need some improvement. EVIDENCE: The inspector looked at care plans for three residents and then spoke to those residents. They all expressed satisfaction with the care they receive saying that all their care needs are met. Recording in care plans gives very good detail about residents experience and life history, which enables a personal aspect to provision of care. The following are comments received from residents during the visit; “I am very well looked after, it is very nice here, I am comfortable and very happy”. “I am steadily improving, the food is excellent and the company is congenial”. “There is a very happy atmosphere here, staff are very kind and helpful”. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 10 There are policies and procedures in place for the administration of medication and only the matron, deputy and the senior carer give medication out. Receipt of medication and quantities is not recorded correctly consequently it is impossible to carry out an accurate audit of medication in stock. There was also no returns book indicating when medication has been returned to the pharmacy. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome group is excellent, this judgement has been made using available evidence including a visit to this service. Daily routines are flexible and take into consideration the individual needs and wishes of residents. EVIDENCE: The home ensures all residents are provided with an individual programme of support and appropriate activities. There was a good varied programme of activities for residents, which includes entertainment sessions, poetry sessions, quizzes, books magazines and papers, outings to garden centres and shops gentle exercises, and outside entertainers. Residents told the inspector that there are always activities available to them if they wish to take part. Local clergy from different denominations visit and ensure resident who want to receive communion. The atmosphere in the home was observed to be relaxed, residents told the inspector they are able to rise and retire when they wish and that mealtimes can be flexible according to their needs and wishes. Residents told the inspector that staff are very kind and there is a relaxed and pleasant atmosphere. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 12 Resident told the inspector that food they receive is excellent and there are always alternatives provided. Individual likes and dislikes are taken into account and menus are discussed with residents. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 13 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 group is good; this judgement has been made using available evidence including a visit to this service. There is a complaints procedure, relatives and residents are confident that their concerns are listened to, taken seriously and acted upon. The homes vulnerable adults procedure ensures people living at the home are protected from abuse. EVIDENCE: The complaints procedures are contained in the homes procedure manual are available to all residents in their service users guide and a copy is pinned on the homes notice board. Residents said that they know what to do if they have any concerns and would speak to staff or the owner. Staff were aware of the complaints procedure and knew where to find it. Any concerns residents have are acted upon and the owner made aware of them. The home has a procedure for the protection of vulnerable adults, which includes a Whistle blowing policy and dealing with physical or verbal aggression. All staff have received training in the protection of vulnerable adults. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 14 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 group is good; this judgement has been made using available evidence including a visit to this service. The homes owners ensure regular maintenance takes place, a safe well maintained environment is provided. EVIDENCE: The inspector saw a maintenance record, which showed that all safety checks take place on a regular basis. The fire officer has visited and the home has prepared a fire risk assessment. A tour of the home was carried out during the inspection, the home was seen to be safe and well maintained. The grounds were seen to be tidy and safe, the gardens are a pleasant area for residents to enjoy in fine weather. There are suitable infection control procedures in place and the home is always kept clean. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome group is good; this judgement has been made using available evidence including a visit to this service. There is a stable well-trained staff team, which provides good support to residents. EVIDENCE: The inspector saw the homes induction programme which is used for all staff. This is quite detailed and meets the Training Organisation of Professional Social Services specifications for induction training. There is an induction and training manual provided to staff. Staff training records were seen and showed that staff have carried out a variety of other training courses, including health and safety, food hygiene, abuse training, health and safety, moving and handling and first aid. Three staff have competed NVQ 3 and eight have a current first aid certificate. There are currently 33 staff qualified to NVQ level. Personnel files were seen and showed that a thorough recruitment process is operated and all clearances are received, including references prior to staff taking up post. Rotas showed that there are always sufficient staff, with training and skills on duty at all times. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 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 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 group is good; this judgement has been made using available evidence including a visit to this service. The registered provider has many years experience in owning and managing the home and the home is managed efficiently. EVIDENCE: The inspector spoke to the registered provider; staff and residents they all confirmed that the home is run efficiently and there are clear lines of accountability within the home. Residents find the management of the home open and approachable and said they always feel able to approach the owner with any problems. Kings Abbot has received the Investor in People Award, this involves and external audit and a regular internal audit. This audit includes obtaining the views of residents. Residents meetings are held, this was confirmed by staff Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 17 and residents. Residents felt they are able to put their views in meetings; in addition satisfaction surveys are carried out with residents and relatives. One resident currently manages their own finances, the remaining residents finances are dealt with by relatives. Any personal allowances kept by the home are properly recorded; detailed records of these were seen by the inspector. All valuables were seen to be safely and securely kept. The health and safety of resident and staff is protected by the homes policies and procedures, which were seen during the visit. All staff receive moving and handling training and are trained in first aid. All safety check were seen to have been carried out, including electrical items, fire, and suitable procedures are in place for the disposal of hazardous substances. In their induction and training staff are instructed in health and safety and safe working practices. Staff receive regular supervision and staff annual staff appraisals. Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 2 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 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 Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 19 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. 1 Standard OP9 Regulation 13(2) Requirement Timescale for action 15/09/06 2 OP9 13(2) The registered person must ensure that all medication received is accurately recorded on receipt, including quantities received The registered person must 15/09/06 ensure that a record is kept of all medications returned to the pharmacy. 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 Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Kings Abbot Rest Home DS0000005885.V299448.R01.S.doc Version 5.2 Page 21 - 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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