Inspection on 03/10/05 for Kings Abbot Rest Home

This inspection was carried out on 3rd October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Kings Abbot Rest Home 02/10/07

Kings Abbot Rest Home 10/08/06

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 Announced Inspection 3rd October 2005 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.V255204.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. Kings Abbot Rest Home DS0000005885.V255204.R01.S.doc Version 5.0 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.V255204.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 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. Kings Abbot Rest Home DS0000005885.V255204.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and took place over a three-hour period from 10 am to 1pm. Information contained in the report was gathered by discussion with the registered persons, informal discussion with staff, discussion with residents and visiting relatives. The owner completed a pre inspection questionnaire, and questionnaires were handed out to relatives and residents during the visit. General practitioners with patients in the home were written to and completed questionnaires received from them. A general Practitioner serving the home 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 five residents was tracked from assessment to the care plans. The homes policies and procedures were also examined. What the service does well: Kings Abbot is a small family run home, which prides itself on the provision of homely and individual care. There is a very small staff turnover, which provides security and stability for residents. Residents and relatives commented on the good care the home offers and the contentment of those living there. The home has been owned and managed by the owners. They have been operating the home for many years and pride themselves on their individual approach to residents. The inspector found during the visit that the owners demonstrated a good awareness of the needs of the residents and he observed good interaction between residents, management and staff. Kings Abbot Rest Home DS0000005885.V255204.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kings Abbot Rest Home DS0000005885.V255204.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 Kings Abbot Rest Home DS0000005885.V255204.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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: Kings Abbot Rest Home DS0000005885.V255204.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): 9 The home has good policies and procedures in place for the safe handling of medication. EVIDENCE: All residents have their medication administered by the home. The inspector looked at the Medication Administration records, these were seen to be completed properly and were up to date. The medication cabinet was seen and was orderly and kept secure. Medications were cross-checked with records and were found to be correct. Only the registered owner and assistant manager administer medication and have received training in administration of medication. Only those responsible for administration of medication have the key to the medication cabinet. Records were seen to be in place for medications received, administered and disposed of by the home. Kings Abbot Rest Home DS0000005885.V255204.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): 14 and 15 Residents are enabled by the home to exercise choice and control in their daily lives. Residents receive a varied appealing diet and have choices in what they eat. EVIDENCE: One resident is able to manage their own finances, others have family doing this. Any personal allowance kept for residents by the home are kept securely and good records maintained of income and outgoings. Resident told the inspector they are happy with arrangements in place. Those who wish to contact local advocacy services are able to do so; information regarding these is contained in the statement of purpose and the service users guide. Residents are also informed of their right to access their personal files in the service users guide. Residents said they are able to choose when they get up and go to bed and where they wish to sit during the day. Their own rooms are personalised and residents have their own possessions around them. A resident said, “staff are wonderful and help me do things for myself”. A relative questionnaire states “ I would have no hesitation in recommending this home to anyone, the staff are very caring and supportive to an extent I have not witnessed in several other rest homes”. Kings Abbot Rest Home DS0000005885.V255204.R01.S.doc Version 5.0 Page 11 Residents spoken to said they are offered a good variety of food which is home cooked and well presented. Records of food served showed there are a wide variety of meals offered with choices always available. Fresh fruit and vegetables are always available. Cakes and pies are home baked and residents said they are very good. Residents are able to decide what meals are incorporated into the menus. Hot and cold drinks are available throughout the day and a supper is offered in late evening. A cook is employed by the home and has competed a food hygiene course. Kings Abbot Rest Home DS0000005885.V255204.R01.S.doc Version 5.0 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 the following standard(s): All the key Standard in this section were assessed at the last inspection and were met. EVIDENCE: Kings Abbot Rest Home DS0000005885.V255204.R01.S.doc Version 5.0 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 the following standard(s): 19 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 visited in July and the home is preparing risk assessments following this visit. 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. Kings Abbot Rest Home DS0000005885.V255204.R01.S.doc Version 5.0 Page 14 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): 28 and 30 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. Kings Abbot Rest Home DS0000005885.V255204.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): 31,33 and 35 The registered provider has many years experience in owning and managing the home and able to ensure the home operates efficiently. There are effective quality assurance processes in operation, which ensure resident’s views are taken into consideration. Where possible resident s are able to control their own finances. 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 her 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 Kings Abbot Rest Home DS0000005885.V255204.R01.S.doc Version 5.0 Page 16 views of residents. Residents meetings are held, this was confirmed by staff 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. Kings Abbot Rest Home DS0000005885.V255204.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 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Kings Abbot Rest Home DS0000005885.V255204.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. 1 Refer to Standard 28 Good Practice Recommendations 50 of care staff should be qualified to NVQ 2 BY 2007 Kings Abbot Rest Home DS0000005885.V255204.R01.S.doc Version 5.0 Page 19 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.V255204.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. 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