Inspection on 23/08/05 for Oulton Abbey Nursing Home

This inspection was carried out on 23rd August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Oulton Abbey Nursing Home 05/11/08

Oulton Abbey Nursing Home 30/11/06

Oulton Abbey Nursing Home 30/12/05

Oulton Abbey Nursing Home 22/02/05

Oulton Abbey Nursing Home 12/10/04

Oulton Abbey Nursing Home 26/03/04

Oulton Abbey Nursing Home 29/09/03

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Maple Lodge

Heathlands

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

CARE HOMES FOR OLDER PEOPLE Oulton Abbey Nursing Home Oulton Stone Staffordshire ST15 8UP Lead Inspector Lynne Gammon Announced 23 August 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. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oulton Abbey Nursing Home Address Oulton Stone Staffordshire ST15 8UP 01785 814192 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) Our Lady and St Benedicts CRH 26 Category(ies) of DE(E) - 1 registration, with number OP - 7 of places PD - 26 PD(E) - 26 Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 26- PD Physical Disability- Minimum age 60 years on admission 1 DE(E)- Dementia over 65 years for one named service user Date of last inspection 22 February 2005 Brief Description of the Service: Oulton Abbey Care Home is a grade 2 listed building converted to a nursing home in 1989. Prior to this the home had been a retreat house and a boarding school. St Mary’s Church was built in 1853 and forms part of the home. The building has been home to a community of Benedictine nuns since 1853 (St Mary’s Abbey, also known as Oulton Abbey). The home is situated within the village of Oulton near to Stone in Staffordshire and can be accessed by public transport. The bus stops about 200 yards away and the train station is in Stone (approximately 1 mile away). Oulton Abbey is registered to take twenty-six elderly service users over the age of 60 years with care and nursing needs. This includes individuals referred through care management either from social services or hospital as well as privately funded individuals. Cultural and religious beliefs are a particular consideration and members of all denominations are welcomed. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit was made on the 23rd August 2005 at 9.15 am. The inspection was carried out by one inspector who used the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to 8 hours. The registered provider, Dame Benedicta Scott and the Matron, Mandy Jackson was present throughout the inspection. Also on duty that day were: another trained member of staff and 4 care assistants on the early shift, 1 trained staff and 3 care assistants on the late shift and 1 trained staff and 2 care assistants on night duty. Other ancillary staff employed within the home were: a bursar, an office administrator, an activities co-ordinator, a chef, a cook, 2 kitchen assistants, 2 orderlies, a laundry assistant, 2 cleaners and a handyman/gardener. These staffing levels were satisfactory for the numbers of residents living within the home. The inspection included a tour of the building, inspection of records, observation and discussions with residents, relatives and staff. Since the last inspection on 22nd February 2005, no complaints had been received by the home and the Commission had received no complaints nor any incidents or reports of abuse of any kind. One requirement and one recommendation, against the regulations and the minimum standards, were outstanding from the last inspection report. The Matron carried out the pre-admission assessments and documentation showed that all needs were considered. All prospective residents were invited to visit the Home, prior to moving in to enable them to make an informed choice about the Home, once it had been confirmed that their needs could be met. Care plans were detailed and well documented and showed that health, personal and social care needs had been met. However, it is a requirement of this report that care plans are reviewed monthly. Residents and relatives spoke highly of the quality of care provided by the staff. Observation evidenced that residents were treated with dignity and respect and residents who were spoken to by the inspector confirmed this. The grounds of the home were well tended and had a wide variety of shrubs, trees and flowers. There was also a large vegetable garden and fruit trees. The laundry window needed repairing but overall, the home was well maintained and clean. It had a comfortable, homely atmosphere with good quality furniture and fittings. It provided a safe and happy environment for the residents. Each bedroom was individually personalised with each resident’s possessions. The lounges and dining room were pleasant and relaxing Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 6 environments for the benefit of the residents. Food was seen to be well presented and menus were varied and nutritious. Formal staff supervision did not take place but was in the process of being started. It is a requirement of this report that staff be adequately supervised and a recommendation that supervision sessions take place six times per annum for each member of staff to enable them to have more regular, dedicated, one to one time with their manager to address current and training issues. The home appeared to be generally well managed and organised, and there was an open, transparent culture witnessed within the home. Good recruitment systems were in place to safeguard residents and the ethos of the home was to respect and value the rights of those who lived there. What the service does well: What has improved since the last inspection? The Statement of Purpose had been updated to contain all of the relevant information required to enable prospective residents to make an informed choice about the home. Some bedrooms had been redecorated to a good standard and new carpeting had been laid in the corridors and on the stairs in the home. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 7 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. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 8 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 Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 9 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, 3 and 5 The information provided by the home ensured that residents could make an informed decision; assessments were carried out and trial visits were offered so that residents and their representatives were confident that the home could meet their needs. EVIDENCE: The Statement of Purpose had been updated and seen to contain all the relevant information to enable residents to have a clear understanding of all aspects of the service provided by the home. Documentation evidenced that the manager carried out in depth pre-admission assessments providing a comprehensive understanding of the needs of the individual which was then transferred into care plans. Trial visits were available to all potential residents who were invited to visit the home, have a look around with their relatives, or to have lunch/tea if required. Some residents who were spoken to confirmed that they had been able to visit the home before choosing to stay. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 10 Care planning processes within the home were clear and consistent to adequately provide staff with the information they needed to meet resident’s needs satisfactorily. However, review of care plans should take place more regularly to ensure changing needs are met at all times. Residents were treated with respect, privacy and dignity. EVIDENCE: Each resident had a documented care plan and two care plans were examined in detail. Both care plans contained meaningful recordings by staff and were, overall, organised and well laid out. However, care plans were reviewed bimonthly and should take place monthly, and therefore, it is a requirement of this report that care plans are reviewed each month for all residents. Risk assessments were reviewed regularly and daily reports provided comprehensive information to enable staff to be fully aware of individual needs. Documentation showed that health care needs were being met well and that residents had access to a range of other health care professionals, such as GP, optician, chiropodist etc. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 11 Staff were observed addressing residents in a respectful manner and knocking on doors before entering their rooms. Residents confirmed that they were treated politely and that their privacy was respected. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 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 standard(s) 12, 13 and 15 The home provided a range of activities and events to satisfy the needs of the residents and family and friends were welcomed and encouraged to maintain contact with the residents in the home. Dietary needs of residents were well catered for with a balanced and nutritional selection of food available that met resident’s tastes and choices. EVIDENCE: A range of activities was available for the benefit of the residents. These included quizzes, outings to Llandudno, Telford Park, garden centres, and coffee mornings, a Summer Fete, hairdresser, birthday celebrations, special events, monthly newsletter etc. Religious needs were also accommodated and all residents had access to the Church, attached to the home at any time and to attend the regular services held there. There was an open door policy operating within the home and relatives and friends were encouraged to maintain contact with the residents. The home had many links with the local community, including the Women’s Royal Voluntary Service. Several residents spoke of their satisfaction with the meals and choices offered. One resident when spoken to said ‘The food is very good and there is lots of it!’ Residents were observed having lunch in the dining room and the food was seen to be well presented, balanced and appetising. Catering records Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 13 were examined and evidenced that the dietary requirements of residents were being met. The cook when asked said that fresh food from local suppliers was delivered on a weekly basis. Fridge, freezer and food probe temperatures were checked and seen to be correct. One relative commented ‘Very caring home, also very clean and the food is very good’. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 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 standard(s) 16 and 18 The home had a satisfactory complaints procedure and resident’s views were listened to and acted upon. Residents were protected from abuse by the home’s Adult Protection procedure which ensured a proper response to any suspicion or allegation of abuse if the need arose. EVIDENCE: The Commission had received no formal complaints since the last inspection and none had been received by the home in the last 12 months. The complaints procedure was seen on display in the hallway of the home for the benefit of residents and relatives alike. Residents confirmed that any concerns or complaints that they had were listened to and every attempt was made by staff to resolve the issue. No incidents of neglect or abuse of any kind had been reported. The home had an Adult Protection procedure and a discussion about abuse awareness with the registered provider and the Matron confirmed that residents were protected from all forms of abuse. However, they supported the need to strengthen staff awareness on the different types of abuse and the reporting processes and confirmed that they would look to organise refresher training for staff on this subject. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 15 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, 20, 22, 24, 25 and 26. Generally, the home was safe and well maintained throughout. Indoor communal areas were pleasant and comfortable and provided a homely environment for the residents. The grounds were easily accessible for the residents and well maintained. Bedrooms were satisfactory and individually personalised. The home was clean and hygienic. EVIDENCE: The location and layout of the home was well suited to the residents. The rural setting provided a quiet and pleasant environment and the home enabled easy access for all residents including those requiring wheelchairs. The garden was very large and contained a variety of flowers and shrubs. There were also fruit trees and a vegetable garden, and the chef used the fruit and vegetables for the benefit of the residents. A visual appraisal of the exterior evidenced that the building was generally well maintained, but one of the laundry windows had a crack in it and needed attention. It is a requirement of this report that the window is replaced. Internally, new carpets had been laid throughout the corridors and stairs, and Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 16 the communal rooms were comfortable, homely and bright. The furnishings were of good quality and offered a pleasant environment for the residents and their relatives. One of the lounges contained an aquarium and another held a wide variety of books, both of which contributed to the ‘home from home’ surroundings. A separate room was available for those resident’s who smoked. It was also noted that environmental adaptations and equipment had been provided to meet the assessed need of the residents. These included handrails fitted along the corridor and grab handles in the toilets. There were also hoists, pressure mattresses, an Argo bath and assisted bathrooms for the benefit of the residents. The Matron confirmed that the home had received a recent visit from the fire officer but the inspector was concerned about a fire exit upstairs where the door was not alarmed. This door led to a metal staircase and was very easy to open. The inspector recommended that the fire officer and/or the health and safety officer be contacted to establish whether the door is safe enough in its present state for the residents. The registered provider and the Matron confirmed that this would be done. Those bedrooms inspected were comfortably furnished, and some had been redecorated to a good standard. All rooms seen had been personalised by the individual resident. Radiators were guarded in each room, wardrobes were secure and smoke detectors were in place. Some beds were fitted with bed rails and following a discussion with the registered provider and the Matron, it is recommended that an audit be carried out on all beds with bed rails to ensure that they are fitted correctly and not a risk to the safety of the residents. The registered provider outlined a number of problems with the heating and water system within the home and was waiting for repairs to the system to be completed by the local plumber. The inspector will monitor this situation over the next few weeks. On the day of the inspection the home was clean, hygienic, and free from offensive odours in all areas accessed by the inspector. The laundry was inspected and found to be clean and tidy and soiled linen was put into easily identifiable red bags to prevent cross infection and kept separate from other laundry. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 17 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) 27 and 29. Staffing numbers and skill mix was appropriate to meet the assessed needs of the residents living in the home. A thorough recruitment and selection procedure was in place and ensured the continued protection of the residents. EVIDENCE: On the day of the inspection, there were 23 residents. The Matron was on duty all day with another trained member of staff and 4 care assistants on the early shift, 1 trained staff and 3 care assistants on the late shift and 1 trained staff and 2 care assistants on night duty. Other ancillary staff employed within the home were: a bursar, an office administrator, an activities co-ordinator, a chef, a cook, 2 kitchen assistants, 2 orderlies, a laundry assistant, 2 cleaners and a handyman/gardener. These staffing levels were satisfactory for the numbers of residents living within the home. The recruitment and selection procedures within the home were robust and provided ongoing protection for residents. Two staff files were examined and each contained an application form, CRB clearances, two references and details of qualifications and training. Proofs of identity were also held on each file including a recent photograph of the individual member of staff, and the management of the home were to be credited for their well-documented approach to ensuring the protection of those living within the home. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 18 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 and 36 The ethos and leadership of the home was open, positive and inclusive. Residents views were sought and taken into account. Staff had not yet had the opportunity to receive formal supervision sessions from their line manager. EVIDENCE: A copy of the most recent inspection report was available in the main hallway of the home and a notice informing residents and relatives of the date that the inspector from the Commission was visiting. This small gesture was an example of the culture within the home where the processes of running and managing the home were seen to be open and transparent, and where residents and staff were also involved. Staff meetings took place every 2 to 3 months and resident’s meetings had taken place in the past but had dwindled. The registered provider and the Matron confirmed that they were about to reinstate these meetings. However, a recent survey of residents had been carried out regarding the catering facility Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 19 within the home and at the time of the inspection, the results had not been collated. Formal supervision of staff had not taken place, although the Matron confirmed that it was in the process of being done. Therefore, it is a requirement of this report that staff receive appropriate supervision and a recommendation that formal supervision sessions for staff take place 6 times per annum. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 20 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 3 x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 x 3 x 3 3 3 STAFFING Standard No Score 27 4 28 x 29 4 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 x x 2 x x Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 21 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. 2. 3. Standard OP 7 OP 19 OP 36 Regulation 15 (2)(b) 23 (2)(b) 18 (2) Requirement For care plans to be reviewed each month for all residents To replace the cracked laundry window. For all staff receive appropriate supervision. Timescale for action Immediate and ongoing Immediate 30/11/05 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. 2. 3. Refer to Standard OP 19 OP 22 OP 36 Good Practice Recommendations To contact the fire officer and/or the health and safety officer to establish whether the fire door upstairs is safe enough in its present state for the residents. To carry out an audit on all beds with bed rails to ensure that they are fitted correctly and not a risk to the safety of the residents. Formal supervision sessions for staff to take place 6 times per annum. Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Oulton Abbey Nursing Home E51-E09 S22359 Oulton Abbey V240511 23.08.05 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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