Inspection on 30/12/05 for Oulton Abbey Nursing Home

This inspection was carried out on 30th December 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

Oulton Abbey Nursing Home 05/11/08

Oulton Abbey Nursing Home 30/11/06

Oulton Abbey Nursing Home 23/08/05

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 Unannounced Inspection 30th December 2005 09:30 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 Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 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. Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Oulton Abbey Nursing Home Address Oulton Stone Staffordshire ST15 8UP 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) 01785 814192 01785 812421 Our Lady and St Benedict`s Care Home 26 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (7), of places Physical disability (26), Physical disability over 65 years of age (26) Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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 23rd August 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 Marys 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 Marys 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 one 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 DS0000022359.V278561.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit was made on the 30th December 2005 at 9.30 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 six hours. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations were raised as a result of this inspection. Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 Page 6 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 DS0000022359.V278561.R02.S.doc Version 5.1 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 Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 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): 2 and 4 A written contract was in place for each service user and confirmation that needs could be met was provided. EVIDENCE: The standard contract between the home and the individual service user was inspected and evidenced that all required elements were contained. Contracts were seen as signed by the service user and the proprietor, Dame Benedicta. Confirmation of meeting needs was provided following an initial assessment of needs. Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 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 and 11 Care planning processes within the home were clear and consistent to adequately provide staff with the information they needed to meet service user’s needs satisfactorily. Health care needs were met very well and service user’s needs at the time of their death were treated with dignity and respect. EVIDENCE: Two service user care plans were inspected and found to be detailed and well organised to provide staff with information to understand and meet individual needs. Care plans were reviewed monthly and risk assessments were completed as required and also reviewed monthly. Health care needs were met very well and service users had access to a range of other health care professionals. The resuscitation status of each service user, contained within the care plans, was signed as endorsed by the relevant service user to ensure clarity of their needs at the end of life. Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 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 Service users were enabled and supported to make their own decisions and choices about their own lives. EVIDENCE: Observation and comments from service users evidenced that they were enabled and supported to make their own decisions and choices about their day-to-day lives. Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 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, 17 and 18 A robust complaints procedure was in place and service users were listened to with their views taken into account. Service user’s legal rights were protected and the homes’ Adult Protection procedure and staff training ensured they were protected from abuse. EVIDENCE: Neither the home nor the Commission had received any complaints since the last inspection. The Nurse In Charge confirmed that service users were enabled to exercise their legal rights directly and were supported by staff to participate in the electoral process if they so wished. The senior management of Oulton Abbey Nursing Home had reported one incident of alleged abuse which had been investigated prior to the inspection via the Protection of Vulnerable Adults procedure. All key agencies, including CSCI had been involved in this investigation and appropriate action taken to maintain the on-going protection of the service users. The provider and the management within the home were to be commended for their professional, prompt handling of this incident, which had ensured the protection of the service users. Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 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): 21 and 23 Sufficient toilets and bathing facilities were in place for the service users and the layout and size of rooms were satisfactory to suit the needs of the service users. EVIDENCE: Toilets and washing facilities were satisfactory throughout the home and very clean. The dimensions and layout of the rooms within the home was suitable to meet the needs of the service users. Rooms were homely, comfortable and individually personalised. Repairs to the heating and water system within the home remained outstanding. The registered provider confirmed that numerous efforts had been made to encourage a local plumber to progress the remedial work. The inspector will continue to monitor this situation over the next few weeks. Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 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): 28 and 30 Service users were cared for by skilled and trained staff that were competent to carry out their roles. EVIDENCE: There was 20 care staff working within the home, including bank staff. The care manager confirmed that a number of care staff was in the process of achieving NVQ Level 2 or above and the home would meet the requirement for 50 of all care staff to be qualified within the home in the near future. The inspector examined the records of the type and frequency of training undertaken by the staff within the home. Training records included the following: venepuncture 30.09.05, moving and handling 18.10.05 and planned for 09.01.06, fire safety training 01.07.05, chiropody planned for 11.01.06, dementia awareness 08.06.05, PEG 15.02.05 and infection control 06.10.05. The Matron was attending an Abuse Awareness training course on the day of the inspection. Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 Page 14 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): 34, 35, 37 and 38 Financial accounting and recording within the home was robust to safeguard service user’s financial interests. Records held were accurate and secure. The health, safety and welfare of service users were upheld. EVIDENCE: Suitable accounting and financial procedures were in place and individual service user financial records were inspected. All written records of transactions were maintained and appropriate records and receipts were kept. Individual records and home records were secure, up-to-date and in good order. The inspector examined a range of records and documentation, which evidenced that the health, safety and welfare of service users and staff were protected. These included fire safety records, which showed that fire safety training took place in addition to weekly fire alarm testing and fire doors were Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 Page 15 checked each evening; the lift had been serviced on 18/10/05, and an electrical check took place by an authorised company on 17/09/05. The inspector was not able to examine records regarding the water tanks due to the ongoing delay with the plumber and the heating system. Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 Page 16 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 3 X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 4 X X 3 X 3 X X X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x X X 3 3 X 3 3 Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 Page 17 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 Oulton Abbey Nursing Home DS0000022359.V278561.R02.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Stafford Office 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. 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