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Care Home: Abbey Lawns Limited

  • 3 Anfield Road Anfield Liverpool L4 0TD
  • Tel: 01512635930
  • Fax: 01512635814

Abbey Lawns is a privately owned care home providing both nursing and personal care for 61 residents. The home is set in a residential area of the city close to both Everton and Liverpool football grounds. The home backs onto Stanley Park. The area is due for regeneration and many of the residential streets around the home are to be demolished or refurbished. The building is spacious and well maintained. The home is made up of two units, each with its own group of staff. Resident`s rooms are located on two floors and there are lounges and communal areas around the home. The home benefits from a large patio area and lawns to the rear. A car park with flowerbeds along the building is located at the front of the home. The area is well served by public transport and is fairly close to the city centre. The home has its own mini-bus. Fees range between £322 and £600 per week dependent on care needs.

  • Latitude: 53.431999206543
    Longitude: -2.9679999351501
  • Manager: Luna Yvonne Skeete
  • Price p/w: £461
  • UK
  • Total Capacity: 61
  • Type: Care home with nursing
  • Provider: Abbey Lawns Ltd
  • Ownership: Private
  • Care Home ID: 1204
Residents Needs:
Old age, not falling within any other category, Physical disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Abbey Lawns Limited.

CARE HOMES FOR OLDER PEOPLE Abbey Lawns Limited 3 Anfield Road Anfield Liverpool L4 0TD Lead Inspector Jeanette Fielding Key Unannounced Inspection 10:00 15 September 2008 th 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 Abbey Lawns Limited DS0000063109.V365013.R02.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. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbey Lawns Limited Address 3 Anfield Road Anfield Liverpool L4 0TD 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) 0151 263 5930 0151 263 5814 info@abbeylawns.com Abbey Lawns Ltd Luna Yvonne Skeete Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (10) of places Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 61 nursing care and 13 personal care within the overall total of 61 10 adults with a physical disability within the overall total of 61 Date of last inspection 22nd August 2007 Brief Description of the Service: Abbey Lawns is a privately owned care home providing both nursing and personal care for 61 residents. The home is set in a residential area of the city close to both Everton and Liverpool football grounds. The home backs onto Stanley Park. The area is due for regeneration and many of the residential streets around the home are to be demolished or refurbished. The building is spacious and well maintained. The home is made up of two units, each with its own group of staff. Resident’s rooms are located on two floors and there are lounges and communal areas around the home. The home benefits from a large patio area and lawns to the rear. A car park with flowerbeds along the building is located at the front of the home. The area is well served by public transport and is fairly close to the city centre. The home has its own mini-bus. Fees range between £322 and £600 per week dependent on care needs. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means that people who use the service experience excellent quality outcomes. This unannounced key inspection was undertaken in one day over a period of seven hours. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Observation of the interaction between staff and people who live at the home provided further evidence of the actual care given. Discussion took place with the manager, nurses, care staff, service users and visitors to the home. The manager completed an Annual Quality Assurance Assessment (AQAA) prior to the inspection to provide additional information regarding the home. What the service does well: What has improved since the last inspection? Improvements to the décor and furnishings within the home continue to ensure that service users are provided with a bright, pleasant and homely environment. A greater range and number of activities have been made available for service users in line with their individual preferences and abilities. Staff training is encouraged and a number of staff have now taken the opportunity to undertake distance learning in addition to in house and external training Abbey Lawns Limited DS0000063109.V365013.R02.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. The summary of this inspection report can be made available in other formats on request. Abbey Lawns Limited DS0000063109.V365013.R02.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 Abbey Lawns Limited DS0000063109.V365013.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Service User Guide is comprehensive and provides prospective service users with full information regarding the home to enable them to make an informed decision regarding their care provider. EVIDENCE: The home has produced a detailed Statement of Purpose and Service User Guide. The Service User Guide is issued to all prospective service users and their relatives and additional copies are available from the home on request. It provides full information regarding the facilities and services offered by the home and includes photographs to enable prospective service users the opportunity to make an informed choice regarding their care provider. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 9 Prospective service users and their relatives are encouraged to visit the home, view the rooms available and to meet with staff and service users. The manager or deputy manager undertake detailed pre-admission assessments of service users prior to their admission to the home to enable their care, health and social needs to be identified. This assessment also identifies any necessary equipment that the home may need to obtain to meet the service users needs and for the home to obtain this and have it in place prior to their admission. Information is gathered from the service user, their family and any other health care professional involved in their care. Sufficient information is gathered to enable the initial plan of care to be prepared. The home does not offer intermediate care. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are detailed and informative to enable staff to have full details of the care required by each individual service user. EVIDENCE: Comprehensive care plans are prepared for each service user to provide staff with full information regarding the care needs and individual preferences of each service user. The care plans of seven service users were inspected and showed that their care needs had been identified and action plans set in place to address those needs. Risk assessments had been undertaken and risk management plans put in place to reduce or remove those risks where necessary to ensure that the service users are protected from harm. Evidence of visits to and by GP’s, Chiropodist, Dentist, Tissue Viability Nurse Specialists, Dietician, Speech and Language Therapists and other health care Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 11 professionals was seen, together with information given to the home by these professionals. The records completed by staff following these visits are detailed and informative and give full information and instruction for the staff team. Care plans are reviewed and updated on a monthly basis and more frequently if the service users’ needs change. Individual social preferences are recorded to enable an appropriate social and activities plan to be prepared. Daily reports provide evidence of the actual care given by the staff. These reports are detailed and informative. All records are clearly written by the staff. Medications are dealt with in accordance with the home’s policy and procedure. Records were well maintained and up to date. The medications storage area was clean and organised. Unwanted medications are stored and disposed of appropriately and no unnecessary medications are held in the home. Information regarding individual medications is held in the home to advise and inform staff as necessary. Regular audits are undertaken of the medications by one of the nurses to ensure that all medications are dealt with appropriately for the protection of service users. The findings of the audits are reported to the manager who actions any shortfalls immediately. Service users may meet with their visitors in the privacy of their bedroom or in one of the communal areas as they wish. Service users and visitors spoken to confirmed that they were made welcome at the home at all times and spoke highly of the staff team. Service users confirmed that their privacy and dignity were respected by the staff. Staff were observed to speak discreetly to the service users when referring to personal issues. Personal care is given in service users own bedrooms or in bathrooms as appropriate. All service users are accommodated in single bedrooms, some having en-suite facilities. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A high number of activities and social events are provided for service users to provide them with a quality lifestyle. EVIDENCE: The home employs a part-time activities co-ordinator over five days each week. In addition, a student on placement and a volunteer assist with the activities to enhance service users lives. The home has two minibuses’ to take service users out, one being suitable for service users who require to use a wheelchair. An extremely high number of activities are arranged for service users and those spoken to confirmed that time was spent with them on a one to one basis as well as in groups. They also confirmed that they were encouraged to participate in the activities but could choose whether they participated or not. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 13 Activities include discussion groups, film shows, quizzes, karaoke, drama group, keep fit, art, college classes and barbeques. Recent trips out have been to New Brighton, the Safari Park and a Barge trip. Pub and restaurant lunches are always a popular trip out. Complimentary therapies are also available including Reike, Aroma Therapy and Holistic Massage. A summer fair is held each year and all birthdays and notable days are celebrated. A monthly newsletter is prepared for service users and their families. Family members are involved with the activities and the activities co-ordinator maintains detailed records of the activities that each individual service user participates in including one to one activities. Visitors are welcome to visit the home at any time and service users may meet with their visitors in the privacy of their own bedroom or in one of the communal areas as they wish. Clergy visit the home each week and provide services for those who wish to participate. A choice of cereals and/or cooked breakfast is offered each morning. A cooked meal is offered at both lunch and dinner, with alternative hot, cold and snack meals being available. Menus provide evidence that a good variety of meals are available to provide a balanced diet. Special diets can be provided on the advice of the GP or dietician or on request. Service users spoken to during the inspection were extremely complimentary about the meals and all said that they would feel comfortable speaking with the staff or the chef if the meals were not to their liking. The kitchen was clean and organised and a good supply of fresh foods were available. These are supplemented by tinned and frozen foods to enable a range of foods to be provided out of season. Discussion took place with the chef who was able to provide evidence that all safety checks are made to ensure the protection of service users. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a robust complaints procedure to protect service users. EVIDENCE: The home has a comprehensive complaints procedure which is detailed in the Statement of Purpose and Service Users Guide and is also displayed in the foyer of the home to give service users and visitors to the home full information on how to make a complaint. No complaints have been received by the home since the last inspection. Visitors spoken to during the inspection confirmed that they had no concerns but would be happy to speak to the manager if necessary. The records held on the staff files show that training on abuse has been given. Discussion with staff demonstrated that they were aware of the different types of abuse and of the action that would be taken if it were suspected. POVA training is given to all new staff and training updates are given to existing staff. All staff have had appropriate checks made on them to ensure that service users are protected within the home. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides assisted bathing facilities, hoists and moving and handling equipment to aid service users who have mobility problems. EVIDENCE: Abbey Lawns is an adapted and extended property with Grade 2 Listing which provides accommodation for service users on two floors and in two areas, Anfield and Goodison. A passenger lift is provided to give full access to the upper areas of the home. All of the bedrooms are used for single occupancy, and many of these are large and spacious. The home provides three lounges, a dining room and an activities room. The grounds provide a large patio and lawns to the rear and flowerbeds to the front. Parking space is available at the front of the home. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 16 All communal areas are decorated and furnished to a good standard and with domestic style furniture to provide a homely environment. The Goodison lounge is also used as a dining room and has a side kitchen were breakfasts are prepared and from where meals, cooked in the main kitchen, are served. Staff are also able to make hot and cold drinks from the side kitchen. New armchairs have been provided in the Goodison lounge and the Anfield lounge has been redecorated. Bedrooms are pleasant and bright and service users are encouraged to personalise their rooms with pictures, photographs, ornaments and items of memorabilia. Service users are offered choices décor within their bedrooms to give them greater involvement within the home. Work to improve the hot water supply in some areas of the home has been completed and all areas are now provided with adequate supplies. Assisted bathing facilities are provided together with hoists and aids to moving and handling. Staff training has been given in the use of all equipment in the home. Nurse call points are located in all bedrooms and bathrooms to enable service users to contact staff from all areas of the home. The home is maintained to a good standard and a small number of issues were raised during the inspection and dealt with immediately. The home is clean and pleasant throughout and all areas smelled fresh. Contracts are in place for the disposal of general and clinical waste. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported by a well trained staff team who promote a high quality level of care for the service users. EVIDENCE: The home employs qualified nurses and care assistants to provide care and support to the service users. The home also employs catering, housekeeping, laundry, maintenance and administration staff to ensure the smooth running of the service. The staff rota provides evidence that sufficient staff are on duty in both areas of the home to meet the needs of the service users. The home has a robust policy and procedure for the recruitment of staff which is in accordance with equal opportunities legislation. All prospective staff are required to complete an application form and then attend for interview. Two references are taken and checks made with the CRB and POVA and evidence of qualifications is required to be produced. The files for seven members of staff were inspected and were found to contain all necessary information. Induction and foundation training is given to all new staff and records of this training are held on the staff files. Supervision is given to all staff on a regular basis and Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 18 staff meetings are held to provide a forum for open discussion and the dissemination of information. At present, 90 of the care staff hold NVQ qualification. Training continues to be offered to all staff and recent training includes Dementia Care, Medications, Catheter Care, Protection of Vulnerable Adults, Wound Care and Food Hygiene. The manager provided evidence of further training events that have been arranged for the staff. A number of staff are currently undertaking distance learning to increase their knowledge and understanding. Service users spoken to were complimentary about the staff. One service user, who is mainly confined to bed, spoke of how the staff spent time chatting, assisting and providing encouragement. The service user said ‘the staff are lovely. They spend a lot of time with me, and have really improved my abilities. They have given me the confidence I needed to get well and enjoy my life’. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered manager is well supported by staff to ensure that service users are protected and provided with a quality lifestyle within a safe environment. EVIDENCE: The manager of the home is a qualified nurse who has considerable experience in the management of a care home for elderly people. She holds an NVQ in care at level 4 and has a Certificate of Supervisory Management. Records are held in the home of further training and qualifications in care practice to enable her to manage the home to a high standard. The manager is well supported by the owners of the home. Staff spoke very highly of the manager, her Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 20 support and commitment to the care of the service users. One member of staff said ‘Luna is the best manager I’ve ever worked for’. The manager has an open door policy and is available for service users, relatives and staff whenever she is on duty. Compliments and complaints forms are provide in the foyer of the home, together with information about pensions and benefits. The home does not deal with service users finances and these are dealt with by relatives or advocates. All records are extremely organised and available for inspection. Policies are reviewed every two months and those inspected were up to date. These are available for all staff. Checks are made on the premises and equipment and all safety certificates were well maintained and up to date. Regular tests are made on the fire detection equipment and are duly recorded. Staff are given training on fire prevention and the procedure to follow in the event of a fire on a regular basis. Questionnaires are sent out on a regular basis to relatives and other stakeholders to obtain their views of the home. Regular staff meetings and relatives meetings are held. Feedback from questionnaires and meetings is taken on board and implemented as necessary. Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 21 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 3 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X 3 X 4 3 4 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 4 X 4 X 3 X X 3 Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 22 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 Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Abbey Lawns Limited DS0000063109.V365013.R02.S.doc Version 5.2 Page 24 - 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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