Care Home: Abbey Lodge Care Home

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What the care home does well The inspection showed that people living at Abbey Lodge are being helped and supported by a staff group who are very respectful and sensitive to the individual needs of older people, including those who may have dementia care needs. Staff know people`s needs well and they listen to what people have to say and provide them with choices as to how to spend their time. The environment is well maintained, and varied activities help to make people`s day to day lives more interesting. The home is decorated in a homely style and there are plenty of items for people to look at or to use, to provide a more stimulating lifestyle, where one day is different to the next. Jugs of juice, biscuits and sweets were seen in the lounges. Whilst we did not see people helping themselves, we did see carers offering these items to people. The surveys received from people living at Abbey Lodge generally respond `always` or `usually` to questions like:Do you receive the care and support you need, Are the staff available when you need them, and Do the staff listen and act on what you say. One person though only responded `sometimes` to the last two questions and another person also responded `sometimes` when asked whether they always got the medical support they needed. People`s comments about Abbey Lodge include `cleanliness`, `good cooking` and `they try very hard`. The Expert by Experience also received positive comments from people she spoke with. One person said they were very happy and that staff would always help with anything. Another commented that they were very comfortable living at Abbey Lodge and a third commented that there was more going on now. We spoke to two relatives who were visiting the home. One person said they were very satisfied with the care their relative received and had been informed promptly when their relative had a health concern. The other said they were `delighted` with the care, adding the home was `brilliant` and had improved a lot in the past year. They said a complaint about the care their relative received had been looked into properly and they were satisfied with the response. They told us they would like to move their relative nearer to their own home, but didn`t think they could find another place as good as Abbey Lodge. We spoke with a visiting health care professional who told us they thought staff were `kind` and `very nice`, and they had never seen anything untoward happening when they had visited there. They said communication had generally improved and better records were now being kept. Some care records that we looked at provided detailed information about people`s day-today care. They were written in a way that emphasised people`s abilities and the help they needed from carers to maintain these life skills. They identified what made one person different to another and how carers would support these individual differences. One staff member spoken with described the care plans as a `manual of what people need and what they like`.Staff surveys told us that they like working at Abbey Lodge and get good support from the managers. Comments include. `Residents are getting good quality care` and `we care for everybody`s needs`. At the last inspection a year ago we made requirements around medication practises, and how complaints were managed. The manager submitted an improvement plan following that visit in which she said that changes had been made to the way the home operated to ensure these requirements were now being met. The AQAA completed earlier this year also commented that there were systems in place to make sure these practises were being maintained. These improvements were not formally checked at this visit. What the care home could do better: The reporting of incidents within the home, where people are harmed or put at risk of harm, needs to be much more robust. We saw that the care records reported such an incident, but it had not been reported to the appropriate people as a safeguarding alert, because the managers told us they had not known that the incident had taken place. Whilst the care records describe people`s preferences and wishes, the home should work to ensure these preferences are being met. For example one person said they preferred a bath on an evening, but the only reference to bathing in their daily records over the previous six weeks was that they had a shower on a morning. The daily records, completed by carers, need to provide a more accurate and rounded account of people`s daily lives. And these records need to be monitored to make sure they are being completed properly. The managers said they would make immediate changes to ensure accurate information was both recorded and properly passed on during handovers. People`s care plans need to be amended as their needs change. This would ensure they are an accurate reflection of the care people receive. For example one person had lost weight recently, possibly because of a health problem. The care records need to evidence what extra care the person is receiving to enable them to regain their usual weight. This written information also enables care staff to check that they are giving the right care. People need accurate assessments of the risk of them coming to harm. Only by completing these assessments can the manager identify whether measures need to be taken to minimise that risk. One person`s care records did not have an assessment looking into the prevention of falls. Though the records state that the individual has not fallen, the care home still needs to look at that risk, even when the risk is perceived as low, so they can check they are doing all they should be, to keep the person safe. Random inspection report Care homes for older people Name: Address: Abbey Lodge Care Home 10 Leeds Road Selby North Yorkshire YO8 4HX one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jean Dobbin Date: 2 2 0 4 2 0 1 0 Information about the care home Name of care home: Address: Abbey Lodge Care Home 10 Leeds Road Selby North Yorkshire YO8 4HX 01757703339 01652655888 rob.pursey@tesco.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Emma Louise Dodgson Type of registration: Number of places registered: Conditions of registration: Category(ies) : North Lincolnshire Care Limited care home 23 Number of places (if applicable): Under 65 Over 65 23 23 dementia old age, not falling within any other category Conditions of registration: 0 0 Service Users to include up to 23 (OP) and up to 23 (DE(E)) up to a maximum of 23 Service Users. Date of last inspection Brief description of the care home Abbey Lodge provides personal care and accommodation for up to 23 older people, who may have dementia. The home is an adapted detached house in its own grounds near to the centre of Selby and close to all local amenities and transport systems. There is some car parking available on the site and the home has a safe garden for people to use. The home has a dining room, two lounges and a sitting area in the Care Homes for Older People Page 2 of 10 Brief description of the care home entrance hall. The accommodation consists of primarily single bedrooms, which are mostly on the ground floor. Some of these have en suite facilities. Two are double rooms, for people who choose to share. A small number of rooms are on the first floor and a stair lift is used for those people unable to manager the stairs independently. The Statement of Purpose, service user guide and latest report written by the Care Quality Commission are displayed in the hall for people to read. The weekly fees to live at Abbey Lodge can be obtained by contacting the manager. Care Homes for Older People Page 3 of 10 What we found: The last key inspection for Abbey Lodge took place on 20th May 2009. This is a report on the findings of a random unannounced inspection, which took place on 22nd April 2010. For this inspection we considered the following evidence. Information received about the home since the last inspection. Previous reviews completed by the commission. Completed surveys returned by six people who live at Abbey Lodge and by three staff who work there. This is from ten of each sent to the home for the manager to distribute. The Annual Quality Assurance Assessment (AQAA). This is a self assessment , completed by the manager of the home and gives information about how the home thinks outcomes are being met for people living there, and the improvements they are planning to make, to improve the service still further. During our visit to the home we Talked to three people living there and to three others, who visit the home, to get their perspective of what its like to live at Abbey Lodge. Looked around the communal areas there, such as the lounges and dining room and also a few of the private rooms, which people had decorated and furnished according to how they wanted them. Talked to two staff and observed the general activity in the home, including how staff interacted with people living and visiting there. Looked at the care records belonging to three people to see if their needs and preferences were recorded accurately and updated, when necessary. Talked with the manager about her role and how she is satisfied that the home is being run in the way people want. We did this inspection with an expert by experience who spoke to people who are using this service. An expert by experience is a person who either has a shared experience of using services or understands how people in this service communicate. They visited the service with us to help us get a picture of what it is like to live in or use the service. This is important because the views and experiences of people who use services are central to helping us make a judgement about the quality of care. The registered manager was available throughout our visit, which lasted from 09.30 to 14.30. Both she and the Area Manager were provided with feedback at the end of the visit. What the care home does well: Care Homes for Older People Page 4 of 10 The inspection showed that people living at Abbey Lodge are being helped and supported by a staff group who are very respectful and sensitive to the individual needs of older people, including those who may have dementia care needs. Staff know peoples needs well and they listen to what people have to say and provide them with choices as to how to spend their time. The environment is well maintained, and varied activities help to make peoples day to day lives more interesting. The home is decorated in a homely style and there are plenty of items for people to look at or to use, to provide a more stimulating lifestyle, where one day is different to the next. Jugs of juice, biscuits and sweets were seen in the lounges. Whilst we did not see people helping themselves, we did see carers offering these items to people. The surveys received from people living at Abbey Lodge generally respond always or usually to questions like:Do you receive the care and support you need, Are the staff available when you need them, and Do the staff listen and act on what you say. One person though only responded sometimes to the last two questions and another person also responded sometimes when asked whether they always got the medical support they needed. Peoples comments about Abbey Lodge include cleanliness, good cooking and they try very hard. The Expert by Experience also received positive comments from people she spoke with. One person said they were very happy and that staff would always help with anything. Another commented that they were very comfortable living at Abbey Lodge and a third commented that there was more going on now. We spoke to two relatives who were visiting the home. One person said they were very satisfied with the care their relative received and had been informed promptly when their relative had a health concern. The other said they were delighted with the care, adding the home was brilliant and had improved a lot in the past year. They said a complaint about the care their relative received had been looked into properly and they were satisfied with the response. They told us they would like to move their relative nearer to their own home, but didnt think they could find another place as good as Abbey Lodge. We spoke with a visiting health care professional who told us they thought staff were kind and very nice, and they had never seen anything untoward happening when they had visited there. They said communication had generally improved and better records were now being kept. Some care records that we looked at provided detailed information about peoples day-today care. They were written in a way that emphasised peoples abilities and the help they needed from carers to maintain these life skills. They identified what made one person different to another and how carers would support these individual differences. One staff member spoken with described the care plans as a manual of what people need and what they like. Care Homes for Older People Page 5 of 10 Staff surveys told us that they like working at Abbey Lodge and get good support from the managers. Comments include. Residents are getting good quality care and we care for everybodys needs. At the last inspection a year ago we made requirements around medication practises, and how complaints were managed. The manager submitted an improvement plan following that visit in which she said that changes had been made to the way the home operated to ensure these requirements were now being met. The AQAA completed earlier this year also commented that there were systems in place to make sure these practises were being maintained. These improvements were not formally checked at this visit. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 The care plans must contain 17/06/2010 a record of assessment of risk to the person of coming to harm. These records will state what the home is doing to minimise that risk. This will help to show that the home is balancing the persons rights to take risks as part of everyday living but also being kept as safe from harm as possible. 2 7 15 Care plans and daily records must accurately reflect the care that is being provided. The plans must be amended and added to as peoples individual needs change. So that people receive the right care in a safe, consistent manner. 31/07/2010 3 18 13 Robust systems must be in 17/06/2010 place so that any incident where someone is harmed or at risk of being harmed can be properly reported and dealt with. Page 8 of 10 Care Homes for Older People Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action This is so that peoples safety can be promoted and incidents can be properly looked into. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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