Care Home: Abbeydale

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What the care home does well People said "Abbydale provides good entertainment for people". "They care efficiently for all the people`s needs and always provide trips out." It`s alovely, happy, clean and caring environment." " I like the way I am included in everything way and I enjoy everything at Abbydale." " Each one of us is treated as an individual in every. We are afforded respect, dignity, patience and compassion." "The food is good and staff are friendly and helpful." One staff told us "The needs of all the people are fulfilled, providing exceptional care and support for all the people who live in the home and staff." "Abbydale provides a safe, stimulating and caring environment for people". "Staff are offered training and support." "The home is well run, the premises are cleaned and maintained to a very high standard." People told us. "The manager and her staff are approachable and understand the importance of promoting people`s privacy and choice." In the AQAA the home told us that the manager has been at the service for a number of years and this provides consistency and stability for the people living there and the staff." What the care home could do better: All risk identified should have a care plan in place that is clear and detail with the action that will be taken.This will make sure that staff know what action is to be taken to manage the risk. All people moving in the home should have a nutritional risk assessment to make sure they are not at risk of malnutrition. Staff should have training on adult protection and Mental Capacity Act Deprivation Of Liberty. This would ensure that people are safe. People`s financial records should have an audit trail of in and out transactions, and two signatures for all transaction. Random inspection report Care homes for older people Name: Address: Abbeydale Grove Road Ilkley West Yorkshire LS29 9QE three star excellent 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: Valerie Francis Date: 2 0 0 4 2 0 1 0 Information about the care home Name of care home: Address: Abbeydale Grove Road Ilkley West Yorkshire LS29 9QE 01943603074 01943608077 bob.dey@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Carol Mary Brotherton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Robert Bramley Dey,Mrs Catherine Elizabeth Dey care home 36 Number of places (if applicable): Under 65 Over 65 0 32 dementia old age, not falling within any other category Conditions of registration: 1 0 The place for DE is specifically for the named service user Date of last inspection Brief description of the care home Abbeydale is a large, period, detached, stone built property, which has been extended in line with the character of the building. It stands in its own grounds and has the benefit of car parking areas, well-maintained gardens and a sun terrace, which is accessible by stairs or ramp. Care Homes for Older People Page 2 of 12 Brief description of the care home Abbeydale is in a quiet residential area of Ilkley. The home is within walking distance of the town centre and shops. It is close to local bus routes and is within easy reach of a railway station and the main roads to Leeds, Bradford and Skipton. The home provides care for up to 36 people of both sexes over the age of 65. They may take up to 4 people with dementia over the age of 65. Nursing care is not provided. The home is tastefully decorated and furnished to a very high standard. Accommodation is provided over three floors in 28 single bedrooms and 3 double rooms. Two of the double rooms are being used as single bedrooms. There are three lounge areas and a large dining room. A shaft lift allows access to all floors and there is a stair lift connecting the ground and first floor. Information about services provided by the home can be found in the Statement of Purpose and Service User Guide. These will be provided on request. Care Homes for Older People Page 3 of 12 What we found: We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. We sent surveys to the home for people using the service and staff. In total 20 surveys were returned, 10 from service users and 10 from staff. Some of the service users surveys had been completed by relatives on their behalf. One inspector made an unannounced visit to the home. During the visit we looked at some records, talked to people living in the home about their experiences of living there, we spoke to staff and management, looked around the home and observed staff as they carried out their duties. What this told us about the service. The home sent us their AQAA when we asked for it was clear and gave us all the information we asked for. The last key inspection was carried out on 23 May 2007, there were no requirements following that visit. Since then we have carried out an Annual Service review every year for the service. These reviews confirmed that the home was continuing to provide good and excellent outcomes to people using the service. In the AQAA the home told us:. We ensure that when people come to view we explain to them and their chosen representative about the home and the facilities available. We do a full pre-admission assessment to ensure we can meet their needs. The person wanting to use the service and their representative are always invited to spend time in the home, including joining us for a meal, before they make a decision. All people who use the service are given a written contract after the trial period which Care Homes for Older People Page 4 of 12 clearly states the terms and conditions of their residency and financial agreements. They are always invited and encouraged to read the Service User Guide, Statement of Purpose and copies of the most recent Inspection Report. We include in the care plan a reference sheet for all Healthcare specialist contacts and an Identified Risk Record to make accessing information from the care plan easier for all staff. We looked at the homes information they give to people who want to use their service and those who live there, we found that people and their representatives are provided with good information. We looked at the care file of one person who was last admitted to the home, we found that a full assessment had been made of the person care and support needs. There was enough detail to ensure no needs get missed. People told us that they had been given enough information to help them decide if they wanted to live at Abbbydale. The manager said people and their representatives are encouraged to visit the home before a decision is made to use the service. In the AQAA the home said: All staff are trained through induction and supervision to adhere to our philosophy of care which emphasises peoples right to respect and privacy. Our care plans are detailed and include a full assessment of all needs including social, religious and cultural. These are person centered and specific to the individual. During their residency, people have full access to professionals who can assist with their needs and staff constantly request the assistance of these professionals if required. All staff who administer medications are trained to do so and people who self administer by choice are given every assistance to ensure they do this safely. Staff are trained in all aspects of palliative care through supervisions and in addition are specifically trained when people has been diagnosed as seriously ill, to ensure we meet their preferences and wishes during this time. This will also include any assistance we can give to their families. All people said in their surveys that they always receive the care and support they need. Most staff who completed a survey told us that they always get up to date information about the needs of the people they care and support. During our discussion with people they told us that they were happy with their care. One person told us if I was not getting the care I want I would not be living here for so many years. Care Homes for Older People Page 5 of 12 Another person said the staff are very kind they go out of their way to help you, it is an excellent place to live. One relative told us The home was helpful in every aspect of caring for my mother, they could not have done better, I would recommend Abbydale to anyone, as the service is first class. All staff spoken to knew about individual people and their needs. Staff also told us that they are provided with training that will make sure they can meet the needs of people living in the home. We spoke to the visiting nurse who said the staff always ask for help and support and always follow instructions and advice we give them. It was clear from discussion with staff that they have the opportunity to discuss peoples care before they move into the home. All staff who administer medication have been trained on safe handling of medication. The manager told us that they have continual review of this training. We saw that people who self medicate has an agreement in place with risk assessment. The manager told us they are continually reviewed to make sure people are still safe to do so. In the AQAA the home told us During the pre-admission process, emphasis is placed on the social, religious and cultural needs A care plan is formulated to ensure that peoples expectations and preferences are met through our social activities plan. Visitors are encouraged and welcomed by being offered refreshments and the rooms are planned in such a way that we can ensure a private and comfortable lounge area for use during the visit. The homes minibus and company car are available to all the residents for accessing contact in the community and we have also developed links with a reliable private taxi. We have trips out three times per week in our own minibus. We have regular activities including quizzes, music workshops, whist(card game) evenings, Tai Chi, group exercises, hand massage, head massage and reflexology. We also have regular visits from local singing groups, choirs and poetry readers. We have visiting ministers for all denominations relevant to existing people who use the service and any other religious needs identified at pre-admission would be researched prior to admission. During pre-admission peoples preferred daily routine is documented and included in the tasks allocated to staff. The menus are devised using input from people living in the home at the monthly meetings and through questionnaire and comments. Snacks and drinks are available Care Homes for Older People Page 6 of 12 twenty four hours a day with access to provisions available to day and night staff. The meal choices are also changed regularly to include fresh seasonal food. At the time of our visit we saw that some people were taking part in the daily quiz, others were either sitting talking to other people who live in the home or sitting in their room entertaining themselves either watching television, reading or just sitting. It was clear that people spend their time doing what they want and taking part in activities if they wish. People who returned surveys indicated that there is always activities. We saw information displayed on the notice board of the coming activities in the home or externally, such as afternoon trips out. People told us The food is really good here, there is always a choice and if I do not like what is on offer, I can ask for something else. People were given a choice of drinks before lunch. Some had wine, fruit juice or water. We looked at lunch being served, and saw that there were a variety of food being served to people; all meal well presented. We spoke to the catering staff who showed they have a good knowledge of peoples like and dislike, those who had any special dietary needs or had poor appetite, and knew what to do to make sure these people have a nutritious meal. We saw in one persons care file that a nutritional screen assessment had been carried out and monthly weight checks. The manager said these assessment are only carried out if an issue had been identified relating to peoples nutritional needs. People told us in surveys and during our visit that if they had any concern they would discuss it with any of the care staff, and would feel comfortable discussing their concern with the manager, who they felt would do something about their concern or complaint. People who completed surveys told us that they knew who to talk to if they want to make a formal complaint, and they had someone to speak to informally if they were not happy. Staff told us in surveys that they knew what to do if people had a concern about the home. During our walk around the building we saw that the homes complaint procedure is displayed on the notice board near the entrance door, this make it accessible to people in the home and visitors. In the AQAA the home told us: All complaints are recorded and responded to appropriately. All staff are trained at induction regarding abuse and protection of vulnerable adults (including methods of reporting). This is reinforced at supervisions. All people living in the home are registered for postal votes unless they choose to visit Care Homes for Older People Page 7 of 12 the polling station, in which case we can take them in the company vehicle. The care manager has attended a two day course in adult protection and will cascade information to the staff during supervisions. We spoke to staff about Safeguarding Adult training although not all staff have had this training, it was clear that they knew what steps they must take to make sure people are safe. The registered manager and the provider said that training on Safeguarding Adults will be arranged for staff, which would help make sure people are safe. We looked at one persons care file and found a risk assessment had been carried out. However, the action that staff must take to manage the risk was not clear. The manager said she would review this immediately. During or walk around the home we found it clean and furnished to a high standard; it was evident that people had taken the opportunity to bring furnitures from their home. People told us that their room was cleaned daily and the home always smell fresh. We did not note any odour. The kitchen had been inspected by the Environmental Health and the home had gained three stars. We were told by the provider that all the requirements made had been resolved. We talked to staff about their training to do their job. It was apparent that they have on going training to ensure they can meet the needs of the people in their care. Each staff have a training record of all training undertaken, with the expiry date. This ensures that updates are carried out. People told us staff are kind and caring, they are really good they look after us very well. Generally people felt there were enough staff available to meet their needs. Staff told us the management of the home is supportive, approachable and they have regular supervision and an annual appraisal. We looked at how peoples finances are handled. Although a record is kept for any moneys held on behalf of people, we found that the recording system did not show a clear audit trail, and only the administrator signed for each transaction. The matter was discussed with the administrator and the provider. What the care home does well: People said Abbydale provides good entertainment for people. They care efficiently for all the peoples needs and always provide trips out. Its a Care Homes for Older People Page 8 of 12 lovely, happy, clean and caring environment. I like the way I am included in everything way and I enjoy everything at Abbydale. Each one of us is treated as an individual in every. We are afforded respect, dignity, patience and compassion. The food is good and staff are friendly and helpful. One staff told us The needs of all the people are fulfilled, providing exceptional care and support for all the people who live in the home and staff. Abbydale provides a safe, stimulating and caring environment for people. Staff are offered training and support. The home is well run, the premises are cleaned and maintained to a very high standard. People told us. The manager and her staff are approachable and understand the importance of promoting peoples privacy and choice. In the AQAA the home told us that the manager has been at the service for a number of years and this provides consistency and stability for the people living there and the staff. 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 9 of 12 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 10 of 12 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 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 1 2 All risk identify should have a care plan in place that clearly identify the action that will be taken.This will make sure that staff know what action is to be taken to manage the risk. All people moving in the home should have a nutritional risk assessment to make sure they are not at risk of malnutrition. Staff should have training on adult protection and Mental capacity Act Deprivation Of Liberty. To ensure people are safe. Peoples financial records must have an audit trail of ins and out and receipts for all money spent on behalf of the person and two signatures for all transaction. This would ensure that peoples finance is looked after. 2 15 3 18 4 35 Care Homes for Older People Page 11 of 12 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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