Care Home: Abbeyfield (Bognor Regis) Society Ltd

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Abbeyfield (Bognor Regis) Society Ltd Abbeyfield 9-11 Richmond Avenue Bognor Regis West Sussex PO21 2YE     The quality rating for this care home is:   three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sheila Gawley     Date: 1 4 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Abbeyfield (Bognor Regis) Society Ltd 9-11 Richmond Avenue Abbeyfield Bognor Regis West Sussex PO21 2YE 01243820842 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : abbeyfieldbognor@btconnect.com Abbeyfield (Bognor Regis) Society Limited care home 15 Number of places (if applicable): Under 65 Over 65 15 old age, not falling within any other category Additional conditions: 0 The maximum number of service users to be accommodated is 15 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the service are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Abbeyfield is a care home in part of a row of converted houses in a quiet residential area of Bognor Regis. The home is close to the town centre, local shops and the seafront. Accommodation is provided for fifteen service users in single rooms, all with en-suite toilet and some with bath and toilet, three of the registered rooms are in the adjacent property which is mainly sheltered accomodation. Service users are able to furnish their room to suit their taste. There is a comfortable sitting and dining room and an attractive conservatory. There is a large south-facing garden at the rear of the home laid to lawn, flowerbeds and patio. There is a large chalet in the garden that Care Homes for Older People Page 4 of 25 1 2 0 6 2 0 0 6 Brief description of the care home serves as an activities room. The fees charged are 470 pounds per week. The home is joined by a corridor to the Sheltered Housing Scheme also run by Abbeyfield, but not required to be registered under the Commission for Social Care Inspection. Residents are able to take part and join in activities that take place there. The service is managed by Mrs Alexis Webster. The web address for the service is www.abbeyfieldbognor.org Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This site visit as part of the inspection process was carried out on 14/01/09 Prior to the visit the service file was reviewed as were any comments or complaints received by the Commission for Social Care Inspection. The home had sent us their Annual Quality Assurance Assessment for the inspection, which gave us the information we needed on the home. People who use the service and staff were spoken to on the day. All had positive things to say about the home. We were in receipt of comments on three surveys we had sent to people who use the service, and two from staff. Comments from people who use included The carers are all wonderful, I receive the utmost care The home is in Care Homes for Older People Page 6 of 25 excellent management The community nursing team was spoken to and they expressed great satisfaction with the home stating It is fantastic, people are looked after very well Two people who use the service were case tracked during the inspection Staff and people who use the service spoken to on the day stated that they were happy in the home. The premises were toured. The registered manager facilitated the inspection and any documents required on the day were made available. The atmosphere within the home was peaceful and relaxed and the staff carried out their duties in a respectful manner taking into account the dignity and privacy of residents. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good quality in this outcome area because needs are assessed and information needed to make an informed choice is available. Equality and diversity is recognised in the admission process. Surveys returned confirmed that contracts are in place. Evidence: People who use the service have their needs assessed prior to admission. In the care plans inspected these assessments were seen and were comprehensive. They include all medical and personal care need including personal details, family involvment, involved professionals,communication, mental condition, medication, personal need, mobility, continence. A new form has been introduced in the organisation which will be even more detailed and will include risk assessment. People are invited to visit the home prior to admission. Care Homes for Older People Page 10 of 25 Evidence: The AQAA states that any person seeking a placement in the home has their details passed on to our admissions secretary. They are placed on our waiting list and this list is strictly adhered to when a room becomes available. This ensures that all prospective residents have an equal opportunity to access rooms in the home, irrespective of their race, gender identity, disability, sexual orientation, age, religion and belief. Surveys returned confirmed that contracts are in place. The home does not offer intermediate care. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience excellent quality. All needs are assessed and met, They are set out in a plan and people who use the service are treated with respect. Medicines are handled safely according to policy. Evidence: All residents have a plan of care. Two people who use the service were case tracked, their care plans were inspected and these contained information on health, personal, and social need. These people were spoken to as were some others on the day. The care plans are drawn up following an assessment of needs and are person centered. This included mental, physical and social need, nutritional assessments, mobility, hygiene, continence and pressure areas and risk assessments. Social services care management plans are in place and changing needs are recorded and met. There are sufficient wheelchairs, hoists and grab rails in place. Risk assessments covered moving and handling, pressure area risk, using the stairs Care Homes for Older People Page 12 of 25 Evidence: and going out. There were daily records and evidence of monthly review and weight is monitored. All people who use the service are offered a bath or shower at the time and frequency of their choice. Access to specialist health support is available as required including general practitioner, physiotherapy, chiropodist, dentist and opticians. and community nursing health team. A chiropodist visits the home. A community nurse from the local nursing team was spoken to and she spoke very highly of the home, stating that it is a fantastic home, that they are called in appropriately and that all other health professionals are consulted promptly. She also stated that pressure injuries are rare in the home and that the manager very promptly requests pressure relieving equipment if a person is assessed as needing it.. Medicines are received stored, administered and recorded correctly. All medicine administration charts were up to date. Controlled drugs were correctly stored. Those people who use the service risk assessed as being able to self administer can do so. Controlled drugs are appropriately stored. People have a lockable space in their room to store medicines if self medicating. There was not a drug fridge in the home and the registered manager ordered one on the day. Staff were observed offering care in a respectful and encouraging manner and people who use the service spoken to stated that they are treated with respect. People who use the service spoken to stated that care is offered as assessed. One person who uses the service commented, One only has to ask the staff, who work very hard. Another commented I am Not disappointed in my choice, very happy here. The need of the dying are met with care respect and dignity. Regular reviews of a change of needs or a deterioration in condition are carried out and any support or aids are accessed via the community nurses and the palliative care team. The community nurse spoken to confirmed this. Relatives and friends are encouraged and supported to stay if the resident so wishes. A guest room is available and food and drinks provided when needed. Policies and procedures are discussed with all staff and staff are supported throughout. A staff survey commented that the home provides very good care and maintains good standards. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good quality outcomes in this area because the lifestyle experienced in the home suits the people who live there. Evidence: The routines of daily living are discussed with residents on admission and individual preferences catered for where possible. People spoken to stated that they were happy with the lifestyle in the home. Surveys received commented that activities are enjoyed in the home. Activities include weekly music and movement, entertainer attends once monthly who does quizzes and music, social evening once monthly which the committee attends, fashion shows 2-3 times a year and seasonal events such as pantomime, hymns, summer garden parties. Activities are displayed on the notice board. People can go for walks to the shops and there are trips out iby bus to garden centers.There are links with the local church and there is monthly communion. People are helped to attend the local church if they wish. Visitors are encouraged and people can choose where to see their visitors. People have Care Homes for Older People Page 14 of 25 Evidence: choice in daily routines and people spoken to confirmed this. They are encouraged to manage their finances and they can bring their personal possessions into the home. There is a varied, nutritious menu in place which offers choice. The meal seen prepared and served on the day was appealing and the people who use the service enjoyed it. people spoken to confirmed that they enjoyed the food. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service experience good quality in this area because a complaints system is in place and systems are in place to protect residents from abuse Evidence: There is a clear complaints procedure which is on display and which is included in the Statement of Purpose and Service User Guide. The procedure clearly identifies whom a complaint should be addressed to and the timescales in which a complaint will be dealt with. It displays the Commissions contact details. People who use the service were clear as to whom they can raise concerns with. One person comments included Alexis, but never need to make a complaint There is a training programm in place which includes Safeguarding Adults training. Staff spoken to demonstrated an awareness of safeguarding procedures. Staff were observed interacting with people in a respectful manner. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good quality in this outcome area because they live in a well-maintained homely and relaxed environment with pleasant grounds and garden areas. Evidence: The home externally and internally is decorated to a good standard. It has a sitting/dining room and a conservatory. It was neat,clean and free from offensive odours. It has comfortable, good quality and homely furnishings. Radiators are low surface temperature. There is a well-maintained garden with raised flower beds for people who use the service to enjoy. The specialist equipment required to meet the needs of people who use the service is in place. There are sufficient wheelchairs, hoists and assisted baths and there are grab rails. There are specialist beds to maintain the safety and comfort of those nursed in bed and there is pressure relieving equipment available. Bedrooms are comfortable with comfortable furnishings. The bedrooms are personalised according to the wishes of people who use the service. The home was neat, clean and free from offensive odours on this occasion. Doors have Care Homes for Older People Page 17 of 25 Evidence: locks and and all people who use the service have a key. Two new dishwashers have been purchased for the kitchen. There are sufficient assisted baths to meet the needs of people who use the service. There are suitable laundry facilities sited away from areas of food storage and preparation. Washing machines have the required programmes. Temperatures are recorded weekly. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience good quality in this outcome area because they are cared for by suitably trained staff Evidence: Staff rota showed staffing levels were sufficient to meet the needs of people who use the service. There is housekeeping, maintenance and kitchen support. There are robust recruitment procedures in place and staff files inspected contained all the documentation required to ensure the protection of people who use the service. There was evidence of application forms with employment history, Criminal Records Bureau Clearance and POVA check, two references, identity documentation, and photograph were all in place. The comments received on staff surveys received were positive indicating that staff find the home to be a supportive place to work. People who use the service find the find the staff helpful. One person who uses the service commented that staff very definately listen to and act on what the people say. Another commented The staff are all wonderful. There is a staff-training programme in place which staff spoken to confirmed they Care Homes for Older People Page 19 of 25 Evidence: attend. Training records were seen in staff files. The training provided includes food hygiene, moving and handling, safeguarding adults, fire, infection control, first aid and health and safety. All but two of the care staff have achieved the National Vocational Qualification Level 2 in Care. Staff turnover is low. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience excellent quality in this outcome area because the home is run in the best interests of the people who use the service Evidence: The registered manager is a registered nurse and has been in post since 1996. She has completed the Registered Managers Award. A community nurse from the local team spoke very highly of the management of the home. Staff confirmed that there is an open door ethos in the home. Throughout the inspection she demonstrated a clear sense of direction and knowledge of organisational issues. The requirements of the last inspection have been met. The AQAA states that quality assurance systems are in place in the form of surveys to people who use the service, relatives and representatives, the results of which are discussed at general meetings. There is a business plan in place, which is review annually by the committee and there is an annual general meeting to which the Care Homes for Older People Page 21 of 25 Evidence: residents are invited. An audit system is in place for annual audit of the home. This was available for inspection. The committee attend a monthly social evening with the people who use the service. The home encourages people to look after their own money and bank accounts. Allowances are held for two people who use the service and these are held securley and are recorded and receipted. Staff supervision is in place, evidence of supervision was seen in staff files and staff confirmed that they receive this. Staff stated that the manager is very supportive. The registered manager ensures the health, safety and welfare of people who use the service and staff.by the provision of mandatory training. The home meets the requirements of the local Fire uthority and Environmental Health Department.Substances hazardous to health are stored securely. Contracts for utility and equipment maintenance are in place. Care Homes for Older People Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 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, Care Homes 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 Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!