Care Home: Abbeyfield House

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What the care home does well Before being offered a place in the home, the needs of prospective service users are thoroughly assessed and information is provided to them about the service in the form of a Service Users Guide and Statement of Purpose. This information is also available in different formats such as Braille, large print and audio cassette. People were supported to maintain good health by timely referrals to other health care professionals such as doctors, district nursing services, chiropodist and opticians. In the main, people really enjoyed the meals cooked in the home and were happy that there was enough food and they had choices in the meals they wanted. The cook and staff team consulted with people on a regular basis to find out what they thought of the meals and to give people a chance to make suggestions for new meals and choices. Comments included, "Most days meals are excellent" and "We do get asked what we would like". Mealtimes were very important to people and they enjoyed the relaxed and unhurried atmosphere in which they could socialise and chat during these times. The surveys that people returned to us were positive about the support that staff gave them and the way staff act with them and during the visit people told us, "There is always staff around, nothing is too much trouble", "Staff are always available to help when you need it" and "You can never replace you own home, but living here is the nearest thing to it". People commented that they felt they were able to talk about their concerns and worries and that they would be listened to by the management and staff team. The complaints procedure was made available in various formats including, large print, braille and the service user guide had been rewritten in plain English using pictures to provide clearer information for people using the service about complaints and protection. Staff who returned surveys to us felt supported by the management. Comments included, "We have many training courses you can attend if you wish" and "The manager will send you on any available course that she thinks might help you do a better job". What has improved since the last inspection? This was the first inspection of this newly re-registered service. What the care home could do better: There was no requirements made during this key inspection. Care plans should reflect more fully how staff actually support people to meet their needs and maintain their health and well being. Key inspection report Care homes for older people Name: Address: Abbeyfield House 120 Moss Lane Bramhall Stockport Cheshire SK7 1EE     The quality rating for this care home is: :   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: John Oliver     Date: 0 8 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 28 Information about the care home Name of care home: Address: Abbeyfield House 120 Moss Lane Bramhall Stockport Cheshire SK7 1EE 01614390046 01614390047 k.bowyer@abbeyfield.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Abbeyfield Society Name of registered manager (if applicable) Mrs Kay Bowyer Type of registration: Number of places registered: care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 15 The registered person may provide the following category of service, Care Home only, Code PC to service users of the following gender, either, whose primary needs on admission to the home are within the following categories, Old Age, not falling within any other category, Code OP Date of last inspection Brief description of the care home Abbeyfield House is a large detached house which has been extended and is prominently positioned on a main road, approximately one mile from Bramhall Village in Stockport. The home is located within easy walking distance of shops, a post office, the local Care Homes for Older People Page 4 of 28 Over 65 15 0 Brief description of the care home railway station, churches and local community facilities. The local bus routes pass by the home and bus stops are located near to the home for those wanting to go out into the local community. The accommodation is situated on two floors and a passenger lift is provided. There are 15 single bedrooms, 12 of which have en-suite toilet facilities. There are additional toilet and bathroom facilities available throughout the home. The lounge and dining room are situated on the ground floor. There is a conservatory leading to the garden areas which are well kept and provide people the opportunity to sit outside in the warmer weather. People living at Abbeyfield House normally provide all the furniture and furnishings for their bedrooms, in agreement and in accordance with fire and safety regulations. Where this is not possible, the home will provide suitable furniture after discussion with the individual. Bedroom furniture is provided for people staying at the home for short stays. Fees for accommodation and care at the home as at October 2009 were between five hundred pounds and five hundred and fifteen pounds per week. Care Homes for Older People Page 5 of 28 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 inspection report includes information received about the service since it was reregistered in April 2009. Additional information used to complete the inspection report may include incidents notified to us by the manager of the home and other people and/or agencies, including any concerns and complaints. During the inspection visit time was spent talking to people living in Abbeyfield House, observing how staff work with people and talking to the management and staff on duty. Documents and files relating to people and how the home is run were also seen and a partial tour of the building was made. Surveys were sent to people living at the home and to members of staff to find out their views of the service. Four people and seven members of staff returned surveys. Care Homes for Older People Page 6 of 28 During our visit the manager of the home confirmed the details she had supplied in the Annual Quality Assurance Assessment (AQAA) that had been returned to us. This document gives the manager the opportunity to tell us what they felt they did well, and what they needed to do better. This helped us to determine if the management of the home viewed the service they provide the same way that we assess the service. Care Homes for Older People Page 7 of 28 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 Care Homes for Older People Page 8 of 28 following this report, you can contact them using the details 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 9 of 28 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 10 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs were assessed prior to admission so that the management of the home could decide whether they could support those needs. Evidence: The manager described the referral and initial assessment process. On receipt of a referral the manager and another member of the staff team would visit a prospective service user and carry out an assessment of their need to determine if they can be supported by the staff and the management team. Where possible people were encouraged to come and visit the home and to meet the people living and working in Abbeyfield House to help them make a decision on coming to live there. Referrals were received mainly through local authority services and details were on the files examined to confirm this. Examples of the different types of assessment provided were also seen in peoples files and they contained comprehensive information in relation to the differing needs each person had. Care Homes for Older People Page 11 of 28 Evidence: The manager told us that she also contacts other health care professionals that are involved in the support of the prospective service user to obtain their opinion about the suitability of the home to aid the pre-admission assessment process. Following assessment the person was notified, in writing, whether it was thought Abbeyfield House would/would not be a suitable home for them to live in. Three people living in the home confirmed that they had received an assessment of their needs prior to moving in and that lots of information about the service was shared with them. Each person moving into the home is provided with a copy of the organisations Statement of Purpose and the homes Service User Guide. We were supplied with copies of both of these docments which were found to be comprehensive in their details, clearly written and contained up to date information. The Service User Guide also contained picture formats to further aid peoples understanding of the information being shared. This information could also be supplied in different formats including, Braille, large print and audio tapes. It is important that such information is readily available to all prospective users of the service to aid them in making a positive choice about where they would like to live. Care Homes for Older People Page 12 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs were known and they were supported to access the relevant services. The medication administration system made sure that people had taken the medication they require to stay healthy. Evidence: Each person had their own individual file and care plan that was based on information gathered from the relevant assessments and through the knowledge gained by staff as they get to know that person. The care plans concentrated primarily on peoples emotional and mental health, how to reduce any known risks and general health and personal care. A number of the senior staff had received training on the basic care planning process and how to implement good care planning practice and senior staff spoken to during this visit confirmed this. The manager told us that the care plan format had recently been reviewed and changed and we could see that a lot of work had been carried out by the management Care Homes for Older People Page 13 of 28 Evidence: and staff team to further develop the way information was shared within the care planning system. From talking to the manager and staff team and observing how staff work with people it was shown that the knowledge that staff have in how they work with and support people was not fully reflected within the individual care plans and support interventions. For example, each care plan consisted of two sections, Needs and wishes including what I can do for myself and What I need help with. Information in these sections did not always answer those two questions, for example, in one care plan it was written that the person required some assistance with personal hygiene but the plan did not break down what the person could do form themselves and what they would need assistance with. It is important that care plans reflect more fully how staff actually supported people to meet their needs and maintained their health and wellbeing. Care plans showed good examples of risk assessments with clear and comprehensive support guidance and interventions to reduce identified risk such as prevention of falls. Although risk assessments were in place, care plans did not always directly link to those risk assessments for example, in one care plan it identified a person was in need of support when mobilising because of the risks of falls but did not direct staff to the risk assessment that was in place. It is important that all staff are aware of the risk assessments that are in place in order to manage the potential risks identified in the most appropriate way. Care plans were being reviewed on a monthly basis and we saw evidence that wherever possible, people living in the home had been involved in those reviews and had signed the review sheet to confirm this. Three people living in the home told us that staff always met their care needs and one person said, All the staff are very obliging and make every effort to assist you when you need it. People living in the home who returned a completed survey questionnaire to us all said they Always received the care and support they needed. Staff who returned a completed survey questionnaires to us all said they they were provided with up to date information about the needs of the people they supported. Peoples files contained information about their general health needs and also recorded the interventions from specialist and general health providers such as GPs and the District Nursing service. Care Homes for Older People Page 14 of 28 Evidence: The medication administration system was assessed and found that records of deliveries and returns were being maintained. The medication administration records (MARs) were sampled and found to be signed and audited to show that all the required medication had been administered. Where medication was to be given as and when required a clear audit trail was available to show the balances of such medication and a spot check of a number of individual records confirmed that correct balances of this type of medication was being maintained. All bedroom doors had privacy locks and people had their own bedroom key. Interactions between staff and people were observed to be positive and respectful. One person living in the home told us within the survey questionnaire they returned to us, In the .... months I have lived here I have been extremely happy with all my care, well treated and always with courtesy and respect. Care Homes for Older People Page 15 of 28 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 were supported to make choices and maintain control over thier own daily routines and activies. Evidence: A record of the social and leisure activities that people enjoyed and took part in was being maintained. Several people were supported to visit local leisure amenities, with one person being escorted by a member of staff to a dancing club once a week. Information about all available activities was displayed on a noticeboard in the main lounge and included details of any planned meetings that people living in Abbeyfield might wish to attend. We spoke to a number of people about the the things they enjoyed doing and comments we received included, We can choose to take part or not, its our choice we are never cohersed into doing things, I go out regularly with my family who are always made very welcome, We do different things but only if we want to and Staff are very good, they will spend time with you and have a chat. In the survey questionnaires returned to us all confirmed that there was Always activities available that people could take part in if they wished. Care Homes for Older People Page 16 of 28 Evidence: People were encouraged and supported to keep contact with their families. Visitors were encouraged although it was preferred not to come over mealtimes, unless prearranged. Peoples religious needs were met through visits to the home by church members and people attended services at local places of worship. During our visit we observed that people were free to spend time in the home how they chose, with many spending time in their rooms reading or watching television. One person told us, You can never replace your own home, but living here is the nearest thing to it. Mealtimes in the home was seen as an important social interaction time and people were encouraged to enjoy their meals in a relaxed and unhurried fashion. We observed a main meal being served and tables were appropriately set and people encouraged to serve themselves from tureens placed on each table. On the day of our visit the main meal was Melon followed by Salmon and fresh salad or Toad in the Hole. All meals were nicely presented and the availability of tureens on the tables enabled people to help themselves to more vegatables if required. It is important that peoples independence is maintained at all times and whenever possible. Following the meal it was noted that people remained sat at the tables chatting to each other with staff bringing them drinks of tea or coffee if required. Following the meal we asked a number of people living in the home their opinions of the meals provided and comments included, Most days the meals are excellent, We do get asked what we would like, The standard of meals depends on who has done the cooking and Overall the meals are very, very good. Comments in the returned survey questionnaires indicated that four people Always liked the meals, two Usually and one did not answer. Care Homes for Older People Page 17 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The policies, procedures and staff practices were present to protect vulnerable people from abuse and protect their wellbeing. Evidence: The formal Complaint Procedure set out the stages, timescales and the procedures for people to follow if they want to make a formal complaint. The procedure was made available to people and was available in each bedroom. We saw how complaints were recorded and this information was well maintained and demonstrated what the complaint was, how it had been investigated and the outcome. Any informal concerns and worries that people raised would be dealt with by the staff at the time. Comments from survey questionnaires returned to us suggested that people were aware of the complaint procedure and who they would speak to if they had any concerns. All staff who returned a survey questionnaire also told us that they knew what to do if anyone had any concerns about the home. People who were asked told us that they felt safe and secure living at the home and those staff spoken to during the visit confirmed they had received training in the protection of vulnerable adults or that they were due to complete a refresher course on the subject. The Adult Protection Policy and procedure set out the role of the management and staff in protecting people. The manager was aware of the process to follow in the event of an allegation or incident of abuse. Staff spoken to were also Care Homes for Older People Page 18 of 28 Evidence: aware of their role in protecting people and what they would do if they had any concerns. Care Homes for Older People Page 19 of 28 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. The premises were safe, clean and offered enough space and flexibility to meet peoples needs. Evidence: The home was accessed via an intercom system at the main entrance and a member of staff greeted us and encouraged us to sign the visitors book. It is important that all people entering and leaving the building are known to management and staff to ensure the safety of those people should the fire alarm be activated. As part of this visit we looked around the communal areas of the home and in a number of bedrooms we were invited to view by the people whose rooms they were. The standard of cleanliness was high throughout the home with no unpleasant smells being detected. The general appearance was tidy and well maintained throughout and this was confirmed to be the usual standard by those people we spoke to living in the home. In those bedrooms we viewed, people had furnished them to reflect their character and they all said they were very happy with the accommodation provided. As there is soon to be an upgrade in the local area to digital television reception all rooms where people used televisions had been upgraded to receive such reception. This will mean people can continue watching their televisions without any loss of quality to the Care Homes for Older People Page 20 of 28 Evidence: pictures received. All bedrooms were fitted with a telephone point so that people could have a telephone installed if they wish and all rooms were linked to the homes call system so that people could summon assistance from a member of the staff team at any time. The communal areas consisted of a main lounge, dining area and an extension by way of a conservatory running across the side and rear of the building. All these areas were nicely decorated and suitably furnished to meet the needs of the people living in the home. The laundry was on the first floor and was suitably equipped to meet the needs of the people using the service. An action plan was in place that dealt with the prevention and control of infection and the manager told us that the majority of staff had received training in the prevention and control of infection and this was confirmed by those staff spoken to during the visit. Bathrooms, toilets and shower facilities were available throughout the home in sufficient numbers and all contained suitable aids and adaptations where needed. Privacy locks were available on all doors. Cupboards where cleaning materials were stored were protected by key coded locks. This is good practice as it helped to minimise potential risks to any person living in the home from accessing materials that could be harmful if misused. Care Homes for Older People Page 21 of 28 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 were being supported by sufficient numbers of appropriately trained and experienced staff. Recruitment and vetting procedures are carried out effectively to minimise the potential risk of unsuitable people being employed to work in the home. Evidence: Staffing rotas were made available to us and we saw that staffing levels for the home were usually maintained at two carers and one senior carer between the hours of 07:15 - 21:15 and one senior carer and one carer between the hours of 21:00 07:30. The manager was also available to support staff when needed. Staff who returned survey questionnaires to us told us that there were enough staff on duty either always (2) or usually (2). People living in the home told us, There is always staff around, nothing is too much trouble, Staff are always available to help when you need it and Sometimes a little short (of staff) when someone is poorly (staff) and they cant get cover, but the manager is very good and will help. The manager told us that no new staff had been employed in the home in the last six months and that she was currently in the process of recruiting some more bank staff. We looked at the personnel files of three people employed in the home and found that all relevant pre-employment checks had been completed and that Criminal Record Bureau (CRB) enhanced disclosures had been obtained before the person started Care Homes for Older People Page 22 of 28 Evidence: working in the home. Appropriate references were in place and all other required documentary evidence had been obtained. It is important the such rigorous recruitement checks are carried out to minimise any potential risks to people living in the home from unsuitable people being employed to work there. We saw evidence of training and development plans and we saw that staff had all undertaken an induction to their job roles at the start of their employment. All staff who returned a survey questionnaire to us confirmed they had good training opportunities. Comments included, We have many training courses that we can attend if we wish and The manager will send you on any available course that she thinks might help you do a better job. Staff who we spoke to during the visit confirmed they had undertaken various training courses and that opportunities were given to discuss their future training needs with the management team, usually during one to one supervision. It is important that the competency of all staff is regularly assessed to ensure that the knowledge and skills that they have acquired through training is being put into practice. People living in the home were very complimentary about the abilities and competence of the staff team. Comments included, You couldnt get better staff anywhere, Very, very good staff, Staff maintain their professionalism at all times and Most of the staff are very good at understanding what you need and do this without second thoughts. Care Homes for Older People Page 23 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management, policies and procedures for the operation of the home were in place and worked in the best interest of people. Evidence: The registered manager has worked in the home for a number of years and has provided the home with a consistent style of management. The manager told us that she has successfully completed the Registered Managers Award and was also an accredited National Vocational Qualification (NVQ) assessor. The manager also told us that she kept up to date with her own training needs including refresher training every 3 months in order to maintain her NVQ assessors accreditation. We spoke to both staff and people living in the home to gain their views about the management of the home and comments included, The manager is fantastic, You are allowed to challenge and air your views, We (staff) all have a good working relationship with the manager, She (the manager) only wants the best from all of us (staff), The manager meets with all the residents every Friday for coffee and a chat Care Homes for Older People Page 24 of 28 Evidence: to make sure they have an opportunity to tell her anything they may want to, Kay (the manager) is wonderful, She has time for every one of us, She is a kind and considerate manager and We couldnt live in a better run home that this one. Systems were in place to seek the views of people living in the home about the standard of service they received. The views of other health care professionals involved in maintaining the health and well being of people using the service was also sought. This enabled the organisation to publish a summary of findings and to plan strategies for improving or further developing the service in response to the information received from returned questionnaires. We looked at a number of returned questionnaires and all were extremely positive in their comments about the service provided at Abbeyfield. The manager told us that she only held money on behalf of one person and that the management of this was overseen by someone in the community who had power of attorney over the individuals financial affairs. People living in the home meet on a regular basis for resident meetings and this was seen as an important opportunity for people to talk about any concerns and raise any issues. We saw the minutes of the last meeting held on 25/09/09 and these included discussions around health and safety issues, food/menu planning, outings, staffing update, room cleaning, and information about the new digital TV system recently installed in the home. It is important that people living in the home are given such opportunities to participate in the running of the home in order to express their opinions and views and to maintain their rights, choices and independence wherever and whenever possible. We randomly selected a number of servicing records and found that the lift, electrical installations, gas appliances and fire alarm system had all been checked and serviced. Care Homes for Older People Page 25 of 28 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 26 of 28 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 1 7 Care plans should reflect more fully how staff actually supported people to meet their needs and maintained their health and wellbeing. Risk assessments should link directly to care plans so that staff know how to manage those potential risks identified. 2 7 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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!