Care Home: Abbeyfield Residential Care Home

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What the care home does well People considering moving into this home are given time and good information to help them decide if the home will meet their needs. One person who had recently come to stay in the home said that she was looked after very well and that her quality of life had improved since coming to stay in Abbeyfield. The staff carefully monitor residents` health and well being. One person, who completed a survey, said `the care I receive is excellent`. Another said, `24 hours excellent care`. Medication is handled safely, which helps to protect residents. There is a good choice of well-cooked food. A resident who completed a survey wrote `I am very happy here`. The home is furnished and maintained to a good standard. It is kept clean. One resident who completed a survey said `the hygiene is excellent`. There are lovely, well-maintained gardens, which residents were seen to enjoy. Staffing levels are very good, which means residents receive care and support when they need it. One resident said in a survey, `response (to calls) normally immediate`. Another said, `staff are always excellent`. A relative who completed a survey said `the staff are wonderful`. The management and administration of the home is carried out well. There are good quality assurance systems, which together with an open ethos help to protect residents. What has improved since the last inspection? The complaints procedure has been produced in an audio format, which is useful to people with visual impairment. Medication is recorded accurately, which helps to safeguard residents. Fire warning signage is fixed to storage cupboards, to remind staff to lock cupboards where this is necessary. A ramp has been fitted to improve access from a lounge to the garden. What the care home could do better: The home is run well but can improve further by reviewing and establishing how well it manages equality, diversity and human rights. This will help ensure that there are systems throughout the home which recognise, understand and ensure good outcomes for people taking into account their gender, age, sexual orientation, race, religion or belief and disability. CARE HOMES FOR OLDER PEOPLE Abbeyfield Residential Care Home 40 The Grove Gosforth Newcastle Upon Tyne Tyne & Wear NE3 1NH Lead Inspector Janine Smith Key Unannounced Inspection 3rd June 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeyfield Residential Care Home Address 40 The Grove Gosforth Newcastle Upon Tyne Tyne & Wear NE3 1NH 0191 285 2211 F/P 0191 285 2211 thegrove@abbeyfieldnewcastle.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Abbeyfield Newcastle upon Tyne Society Mrs Kath Brown Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 14th June 2006 Brief Description of the Service: The Abbeyfield residential care home at 40 The Grove, Gosforth, provides care for up to thirty-two frail elderly people. Nursing care is not provided. The building is of an older style but has been adapted well. Two purpose-built single storey wings were added about thirty-five years ago. There are a variety of aids and adaptations around the building to help residents to move about more independently. Single bedrooms are provided throughout which each have an en-suite toilet. Sixteen of them have showers within the en-suite units. The bedrooms are located on the ground and first floor of the building, which has a passenger lift. The home has several lounges and dining areas. Two assisted baths and one shower are provided, along with four separate toilets. The home is set within large, attractive grounds. The home is run by the Abbeyfield Society. Fees are £434 per week. Information about the service, including inspection reports, is readily available. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 14th June 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 3rd June 2008 with follow up visits on 4th June and 12th June 2008. During the visit we: • • • • • • Talked with people who use the service, staff and the manager. Looked at information about the people who use the service & how well their needs are met. Looked at other records, which must be kept. Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. Looked around parts of the building to make sure it was clean, safe & comfortable. Checked what improvements had been made since the last visit. We told the manager what we found. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The complaints procedure has been produced in an audio format, which is useful to people with visual impairment. Medication is recorded accurately, which helps to safeguard residents. Fire warning signage is fixed to storage cupboards, to remind staff to lock cupboards where this is necessary. A ramp has been fitted to improve access from a lounge to the garden. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving into this home are given time and good information to help them decide if the home will meet their needs. EVIDENCE: The care record of a service user admitted recently showed that information had been gathered about her needs and then used to draw up a care plan. She said that the staff provided very good care and that her quality of life had improved since coming to live at Abbeyfield and she could now do more for herself than she had been able to previously. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 10 All five service users who completed a survey said they said they got enough information about the home, and four confirmed that they had got a contract. The manager said that the contract had now been produced in an audio format, as well as in writing, which helps people with visual impairment. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, privacy and dignity are put into practice. EVIDENCE: Three service users’ care records were looked at. Residents are asked if they want to be involved in drawing up their plan of care and the records showed some had done this. Assessments are carried out regularly to determine the risk of falls and pressure ulcers. Care plans were clearly written and personalised to meet the particular needs of each resident. Service users were asked about their spiritual beliefs and a plan of care was in place to meet any Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 12 identified needs. Records showed residents are weighed regularly and their weight and nutrition monitored. The records showed that care staff monitor the well-being of service users and seek professional advice when they have concerns. Service users spoken to confirmed that they have regular check-ups from opticians, dentists and chiropodists. They also said that doctors were always sent for, if they were unwell. Positive comments were received from service users who all said that they were well cared for. A relative who completed a survey said, ‘they provide a very high standard of care’. A sample check on the medication systems showed that these were being managed appropriately. A system was put in place to monitor the temperature of the medication storage room before the end of the inspection. Some residents look after their own medication. Robust risk assessments are in place to help safeguard residents who do this. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live here are able to make choices about their life style, and social activities meet their expectations. EVIDENCE: A timetable of social activities for each month is posted up in the home with an activity planned each day. The activities include musical events and crafts. During the inspection, a PAT dog was visiting, which one resident was anxious not to miss. There is a large, well maintained garden, which residents were seen enjoying. There is a monthly outing. The most recent was to a garden centre, which one resident said she had enjoyed. Of the five service users who completed a survey, one said there were ‘always’ activities they could enjoy, two said ‘usually’ and one said ‘sometimes’. Residents said that their relatives and friends were welcomed into the home. Residents said they choose their own lifestyle, for instance, when they want to get up and go to bed. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 14 Lunch was observed. Staff were very attentive and residents were offered choices of meals. Tables were attractively laid with tablecloths, cutlery and fresh flowers. The tables were large and spacious, which gave people plenty of room to move around. Support was given sensitively to residents who needed this. Residents can choose to eat in their own rooms if they prefer. Residents made positive comments about the food provided. One said in a survey that some foodstuffs were cooked particularly well, though others could be improved. The chef was well informed about the nutritional and dietary needs of residents. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are able to express their concerns and have access to a robust, effective complaints procedure. Appropriate systems and training are in place to help protect them from abuse. EVIDENCE: Residents are given information about the complaints procedure, which has also been produced in an audio format. The complaints record showed that residents knew how to make complaints and that their concerns had been investigated appropriately. All five service users who completed a survey said they knew how to make a complaint. Residents spoken to during the inspection said they would readily discuss any concerns with the manager or staff, if they had any. Of the two relatives who completed a survey, one said any concerns were ‘usually’ dealt with appropriately and one said they had never raised any concerns. The manager and staff seek advice from other health professionals where any resident presents behaviours that are difficult to manage. Staff spoken to were aware of what they must do if they have any concerns that a resident may be abused, and there was evidence of training in staff records. The Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 16 manager has recently attended a two day training course about the role of investigators in the protection of vulnerable adults. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people to live in a safe, well-maintained and comfortable environment. EVIDENCE: Some of the home was looked around, and a small sample of bedrooms seen. Each resident has a single bedroom with an en-suite toilet. The home was well-maintained, decorated and equipped. The passenger lift was in working order. The premises were accessible. Lighting was adequate and the home was warm. The temperature of hot water provided to a bath was tested and found to be safe. Radiators are covered to help protect residents from accidental burns. The home is well equipped with Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 18 assisted baths and hoisting equipment. A sample of privacy locks and a window restrictor were tested and found to be in working order. The laundry assistant described her duties and confirmed she had protective clothing provided for her use. Residents’ clothing is laundered individually to help prevent items being misplaced, which is good practice. The home was clean and smelled pleasant. All five service users who completed a survey said the home was ‘always’ or ‘usually’ kept clean. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff are trained, skilled and in plentiful numbers to support the people who live in the home. EVIDENCE: There were 29 residents living/staying in the home, and a new admission took place on the day before the first visit. Discussion with the manager, staff and examination of the rotas showed that the home is currently staffed as follows:8 am to 5 pm 5 pm to 10 am 10 pm to 8 am 5 or 6 5 3 waking The above includes a senior carer. The manager stated that she was hoping the number of care staff on duty through the night would be increased in the near future. Carers spoken to said that the number of care staff on duty was satisfactory. Residents said that they were well cared for. Of the five service users who completed a survey, three said the staff were ‘always’ available when they needed support and two said they ‘usually’ were. The following Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 20 comments were also received, ‘the staff is (sic) very caring’ and ‘staff are always excellent’. A relative, who completed a survey said, ‘the staff are wonderful’. The manager works Monday to Friday and other times as needed. Domestic, cleaning and laundry staff are also employed, as well as a gardener. The manager stated that 58 of the care staff have completed an National Vocational Qualification (NVQ) at Level 2 or above. Staff spoken to during the inspection confirmed the training they had had. Evidence of NVQ training was seen on one of two staff files looked at. Some staff have had training about the Mental Capacity Act, which is new legislation designed to help protect vulnerable people. There was a lack of evidence to show staff have received training to give them greater awareness/understanding about specific conditions, such as Parkinson’s disease. Of two relatives completing a survey, one said staff ‘always’ have the right experience and training and one said ‘sometimes’. One added that staff could be better trained. The files of two staff recruited in the past year showed that appropriate vetting checks had been carried out. The records also showed that a night carer had been given induction training, along with essential health and safety training, such as first aid, fire safety, moving and handling and infection control. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is carried out well. There are good quality assurance systems, which together with an open ethos help to protect residents. EVIDENCE: The manager, Mrs Kath Brown, has managed the home successfully for a number of years. She is appropriately qualified. She attends relevant training course to update her skills. Comments received from residents, relatives and staff show that the home continues to be well-managed. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 22 There is a quality assurance system in place, with regular audits of systems in the home being carried out. Surveys of residents are carried out and the results analysed and actions plans put in place to address issues raised. Meetings with residents are held occasionally, with the last one being in January 2008. Residents were encouraged to give their opinions about the food and social activities. A number of complimentary letters had been received. Records were kept of monies held on behalf of residents, which showed the dates money was deposited or withdrawn/spent and what it was used for. Receipts were kept where items/services had been obtained on behalf of individual residents. Appropriate records were kept where personal allowances are handled on behalf of residents. Three staff records were looked at which showed that staff received relevant health and safety training and that there was a system for providing refresher training. Records and discussion with staff showed that staff participate in one-to-one supervision/support sessions with a senior member of staff. Up to date evidence of maintenance/safety checks on the gas system and hoisting equipment was seen. Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations Provide training for staff about the specific conditions residents have, for example, parkinson’s disease. This will help staff to have a better understanding of how residents are affected by such conditions and how staff can provide good support to them. The home is run well but can improve further by reviewing and establishing how well it manages equality, diversity and human rights. This will help ensure that there are systems throughout the home which recognise, understand and ensure good outcomes for people taking into account gender, age, sexual orientation, race. 2. OP32 Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Abbeyfield Residential Care Home DS0000000429.V366594.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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