Care Home: Abbeygate Residential Home

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Annual service review Name of Service: Abbeygate Residential Home The quality rating for this care home is: The rating was made on: two star good service 1 8 0 3 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Lucy Green Date of this annual service review: 0 4 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: 42 Quarry Road Winchester Hampshire SO23 0JS 01962855056 01962856910 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Avonpark Care Centre Limited Number of places (if applicable): Under 65 Over 65 30 30 0 0 0 30 The maximum number of service users to be accommodated is 30 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 car needs on admission to the home are within the following category: Dementia(DE) Mental disorder,excluding learning disability or dementia(MD) Old age, not falling within any other category (OP) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Abbeygate is a large care home on the outskirts of Winchester and is part of the Avonpark Care Centre Ltd. group of homes. The home is registered to provide personal care for 30 older people. Four of the beds are registered for dementia and/or mental Annual Service Review Page 2 of 6 1 8 0 3 2 0 0 9 health care provision. The home is located in a quiet, residential, area of Winchester, not far from the city centre and amenities. The home is surrounded by a large mature garden, which is not overlooked. Sufficient parking is available on the premises; there is a steep incline from the car park to the front door of the home but there are also steps from the car park to the side of the house. Further information about the services provided at Abbeygate Residential home, including the current range of fees can be found in the homes Statement of Purpose and Service User Guide - copies of both these documents can be obtained directly from the Provider. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: (1) The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. (2) What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. (3) The previous key inspection conducted on 18th March 2009 and the report generated from that visit. (4) Any feedback received regarding the service since the last inspection. What has this told us about the service? The home returned the annual quality assurance assessment (AQAA) when we asked for it. This was completed by the Registered Manager and provided basic information about the service. It identified some of the areas that have improved in the last twelve months and other areas where further developments are either planned or would benefit the people who use the service. Some sections of the AQAA provide limited or no information, it may be useful for the service to view the AQAA as a live document and add information and examples throughout the year in order to provide a representative overview of what has happened in the last twelve months. This will be particularly important when the service is completing declarations of compliance later this year as part of its re-registration under the Health and Social Care Act. The service is also reminded that it is the Registered Persons who are responsible for managing the service and for quality monitoring and that neither of these areas are the role of the regulator. Statements in the AQAA such as planned future improvements will depend on the outcome of the Care Quality Commission assessment indicate that the service may be adopting a reactive rather than proactive approach to service delivery. The last inspection report identified that Abbeygate Residential Home was providing good outcomes to the people it supports. One formal requirement was made when we last visited and this was in respect of the need for the home to improve the internal decoration of the service. It is not clear whether this has been fully complied with or not. In May 2009, the Responsible Individual wrote to us stating that it would not be possible for the home to meet this requirement within the timescales laid down due to urgent fire safety work taking financial priority. The AQAA however makes no mention to what work has been undertaken in respect of improving fire safety, but does state that the hours of the maintenance person have been increased to full-time and that this has facilitated most of the rooms being repainted. In the section of the AQAA titled Barriers to improvement the Registered Manager states that the economic climate has made it necessary to restrict improvements to all but essential repairs. The AQAA also creates some confusion as to whether a new boiler had been fitted last Annual Service Review Page 4 of 6 year. Following a concern raised by a relative in May 2009 that the heating and water system was inadequate, the Registered Manager told us that a new boiler had been fitted. The AQQA however states that quotes have now been obtained for the replacement of the boiler and that these have been submitted to Head Office for consideration next year. Information supplied in response to this Annual Service Review states that the home has two boilers. The home has continued to liaise with the Commission and report significant events and incidents to us. We have observed that there were a number of serious falls at the home last year and we will be looking at the risk assessments in respect of falls when we next visit. The AQAA outlines some areas of improvements over the last twelve months and states that these include improved record keeping and in particular completing care plans in more detail. It is also reported that a new entertainer has been employed who has been popular with residents. Menus are also said to have been changed in accordance with the wishes of the people who live at the home. The AQAA demonstrates the homes commitment to promoting equality and diversity within the home through the recognition of every person as an individual and respecting their own needs and wishes. From the information reviewed during the process of this annual service review, we have concerns that the home may not be sufficiently proactive to ensure good outcomes for people using the service are maintained. Following receipt of this Annual Service Review, the Responsible Individual for the service contacted us and has supplied some additional information about the changes and improvements that have occurred at the home in the last twelve months. What are we going to do as a result of this annual service review? We will hold a management review meeting, taking in to account the recent additional information received by the Responsible Individual and decide if we need to change our inspection schedule before the service applies for re-registration under the Health and Social Care Act. Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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. 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