Latest Inspection
This is the latest available inspection report for this service, carried out on 7th May 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Abbeygate Retirement Home.
Annual service review
Name of Service: Abbeygate Retirement Home The quality rating for this care home is: The rating was made on: three star excellent service 0 4 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?
No 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: Tobias Payne Date of this annual service review: 0 5 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: High Street Moulton Spalding Lincs PE12 6QB 01406373343 01406373343 bgate3@totaldsl.co.uk broadgatehomes.com Abbeygate Rest Homes Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Ms Donna Bailey Conditions of registration: Category(ies) : old age, not falling within any other category Number of places (if applicable): Under 65 Over 65 0 27 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 Care Home is a modern purpose built single storey building. The home provides personal care for 27 older persons aged 65 years and over. The home is located in the village of Moulton, which is 6 miles from the town of Spalding and 4 miles from the town of Holbeach. It is in the centre of the village with the home sharing the grounds with the tallest windmill in England. Accommodation comprises 25 single bedrooms and one double bedroom, all but one single bedroom having an en-suite.
Annual Service Review Page 2 of 7 0 4 0 3 2 0 0 9 There is car parking at the side of the home and garden areas with seating overlooking open countryside. The home is one of two care homes owned by Broadgate Builders. The general manager is actively involved in the running of the home. The fees at the inspection on the 4/3/2009 ranged from £430 to £575 per week. Extras are for hairdressing which range from £9.75 to £28, chiropody £10, toiletries, personal newspapers and magazines. Information about the home including the statement of purpose, service users guide and a copy of the last inspection report can be obtained from the manager. This can also at request be made available in Braile and talking tape. Annual Service Review Page 3 of 7 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. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What people have told us about the service. What has this told us about the service? The manager sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and and very detailed and gave us all the information we asked for. The manager told us that they continue to ensure people coming to the home and or their families are provided with information about the home. They encourage people to look around the home and speak to the staff, people living there and the manager. All assessments are carried out by the registered manager taking into account the views of the people prior to the provision of care. When a new person comes to the home a comprehensive care plan is provided which is reviewed monthly or as the individual needs change. They also arrange for dental, optical, chiropody and complimentary therapies to be provided in the privacy of their own rooms. They ensure that people who wish to self medicate are encouraged to continue using robust risk assessments. The manager ensures the home continues to provide quality care, ensuring staff are fully trained and proven competencies checks in all areas of care practise. The manager told us that they maintained their Excellent food hygiene rating from South Holland District Council and Clean Air Award. The home is also registered with the Pets As Therapy dog scheme and Izzy visits every month when the local church choir attends for practise. The manager told us that the care plans are updated on monthly and three monthly basis with a full annual review. They ensure that the person and family are included in the review process. All people are registered with local doctors and they work closely with district, and specialist nurses. They arrange yearly hearing and eye tests. Over the last year they have introduced choice and rights into their care planning in line with the Mental Capacity Act 2005. They have also provided new signage to identify the location of the home and entrance for visitors. They have also reviewed and made changes to the service users guide and statement of purpose. The manager told us Annual Service Review Page 4 of 7 they have also introduced a new service users questionnaire on Living in the Home and questionnaire on the admission to the home. They have also introduced new menus in January 2010 after discussions with the people. They have also provided more tactile and creative activities for people to participate in and develop new skills where necessary; e.g. painting, cake decoration demonstration. Concerning the environment, they have introduced additional housekeeping hours and redecorated 6 bedrooms. They have also started in providing sensory gardens. We looked at the information in the AQAA and our judgement is that the care home is still providing a positive service and that they know what further improvements they need to make. The manager told us that they are developing a clearer and more indepth Life History Plan for people to learn more about them as people. This will be used to build into the person centred care plan and develop activities in and out of the home. They also want to develop service users meetings to include the people, family or advocates to develop the activities and events list further. To enable this to happen staff will receive training. They also want to deliver quality training to develop staff awareness of health issues relating to the older person, that enables the carer to continue to deliver best practise. They also want to involve people with support to develop care plans and life biographies and participation in decision making affecting care or change of need. We received 4 surveys from people living in the home. All were positive including,I am impressed with the way they keep the home, it is always clean and fresh and I feel they try hard to keep us happy and content and the home is friendly and clean. The manager told us that staff continue to be recruited correctly with a check by the Criminal Records Bureau. Staff continue to receive an induction training programme. Their training has included mental capacity and deprivation of liberty safeguards to identify and protect the peoples rights and choices. They have increased the number of staff with nationally recognised National Vocational Qualifications to 85 with NVQ level 2. In addition 2 staff have achieved NVQ level 3. They have improved the quality of training to staff on safeguarding adults. They have also through listening to staff at supervision meetings, reviewed and implemented new training. The manager now delivers senior carer training covering safeguarding adults and complaints. Training over the year has also covered dementia awareness, health and safety, first aid, moving and handling, fire prevention and medication training. All staff have received nutritional awareness training and 20 staff infection control training. There is a 12 month training programme and the manager regularly observes staff to ensure that good care practise is delivered and competencies audited. We received a comment card from one member of staff with very positive and no negative comments about the home. There is an established quality assurance system and the home achieved three star excellent care service by the Lincolnshire County Council Quality Assurance Framework. Improvements take place as a result of action from surveys they send out to the people living in the home and other people connected with the home. The manager continues to let us know about things that have happened over the last year and they have shown that they have managed issues well. They and us have received no complaints or safeguarding adults issues over the last 12 months.
Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? The information we have tells us that the service continues to provide positive outcomes for the people who use the service. We are not going to change our inspection plan. The next inspection of the service will be based on the Fees and Frequency Regulations (2007) and the assessment of risk. Annual Service Review Page 6 of 7 Reader Information
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