Care Home: Abbeyvale Care Centre

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What the care home does well The service has a new and well designed building. It is suitably equipped and has most aids and adaptations that it needs. The home is kept clean and odour free. The staff are knowledgeable about service users needs and treat them with respect. Staff value service users and help them maintain their dignity and individuality. Service users have good access to local health services and there health care needs are met. The home provides appetising food and drinks The home provides a good induction and training to staff. What has improved since the last inspection? The building has been extensively refurbished and redesigned to create an extemely good care environment. What the care home could do better: Care plans could be improved and they are under review. Small deficiencies such as an uneven area on the floor need to be addressed. Key inspection report Care homes for older people Name: Address: Abbeyvale Care Centre Laidler Close Blackhall Hartlepool TS27 4QR     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: Tom Moody     Date: 1 8 0 8 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 23 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 23 Information about the care home Name of care home: Address: Abbeyvale Care Centre Laidler Close Blackhall Hartlepool TS27 4QR 01915180322 01915866579 abbeyvale@execcaregroup.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Executive Health Care Ltd care home 42 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia sensory impairment Additional conditions: The maximum number of service users who can be accommodated is: 42 The registered person may provide the following category of service only: Care home with Nursing only - Code N To service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder- Code MD, maximum number of places:12, Learning Disability- Code LD, maximum number of places: 15, Sensory Impairment- Code SI, maximum number of places:15 Date of last inspection Brief description of the care home Executive Health Care Limited purchased Abbeyvale in April 2007. Although the home is registed to provide nursing it is providing social care only at this time. The home has been extensively refurbished and extended to provide a first floor. It is well equipped, well decorated and furnished. Care Homes for Older People Page 4 of 23 2 9 0 9 2 0 0 8 15 12 15 Over 65 0 0 0 Brief description of the care home The living accomodation is generaous and excedes the National Minimum Standards. The home has well laid out gardens and grounds that are easily accessible and has good parking space. It is situated in a pleasant residential area of Blackhall. The home is within easy travelling distance of the local town centre, coastline ammenities and other neighbouring communities. The minimum fee for this home is £625 and additional faas can be charged subject to individual service level agreement. Care Homes for Older People Page 5 of 23 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: The quality rating for this service is three star. This means the people who use this service experience excellent quality outcomes. Before the site visit we looked at: information we have received since the last inspection visit, how the service has dealt with any complaints since the last visit , any changes to how the home is run, the providers view of how well they care for people. The Visit: An unannounced visit was made on 18 August 2009. During the visit we: talked with people who use the service, relatives, staff, the manager & visitors, looked at how staff support the people who live here, looked at information about the people who use the service & how well their needs are met, Care Homes for Older People Page 6 of 23 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. We told the manager what we found. Care Homes for Older People Page 7 of 23 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 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 23 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 23 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. The service users needs are accurately assessed and the home can meet those needs Service users recieve the information they need about the home. Service users can make a trial visit and are able to make an informed choice about coming into the home. Evidence: The home has a good service users guide that contains all of the necessary information. It contains information about staff and key workers. The photographs in the guide help to illustrate the written information. Service users and relatives confirm trial visits are available and care plans demonstrate a wide ranging and comprehensive assessment is carried out, by their care manager, to ensure their needs are met. Care Homes for Older People Page 10 of 23 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. Each person has a detailed plan, which explains how their care they will be given and peoples health care needs are met. The homes policies and procedures for dealing with medication protect service users. Service users feel that they are treated with respect by the staff Evidence: There is a good assessment of service users physical, mental, spiritual and social needs in their care plans. These also record personal goals and preferences. In keeping with the homes ethic of rehabilitation the care plans contain skill evaluation sheets to monitor servcice users progress in coping with life skills. The care plan assessment of needs contains information from care specialists from many different disciplines. Service users are able to help with this and care plans have examples of information obtained from them. However, the practice of writing this in the first person, using I, when it has been recorded by a staff members, seems to be slightly misleading. Records in the care plan indicate service users have access to health services such as hospital specialists, doctors, dentists and other practitioners. Care Homes for Older People Page 11 of 23 Evidence: Clear medication records are kept. Storage of medicines is largely appropriate and the home has secure clinical rooms with drug fridges. However, the use of a domestic type cupboard does not provide complete security. Staff who were spoken to have the know about the service users history and condition. It was evident from looking at staff care practice, and their interactions with service users, that they knew about preserving their dignity and privacy. For example, staff used the service users preferred name, they spoke to service users respectfully, staff allowed service users time to make choices, all of which enhanced the dignity of service users. Staff always knocked before entering bedroom doors to preserve the privacy of service users and always asked service users permission before inspectors viewed their rooms. Care Homes for Older People Page 12 of 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes provision matches service users recreational, social and cultural needs, and helps them maintain contact with the surrounding community. They are able to exercise choice and control over most aspects of their lives and they enjoy nutritious and appetizing food. Evidence: Clients can exercise choice in almost all aspects of daily living. Activities are arranged for our clients to encompass all tastes. Clients are encouraged to personalise their rooms. A record is kept of clients belongings and valuables. Internal and external financial audits are carried out regularly. Clients can, if they are able, control their own finances. Information is provided about a local advocacy service if service users wish to use this. There are no restrictions to visiting. Clients may take visitors to their own rooms or use a quiet lounge. Visitors came into the home during the time of the site visit. One compared the home favourably to an earlier placement. They said that when they visited at the other home, the service user was not allowed to see them to the door. They felt that the staff at Abbeyvale had A much better understanding and approach. A nutritionally balanced diet is provided at all times, with personal choices available at each meal. The service users all said they enjoyed their food. One service user told me The meals are great and There is a choice on the board. The home Care Homes for Older People Page 13 of 23 Evidence: has a skills area where service users can make meals or snacks in domestic setting. Service users were able to indulge in Small scale activities of their choice and to make use of the homes garden. Several service users spoke of outings to local amenities. The service users care plans contain a diary of social activities and this records visits to local amenities. One service user told me that, I have trips out, Ive been to the quays. Some service users were at the home as part of a temporary holiday from other homes in the company. However, these service users expressed an interest in staying at Abbeyvale permanently. Service users seem very pleased with the care they receive. Comments such as, Its lovely and I am very happy here were typical of those made to the inspector. Care Homes for Older People Page 14 of 23 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. The service users and relatives know how to raise issues and they are confident staff and managers will act on their concerns. Training and procedures ensure service users are protected and that their rights are upheld. Evidence: The company has a complaints policy and a written complaints procedure is provided in the statement of purpose and service user guide. Clients and relatives are confident that if they have any concerns they will be taken seriously and will be addressed. One visitor told me that, The staff are very approachable. Staff said they had recieved training in Protecting Vulnerable Adults (POVA) and they had a good awareness of these issues. This was confirmed by training records. Recruitment records indicate all pre employment checks are carried out including Criminal Records Bureau, POVA list and previous employers references. There are no recorded complaints in the complaints record but minor concerns were recorded in care plans. It would be more appropriate to record these as seperate concerns. Care Homes for Older People Page 15 of 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe and comfortable environment with good access to all areas. The home is very well equipped in most respects, and well furnished. It is spacious, clean and meets most of the service users needs Evidence: The home has recently opened after an extensive refurbishment. The home is well designed and has pleasantly landscaped surroundings. There is a secure and sheltered patio area with raised flower beds and seating. Service users like the home and comments such as, its brilliant here, or Its lovely were typical of those made to the inspector. The home has very generous communal space with wide corridors and ample lounge space. There is also a variety of environments including a quiet lounge The home has generous communal and circulatory space and this could be improved by varying the style of decoration. The home has the same carpet and colour scheme throughout. Unfortunately some of the corridors also had low light levels at the time of the site visit due to a temporary problem with one lighting circuit. at one place there is a change in level which could prove a trip hazard and some means of highlighting this should be considered. The home has been designed to enhance the experience of the service users and to make operation easier for the staff. There is a generous amount of storage space in the home. Most of this design and build is an example of good practice. Care Homes for Older People Page 16 of 23 Evidence: The decor is modern but the effect is to produce a traditional appearance and homely feel. The home is well ventilated and warm. There was no excessive noise and the atmosphere was calm. Showers toilets and bathrooms are a generous size, nicely decorated and fitted with rails and aids. Thermostatic mixer valves are fitted to bath and shower outlets. There is a good standard of equipment such as mobile hoists, and specialist beds. A suitable call system has been installed. The bedrooms are of generous proportions, well above the minimum size, and they are well decorated and furnished. The home has a laundry and suitable hand washing facilities for service users and staff. There are also domestic scale washing machines in the Skills Area. There were no unpleasant smells apparent during the time of the site visit and the home was clean and tidy in all areas. Care Homes for Older People Page 17 of 23 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. The staffing of the home meets service users needs. They are supported in a safe manner, by staff who are properly recruited, and have the appropriate training. Evidence: There were a suitable amount of staff on duty at the time of the site visit. Service users needs were met and care was given in an unhurried manner. Although the manager is on long term absence the senior carer is very experienced and well supported by the operations managers. All staff who were spoken to confirmed they held NVQ qualifications. Staff also said they received an induction, and training, and records confirmed this. Staff records indicate all pre employment checks are carried out including Criminal Records Bureau, Protection Of Vulnerable Adults list and previous employer references. Records also show that staff are interviewed and they receive terms and conditions Care Homes for Older People Page 18 of 23 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 home is managed by an experienced, person who has service users interests at heart. The home is run in the best interests of service users. They are kept safe and their welfare and rights are protected by good record keeping and the promotion of good practice Evidence: Although the manager is on long term absence the senior carer in charge is very experienced and well supported by the operations managers. At the time of the site visit the occupancy of the home was relatively low with only 8 persons in residence. Other staff in the home are also experience and mature persons. Discussions with them reveal they are knowledgeable about the client group and well motivated. Staff felt well supported by the company. Visitors also felt the staff were approachable and that they were well motivated. There is a full time administrator in he home. Service users personal allowance is kept on an appropriate system and it is audited by the company on a regular basis. Record keeping is good. Care Homes for Older People Page 19 of 23 Evidence: The home has proper insurance and the registration certificate is displayed. Staff have a good awareness of heath and safety and service user records contain good risk assessments, including falls. Care Homes for Older People Page 20 of 23 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 21 of 23 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 9 The domestic type cupboards in clinical rooms should be securely locked or replaced with cupboards that meet British Standards. All concerns should be recorded according to the company policy. Some means of highlighting the uneven floor area should be explored to avoid trip hazard. The senior carer should consider undertaking the registered managers award or similar qualification and the company should support her in this. 2 3 4 16 19 31 Care Homes for Older People Page 22 of 23 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. 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