Care Home: Abbott's Residential Care Home

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well The staff have a close relationship with the people who live in the home, any having lived there for several years. They treat the individuals they care for with respect and receive the same respect back. There was a very comfortable homely feel in the way the home appeared, and the way it was run. The people who live their exercised their independence freely, with the support of the staff who as a result of risk assessments, and a good knowledge of the individuals, provided a level of support that was welcomed and did not take away their dignity. What has improved since the last inspection? This is the first inspection of the service since its new registration of the Provider and the Registered Manager took place. What the care home could do better: The home appears to be developing well under its present arrangements and it is achieving its aims and objectives. The next inspection will establish better if any improvements above this established baseline are necessary. CARE HOMES FOR OLDER PEOPLE Abbott`s Residential Care Home 74 Windsor Road Babbacombe Torquay Devon TQ1 1SX Lead Inspector Doug Endean Unannounced Inspection 29th November 2007 09:30 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 Abbott`s Residential Care Home DS0000070155.V350830.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. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbott`s Residential Care Home Address 74 Windsor Road Babbacombe Torquay Devon TQ1 1SX 01803 327574 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) enquiries@abbottsresidential.co.uk www.abbottsresidential.co.uk Mr David Howard Trulock Alison Lynn Denise Goodrich Care Home 9 Category(ies) of Old age, not falling within any other category registration, with number (9) of places Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code PC The home may provide personal care to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 9. First Key Inspection under new registration. Date of last inspection Brief Description of the Service: Abbott’s Residential Care Home is in the suburb of Babbacombe in, the holiday town of Torquay, Devon. It is a large semi-detached Victorian property, in a mainly residential area, about one mile from Torquay’s town centre. There is parking at the side of the home and a large patio area at the front of the property. The bus service passes the front of the home to provide access to and from Torquay. The home does also have its own people carrier that is used for trips out. Local shops are within reasonable walking distance of the home. The home is registered to provide personal care to nine people who have reached old age. It has 7 single bedrooms, and one double bedroom, and all but one has en-suite facilities. The bedrooms are on the ground, first and mezzanine floors, and there is a stair lift provided between the ground and mezzanine level, with just 4 steps between the mezzanine and first floor. There are good bathing facilities on the ground and mezzanine floors that do support the needs of people with a disability. The home has its own people carrier to provide transport for the people who live in the home to appointments and on trips out when the weather is suitable. The home’s fees commence at £350 per week. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the homes first key unannounced inspection following a new registration process and the registration of a new Registered Manager. The unannounced inspection took place on the 29th November begining at 09:30 hours and lasted 4 hours 45 minutes. In that time we looked at 2 staff records, and the records of 2 of the people who live in the home. We also spoke to 2 staff members and 6 of the 9 people who live in the home. A full tour of the home was made, looking in the bedrooms, bathrooms, kitchen and the office as well as outside storage and service areas. Prior to the inspection the Registered Manager returned a completed Annual Quality Assurance Assessment that gave information about the running of the home and how they viewed their performance against the National Minimum Standards. We also received 2 completed Commission for Social Care Inspection ‘relatives survey forms’. What the service does well: What has improved since the last inspection? What they could do better: The home appears to be developing well under its present arrangements and it is achieving its aims and objectives. The next inspection will establish better if any improvements above this established baseline are necessary. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 6 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. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 7 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 Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 8 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): The homes performance was assessed against Standard 3. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre-admission assessment process is simple, clear, and fit for purpose, given the level of care the home provides. EVIDENCE: Abbott’s Residential Care Home provides personal care to a maximum of just 9 people over retirement age. We met most of the people who live in the home during this inspection, and the majority have lived in it for several years prior to the recent registration taking place. There is a small turnover of clients as people come to the home for a period of respite, and eventually to stay permanently. We read the files of 2 people who live in the home. Their files included a completed copy of the homes own “Service Users Home Introduction Assessment Record”. This form recorded personal information Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 9 about each person, a general history, and information regarding the reason for the referral. It covered general health, diet, communication, mobility and any history of falls. It also enabled a record of medication to be made and information about likes and dislikes, hobbies and interests and any special needs. The Registered Manager completes the pre-admission assessment. From this information the Registered Manager was able to make a decision about the suitability of the home to meet the needs of the individual. Where other people had been involved, Social Worker, District Nurse or hospital the information is also gathered and used to inform the Registered Manager’s decision to admit, or not. The format is simple and clear and appears suitable for the purpose given the home is registered to provide personal care only. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 10 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): The homes performance was assessed against Standards 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans were simple and useable documents, supported by information such as risk assessments. There was mutual respect between the people who live in the home and the staff who care for them. EVIDENCE: We looked at 2 sets of note about people who live in the home. Both contained their own care plans. The format was clear and uncomplicated, therefore easy to follow. Information gained from the pre-admission assessment, and any supporting information such as hospital discharge referral sheet, provided details of needs that were to be met. The plans were set out in 4 sections, need, aims, how to meet them, and review with signatures. There was evidence that the person they were about had been involved in completing the Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 11 plan of care. The Annual Quality Assurance Assessment that was sent to the Commission for Social Care Inspection by the Provider does state, “All residents are involved in planning their care which ensures that all needs are met and diversity is respected”. The home has carried out risk assessments that support the care plans. We saw a nutritional assessment and subsequent regular recordings of weight for someone who was severely underweight but has gain over 2 stones since her admission showing a positive outcome to the way care has been delivered. We also saw that a mobility and tissue viability assessment resulted in the correct bed and mattress being in use. We spoke to the lady during the inspection. She held the staff in high regard for the care they had provided to improve her health although she still has some mobility issues. She is happy in the home and likes her bedroom that is large and provides he with enough room for her to have a lounge area and sleeping area. The home are also helping her with dental care that is needed as a result of her initial poor nutrition that led to the admission. The individual records also had proof of the involvement of health care professionals in the care of people who live in the home. We saw records of communication with, and visit’s from, General Practitioners, District Nurses and the Chiropodist. We saw how this altered care and how the home recorded this daily in the notes. The staff also used a tick box daily care planner. They use this to record the care they have been involved in delivering each day and then signed it. The home has acceptable double locked storage space for medications. They use a monitored dose system and medicine administration sheets where receipt, administration, and disposal records are recorded. We looked at the records and found them to be satisfactory. We also saw a risk assessment for self-administration of medication on one person. This person manages her own medication and has lockable storage for her supply in her room. Also all bedrooms do have facilities to lock the door with Yale key entry. Staff who are involved in medication administration have had training from external providers in the safe handling of medication. We saw certificates of accredited medication training displayed in the foyer, from two different recognised training institutions. We also saw that the home had a homely remedies list on display in the office. The procedures are supported by addition information displayed on the medication storage cabinet reminding staff not to rush the procedure and what to do in case of an incident. The staff were seen to treat the people who live in the home with dignity and respect during the inspection. The people responded very well to the staff and there was warmth in the relationship between everyone. Each were happy with the way they addressed each other, and no one took anyone for granted. Staff knocked bedroom doors and waited to be invited in. People were dealt with as individuals and the staff seemed to have a good knowledge of how each person wished to be cared for. The people we spoke to each made it clear that they did have choice in most things and that the staff helped them exercise their Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 12 choice whither it be in the meal they had or the place they sat. People told us how they use the local community to shop or just take their exercise and that the staff enable them to do this. The bedrooms we were invited to see were nicely decorated and comfortably furnished making them personal to the person who lived in them. The Registered Manager showed the results of quality assurance surveys involving the people who live in the home that showed that they were satisfied in many ways with the way the home is organised and run. Abbott`s Residential Care Home DS0000070155.V350830.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): The homes performance was assessed against Standards 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a supportive environment within which people can exercise choice, individuality, and independence. The home provides a wholesome diet that meets the nutritional needs of individuals. EVIDENCE: The home says that they begin to promote independence and individuality by producing individual person centred care plans. The involvement of the people who live in the home, and relatives, in the development of the care plans shows a wish for everyone to be on equal terms. The involvement also of the people who live in the home in the way it is run is carried out in meetings, formal and informal. We noted during the inspection that the people who live in the home are free to express an opinion about anything from food to what they choose to do with their own time. They have also express this involvement in the functioning of the home in the service users surveys that Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 14 the home has commenced doing. We saw the retuned questionnaires and those the way the Registered Manager has correlated the information and acted upon it. They also seek information from people who visit the home, professionals and families through the use of questionnaires that are found next to the signing in book in the foyer. We received 2 completed Commission for Social Care Inspection relatives and friend survey forms. Each made positive comments praising the home and its achievements. One person wrote, “A homely and welcoming place”. People are able to express themselves in many ways. One person was having Holy Communion in her room whilst others were watching television in the lounge. We spoke to people who made it clear that they are listened to by staff and that they are treated with dignity and respect by the staff. They exercise their independence in the choice of food they eat, where they choose to spend their day and who with. They have their bedrooms laid out the way they wish with personal items around them. There is a call system in each bedroom that also has the ability for a conversation between the person making the call and the staff answering it at the call station in the home. Some have pieces of furniture that they have brought with them to the home whilst others use specialist equipment such as height adjustable beds to aid in their care. One person has lockable facilities in their room so that they can self-medicated. All bedroom doors are fitted with locks and all but 1 person has chosen not to keep a key and this is recorded in all the individual records. One bedroom has a special sound activated door stop so that she can have her bedroom door propped open when she is in the room to make her more comfortable, hearing people as they pass on the landing and thereby not feeling isolated. The Registered Manager and Provider said in the Annual Quality Assurance Assessment that they intend to extend this facility to others. The home is staffed with enough people to meet the routine of those who live in it. As a result of this unannounced inspection one person gave up her day off immediately so that the Registered Manager could be freely available to help in the inspection. She did this freely she said as she enjoys her work and the people who live in the home. The Annual Quality Assurance Assessment says that the home has an “open door policy” and invites people to visit at any reasonable time. We saw 2 people visit during the inspection, one being the Priest who carried out Holy Communion. He was very comfortable during his time in the home and talked freely about the good care that people receive and the benefits they gain from this. The home does arrange activities such as singers from a choir attending the home once a fortnight. On the notice board there are photographs of staff and residents during various parties that have taken place. There is also a list of planned activities for each day of the week that included bingo, manicures and time to have one to one chats with individuals. There is a record of what ever Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 15 has occurred in the way of activities written in the daily communications book. The events are based upon what people have said they like and dislike and include going for a drive to the shops individually or going out as a group to local places of interest such as the Butterfly Farm in Buckfastleigh. The staff carry out random activities to suit the people in the home such as quizzes and a sing-along to appropriate music liked by the people living in the home. The Annual Quality Assurance Assessment records that the home are reviewing the activities to extend what’s on offer. The home has a 2-week rotating menu but the Registered Manager told us that this is very flexible. All food is bought from a local shop on a regular basis and they will change what’s on offer to suit the wishes of people on any given day. The people have each had an assessment of their nutritional needs and some receive supplements as a result of that. We saw the food being prepared and later eaten. Everyone was happy with the meal and the portions they received. The Registered Manager told us that the people who live in the home each have their own bank accounts and manage their own financial affairs. Where small amounts of pocket money are held she has evidence in her records of how it is spent, such as hairdressing, and receipts. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 16 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): The homes performance was assessed against Standards 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure that is suitably advertised. The home has made adequate arrangements for the protection of people who live there from abuse through suitable training. EVIDENCE: The home has a complaints procedure on display on the notice board at the front of the home. It contains all the information that a person would need to make a complaint and how the home will respond. It also has the contact details of the Commission for Social Care Inspection should anyone wish to be dissatisfied with the homes response. When asked, the people who live in the home knew that if they had any problems they would first take them to the Registered Manager. The Commission for Social Care Inspection has not received any complaints since the last inspection. The home also requests that anyone make any suggestions that will enhance the service they offer. The home has provided induction training to all staff that has included an introduction to adult protection. This has included the use of an informative booklet and also the use of the “No Secrets” video. Some staff has also attended more formal Safeguarding People training and we saw certificates as Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 17 evidence of this. Also, the home have distance learning study packs that have questionnaires which are returned to the provider for marking and one session covers adult protection. In addition to this the staff that have a National Vocational Qualification have also received training on this subject as part of that training. The staff that do not have a National Vocational Qualification are presently studying for one. The home also has a whistle blowing policy that would protect anyone who raised an alert regarding safeguarding people. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 18 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): The homes performance was assessed against Standards 19, 20, 21, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides homely, comfortable, clean, and attractively decorated accommodation, and is suitably adapted to meet the needs of the people who live in it. EVIDENCE: Abbott’s Residential Care Home is in the suburb of Babbacombe in, the holiday town of Torquay, Devon. It is a large semi-detached Victorian property, in a mainly residential area, about one mile from Torquay’s town centre. There is parking at the side of the home and a large patio area at the front of the property. The bus service passes the front of the home to provide access to and from Torquay. Local shops are within reasonable walking distance of the home mainly on the level. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 19 The home is registered to provide personal care to nine people who have reached old age. It has 7 single bedrooms, and one double bedroom, and all but one has en-suite facilities. The bedrooms are on the ground, first and mezzanine floors, and there is a stair lift provided between the ground and mezzanine level, with just 4 steps between the mezzanine and first floor. Most bedrooms are of good proportions and all have a call system that also allows the caller to speak to staff when they are in the main call point. There are good bathing facilities on the ground and mezzanine floors that do support the needs of people with a disability. Most people have personalised their bedrooms to their own liking and some have used items of their own furniture whilst others have special furniture, such as height adjustable beds, supplied. All bedrooms are warm and comfortably in good decorative order. The bedroom doors are fitted with Yale type locks but only one person has chosen to have their own key. To exit the bedroom there is no need to use a key as a simple turn mechanism is in place. The lounge and separate dining rooms are tastefully decorated and have comfortable furniture and attractive fittings and fixtures. For safety the windows above ground floor have restricted opening and radiators are guarded as pre the premises Health & Safety risk assessment that we saw during the inspection. The whole home was clean and odour free and free from any unnecessary clutter near fire exits. The home has a small laundry in a building separate from the home and any food storage areas. It has a washing machine and domestic cloths dryer and this is adequate for the size of the home. The building was refurbished in the last few years and the concrete floor was treated to make it impermeable to water. There is no smoking in the building or in the storeroom adjacent to it that used to provide cover for smokers. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 20 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): The homes performance was assessed against Standards 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs staff in sufficient numbers, with the necessary skills to meet the needs of the people who live there. EVIDENCE: The home is registered for just 9 people who need personal care. The staff group is therefore small yet adequate in both numbers, and skill mix, for each shift. We saw duty rotas that showed that at least 2 people are on duty during the day to provide personal care. In addition to this there is a cleaner, and the Registered Person has a regular presence at the home to carry out a variety of tasks, including maintenance. The Registered Manager lives on the premise and does provide sleeping in cover at night to support the 1 person who is awake on duty at night. We looked at the 2 of the staff files and the and found that the recruitment procedure had been followed with application forms, references, proof of identity, and Criminal Records Bureau checks being in place. The Registered Manager wrote in the Annual Quality Assurance Assessment that more than 50 of staff has a National Vocational Qualification in care. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 21 This was verified during the inspection. It was also seen that the staff have completed a wide range of training in addition to the National Vocational Qualification beginning with a clear, informative induction. The induction does include an introduction to Safeguarding people through the use of a concise yet through booklet and the “No Secrets” video. This is expanded upon in the National Vocational Qualification training that everyone has had or are in the process of receiving. Other training that we saw had occurred mostly through external training is the safe handling of medication and medicines in care homes, first aid, infection control, fire training, falls training, Health & Safety, food hygiene, and moving and handling. Two staff were interviewed during the inspection, one recent recruit and one person who has worked at the home for some years and holds a National Vocational Qualification at level 3. One said that she liked the home because its size meant that she could be closer to the individuals that live there and spend time with them. She said she liked her work and wished to make a longterm career in care. The other said she loved her work and this home. She feels close to the people who live and work in the home. She has many certificates from care related training and has very good access to training. Both felt that they have a good relationship with the Registered Manager and this was evident during the inspection. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 22 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): The homes performance was assessed against Standards 31. 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run with the main objective of meeting the needs of the people who live there. This is being achieved through good care and business management. EVIDENCE: The Registered Manager has had a long career in the care industry. Her application for the position of Registered Manager was successfully after being processed by the Commission for Social Care Inspection in June this year. She now holds the National Vocational Qualification at level 4 in Care and also the Registered Managers Award. Her certificates are on display in the front Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 23 entrance of the home alongside many other certificates of attendance of training held by her and the other staff who work in the home. There is a culture within this small home to prepare staff well for the job that they do. This was evident from the amount, and variety of training, which staff has attended. The Registered Manager also showed a good understanding of the conditions suffered by the people who live in the home, and what measures to take to improve things for them. There were risk assessments in place and care had been planned as a result of the outcomes. The Registered Manager also has a formal supervision arrangement with her staff and provided evidence of the sessions and outcomes. The sessions commence with a review of the previous session then follow a formal prompt that covers personal development, client related issues and team working issues. We also saw individual development reviews for all staff that have come about from the supervision sessions. The home has a quality assurance system in place that does obtain the views of the people who live in the home and also their relatives. We saw the completed questionnaires that were returned and the Registered Manager explained how they responded to the results. Relative’s questionnaires were available at the signing in book. In addition to questionnaires the home has residents, and staff meetings where a record is made of the points discussed and action that is to follow. The home is small and the relationship between the people who live there and the staff is very relaxed and friendly with clear communication being the way that the Registered Manager and staff find out if they are meeting the expectations of the people and their relatives. The home does not manage the affairs of any of the people who live in the home. People have their own bank account and either they, or their advocate, manage their money. The general management of the home is good. We saw that the records and care delivery was well organised. Maintenance, and the records that verify it were clear and up to date. We saw in the home, and in the Annual Quality Assurance Assessment, that the home has policies and procedures for issues that arise in the everyday running of the home. Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 24 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 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 3 3 3 X X 3 X 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 X 3 X 3 3 X 3 Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? 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. Refer to Standard Good Practice Recommendations Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Abbott`s Residential Care Home DS0000070155.V350830.R01.S.doc Version 5.2 Page 27 - 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!