Care Home: Aberglyn

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What the care home does well The documentation kept on each individual in the home appeared very accurate and showed how well the Company seeks to ensure that everyone`s individual needs and problems are met. The care plans were well thought out and were in word and picture form. The records showed where other agencies including other health care professionals had been involved in a person`s care. Each person`s needs are evaluated regularly to ensure current needs were being met. People`s lives in the home also centred on the outside Community and there was documented evidence that some attend Day centres and other services in the area to broaden their lives. The home ensures that it documents when changes have been discussed with an individual and/or their advocate to ensure the home is running for their benefit. The Company has a robust system in place to ensure everyone involved in the home, including visitors know how to make their concerns known and be confident these will be addressed promptly by the staff team. The home was very clean and well maintained. All linen and towels were in a good state of repair and meals were prepared in a clean and safe environment. The Company ensures that all safety checks have been completed and the home is safe to live and work in.A robust system is in place to ensure that staff are safe to work with people prior to commencing employment and that after wards they are supervised and trained to do their jobs and prevent people from being harmed. The Company ensures that the views of people using the service, their next of kin, other visitors and other professional agencies are surveyed for their opinions on how the home is run. They also ensure that all safety checks have been completed to make this a safe and secure environment in which to live. The staff in the home are very friendly and welcoming and care for the people using the service in a dignified and respectful way. The management style is very open and transparent and welcomes the opinions of all visitors to the home. What has improved since the last inspection? The new Company has introduced some new ways of working to enable the people using the service to broaden their lives. The refurbishment of the home has commenced and most areas are now looking fresher and lighter with more modern furnishings, but retaining the character of the home. What the care home could do better: There are no requirements or recommendations at this time. CARE HOME ADULTS 18-65 Aberglyn 27 Mill Road Cleethorpes North East Lincs DN35 8JA Lead Inspector Theresa Bryson Unannounced Inspection 22nd January 2008 09:30 Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 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 Aberglyn DS0000070293.V358533.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 Adults 18-65. 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. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aberglyn Address 27 Mill Road Cleethorpes North East Lincs DN35 8JA 01472 327133 01472 239970 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) Mr David Rodgers Mr David Rodgers Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Aberglyn DS0000070293.V358533.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 only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability - Code LD The maximum number of service users who can be accommodated is: 9 This is a newly registered service. 2. Date of last inspection Brief Description of the Service: Aberglyn is situated in the centre of the busy seaside resort of Cleethorpes. It is an older style building having maintained many of the original features of the period, with some modern refurbishments. It has an enclosed garden and small car parking area. The home is close to main amenities such as shops, library, colleges and a seaside promenade. Aberglyn is run by a small Company, which has homes in other areas of the Country for this speciality. It can provide for the needs of 9 people with learning disabilities. The owner of the Company is also the Registered Manager of this home. Details about the services the home can provide are contained in the Service Users Guide and Statement of Purpose. This is given to each prospective user of the service. Fees vary depending on the need of the individual and are reviewed annually. Charges are made for other elements of living such as hairdressing and social events. Aberglyn DS0000070293.V358533.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. This inspection took place over one day in January 2008. Prior to the site visit the service history kept by us was checked as well as the AQAA returned by the Company. A number of surveys were sent out prior to the site visit but there was a very poor return. A selection of records and documents were tracked during the site visit. And three people who use the service could be interviewed. The Registered Manager and Owner was present throughout the site visit. What the service does well: The documentation kept on each individual in the home appeared very accurate and showed how well the Company seeks to ensure that everyone’s individual needs and problems are met. The care plans were well thought out and were in word and picture form. The records showed where other agencies including other health care professionals had been involved in a person’s care. Each person’s needs are evaluated regularly to ensure current needs were being met. People’s lives in the home also centred on the outside Community and there was documented evidence that some attend Day centres and other services in the area to broaden their lives. The home ensures that it documents when changes have been discussed with an individual and/or their advocate to ensure the home is running for their benefit. The Company has a robust system in place to ensure everyone involved in the home, including visitors know how to make their concerns known and be confident these will be addressed promptly by the staff team. The home was very clean and well maintained. All linen and towels were in a good state of repair and meals were prepared in a clean and safe environment. The Company ensures that all safety checks have been completed and the home is safe to live and work in. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 6 A robust system is in place to ensure that staff are safe to work with people prior to commencing employment and that after wards they are supervised and trained to do their jobs and prevent people from being harmed. The Company ensures that the views of people using the service, their next of kin, other visitors and other professional agencies are surveyed for their opinions on how the home is run. They also ensure that all safety checks have been completed to make this a safe and secure environment in which to live. The staff in the home are very friendly and welcoming and care for the people using the service in a dignified and respectful way. The management style is very open and transparent and welcomes the opinions of all visitors to the home. What has improved since the last inspection? 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. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Standard 2 was checked. Needs of individuals are adequately assessed prior to admission to ensure the home can meet their needs. EVIDENCE: There have been no new admissions since the last inspection under the previous ownership, but the new owner has reviewed all people’s needs assessments to ensure they are current. Details kept on contact details of all next of kin have also been checked to ensure they are current, in case they need to be called in the event of an emergency. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Standards 6,7 and 9 were checked. Detailed and evaluated care plans ensure current needs are being met of people who use the service. EVIDENCE: The care plan system has been reviewed under the new ownership and all staff given instruction on how keeping accurate records ensure the current needs of people are being met. 3 were tracked in depth and showed how individual needs were being meet and monitored. All staff spoken to were able to give a good account of each person’s care needs. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 10 The staff ensure that all risk assessments are in place and there was good follow through in different documents where other health professionals and other services have assisted with the care of individuals. This included written evidence where opticians had been seen, chiropodist visits arranged and physiotherapy arranged, for example. The care plan agreement is in picture form as well as words and written evidence produced of when this has been appropriately shared with family as well as the individual concerned. Each one has also had at least one manager’s assessment to ensure the work of staff has been checked and people using the service are having their current needs meet to their satisfaction. There was written evidence to show that people are helped to make daily life decisions. Only three people currently in the home at the time of the site visit could make informed decision to speak to us. They made such comments as “its good here and I keep well” and “I’ve started to swim again” and “I am still going to the day centre”. Since the last inspection there has been more involvement with health professionals to ensure particular needs are addressed early as people start to get older. People were observed during the visit being assisted with personal care needs, meals and some social activities. The staff were very patient, appeared to be very knowledgeable about each person and treated each one equally with dignity and respect. Prior to the visit surveys were sent to relatives and health professionals but there was a very poor response. Questionnaires were seen on site which had been sent to families in the last six months by the home and although comments were very positive, there was again a poor response. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Standards 12,13,15,16 and 17 were checked. The expectations of peoples’ educational and social needs were well documented and met. EVIDENCE: There was good documented evidence that the educational and social needs of each individual were being met. There has recently been more involvement with for example physiotherapist to ensure medical needs can be tied to more social needs such as swimming and walking. The care plans stated that 4 people attend regularly to local day centres and 4 different ones are used to meet individual needs. The written evidence showed Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 12 that people take part in such diverse events as craft, music and computer skills at the Centres. The daily routines in the home appeared more relaxed and although there had been some continuity since the last inspection, the new owner wished to move the home forward and expand the skills and knowledge base of people using the service to broaden their life experiences. Staff have been very welcoming of this approach and can now see the benefits of how this is broadening lives. For example bowling is a new skill some have learnt and this has also challenged, with positive results, their interaction in a different environment. The kitchen area is planned for redecoration but was clean and tidy during the site visit. New COSHH cupboards have been put in and all staff have their health and safety certificates. Staff appeared to help each other in general tasks in the kitchen and calmly and unobtrusively helped people at a mealtime to ensure they took a balanced diet. When asked about meals each person was able to say what they liked most and that they were satisfied. The presentation of the meal seen was well prepared and serviced in a calm and clean environment set aside for this purpose. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Standards 18,19 and 20 were checked. People are given good personal support and their health care needs checked regularly. EVIDENCE: There was good documented evidence of the support given by outside agencies. This included; - chiropodists, dentists, opticians, GP’s, hospital doctors, physiotherapists and community psychiatric nurses. Staff were able to explain well the specific needs of individuals and this was seen to be documented and evaluated in the care plans we tracked. There had been for example changes in a person’s mobility needs and new equipment had been purchased to ensure they were safe when moving and transferring and staff had been trained to use this equipment. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 14 Health care agencies contacted stated they had had more involvement and felt the health care needs were being addressed and the staff were also giving personal support to each individual. The medication system has changed since the last inspection and now includes a signature list for staff administering medication and the care plans indicate where support is needed. The system appeared to be robust and accurate recording was on the medication administration sheets. This will ensure people are not put at risk from incorrect medication being given. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Standards 23 and 23 were checked. There is a robust system in place to ensure concerns are dealt with promptly and all outcomes recorded. EVIDENCE: The home has robust policies in place to ensure staff and people using the home as well as visitors are aware of how to raise concerns, can be confident they will be dealt with promptly and all outcomes recorded. None had been reported to us since the last inspection and none recorded in the complaints log seen. Staff were able to state whether they had received up dated training the safe guarding adults and most have, with some booked for later in the year. All policies and procedures were in place and staff appeared confident in using them should the need arise. Only one untoward occurrence had happened since the last inspection and this had been correctly reported to us and outcomes recorded as well as a new risk assessment put in place. This has safe guarded that person against harm. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Standards 24 and 30 were checked. People live in a safe, well maintained and comfortable environment. EVIDENCE: We were able to have a full tour of the building and gardens. Some refurbishment has taken place since the last inspection and made the communal area more modern looking, but retaining the features of this older style building. The whole building was cleaned to a high standard and new COSHH cupboards installed for safely keeping chemicals so people will not be harmed. Some new curtains had been purchased and with people who live there’s help arranged the areas to suit their needs and tastes. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 17 The Company has some plans for other parts of the building but a maintenance plan was seen to ensure all other areas of the home are kept well maintained and comfortable. This plan’s outcomes will be determined by the people using the service, as some work will need to be negotiated around their daily needs and wishes. All individual rooms were seen and reflected people’s tastes and needs. Some people were able to express to us how they had purchased items for their rooms and what they enjoyed about living at the home. Very positive comments were made and each person’s personality could be seen to be reflected in their individual rooms. All outside areas were seen. There was a small car park, which was hazard free. The gardens still need a little tidying from the weather but there was oppournity for this to be developed more. The home had a very comfortable, lived in feel but was relatively hazard free and the standard of cleanliness and linen in use was high. This has made a welcoming and safe environment in which people can live and there was documented evidence to show when opinions had been asked, through questionnaires, meetings and individual care plans. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Standards 34,35 and 36 were checked. There is a robust system of recruitment and staff are trained to do their jobs to ensure they are safe to work with people living in the home. EVIDENCE: There has been very little changes of staff since the new ownership. Very positive comments were made about the new Company and Manager from people living in the home, staff and outside agencies. Comments were made to reflect the Company and Manager’s approachability and sound knowledge base. The staffing rota appeared adequate to meet the needs of each person through a 24-hour period and staff felt that all their tasks could be completed to ensure each person was safe and well looked after as well as maintaining the home. Records were seen to show that all mandatory training had been completed by staff and some service specific training like managing challenging behaviour. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 19 This will ensure they have the skills to do their jobs and look after the people in the home. Staff appeared to appreciate training on offer and stated they felt this has enhanced their skills. Of the 2 personal files of staff tracked there was sufficient evidence to support that the Company had made adequate checks to ensure they were safe to work with the people in the home. Written evidence was produced that staff receive adequate levels of supervision and action plans set to enable them to do their jobs well and this will ensure the further safety of the people they are looking after. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Standards 37,39 and 42 were checked. The home is managed well to ensure the views of people using it are sought and it is a safe and secure environment in which to live. EVIDENCE: Some changes were made when the new Company took over but there were only positive comments made by a variety of people about the open and transparent way the home is now managed. Written evidence was produced to show that all policies and procedure had been reviewed in June 2007 and that regular meetings are held with people using the service, outside agencies and staff. The home has limited family Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 21 support but ensures next of kin are involved as much as they want too. This is usually by individual case conference and questionnaire, a sample of which were seen, all making positive comments about the home and the way their loved ones are cared for. The Company continues to develop its quality assurance system and will develop through out the year a plan for on going development of the service. This has been set out in the plans seen and spoken to by the owner to us. Further evidence was seen that the home is using safe working practises and ensuring the home is safe to live and work in. All relevant certificates were seen and showed that they were up to date. This included the fire log, health and safety checks and general risk assessments. Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 24 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 Aberglyn DS0000070293.V358533.R01.S.doc Version 5.2 Page 25 - 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. 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