Care Home: Lifestyle (Abbey Care) Limited Archery-Bower

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What the care home does well People have their needs assessed and are encouraged to visit the home before they decide to move in. This helps to make sure it is the right place for them to live. People received the care they need from pleasant and caring staff. People told us that they were happy with the care being provided, with comments including `I find the staff very helpful and I haven`t come across any complaints at all`, `the staff are excellent and work hard, they care for residents as well as being carers, residents are kept clean and staff respect their dignity`, `they are very well looked after` and `very happy so far`. People have the opportunity to join in activities and now have a choice of freshly prepared meals and snacks. The home has recently started to freshly prepare meals and snacks on site, rather than relying on pre-cooked meals supplied by a local hospital. People were very positive about this with comments including `the food for a start is so much better, it`s really nice now`. People are protected by the procedures and staff training that are in place for handling complaints, allegations and safeguarding incidents. Staff are recruited safely and provided with ongoing training to help them do their jobs. Relatives we spoke to told us that the staff were pleasant, helpful and kind. The home benefits from management who have a clear idea of its strengths and weaknesses and have plans in place to keep making it better for the people who live there. What has improved since the last inspection? This was the first inspection of Lifestyle (Abbey Care) Limited`s Archery and Bower units since they were registered under this company. What the care home could do better: People have a clean and comfortable place to live, but some areas would benefit from being redecorated. In the surveys that were returned to us people`s comments about what could be improved had included `certain areas beginning to look tired, in need of redecoration` and we also noticed this during our visit. Key inspection report Care homes for older people Name: Address: Lifestyle (Abbey Care) Limited Archery-Bower Abbey Care Village Scorton Richmond North Yorkshire DL10 6EB     The quality rating for this care home is:   two star good 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: Rachel Martin     Date: 1 4 0 5 2 0 1 0 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 25 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Lifestyle (Abbey Care) Limited Archery-Bower Abbey Care Village Scorton Richmond North Yorkshire DL10 6EB 01748811971 01748812345 info@abbeycarevillage.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Lifestyle (Abbey Care) Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users that can be accommodated is:60 The registered person may provide the following category of service only: Care home with nursing: Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories.Old age, not falling within any other category:Code OP, Dementia:Code DE. Date of last inspection Brief description of the care home This service consists of the Archery and Bower units at the Abbey Care Village site, located in Scorton. The service is owned and managed by Lifestyle (Abbey Care) Limited and is registered to provide residential and nursing care for up to sixty older people who may have dementia. The building is a modern purpose built home, with the Care Homes for Older People Page 4 of 25 Over 65 0 60 60 0 Brief description of the care home accommodation provided on two floors. A passenger lift provides easy access to both floors and there are gardens and parking available. Up to date information about the homes fees and terms and conditions should be sought from the homes management. Care Homes for Older People Page 5 of 25 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: two star good 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: This was an unannounced inspection of Lifestyle (Abbey Care) Limited - Archery and Bower. The service was re-registered under this name on 10th February 2010, because of some legal changes to the company that owns the service. The service consists of the Archery and Bower units, which are part of the Abbey Care Village site in Scorton. Before our visit we looked at all of the information we had about the service. This included a self-assessment that we had asked the management to complete and surveys that had been completed by people who use the service and their relatives. This information was used to plan our site visit. The main site visit took place on Friday 14th May 2010 and was completed by one inspector. A second inspector visited the home to look at the way medication is managed on 21st May 2010. During our visits we looked around the service, observed the care being provided, talked to some of the people who use the service and some of Care Homes for Older People Page 6 of 25 the staff who work there. We also spent time with the management and looked at a selection of the services records. Care Homes for Older People Page 7 of 25 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 25 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 25 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. People have their needs assessed and are encouraged to visit the home before they decide to move in. This helps to make sure it is the right place for them to live. Evidence: The homes management told us that people can come to look around and have their needs assessed before they move in, to make sure that the home can meet their needs and is the right place for them. The care records we looked at during our visit included assessments that had been completed before people moved into the home. They also contained information that had been provided by other professionals involved in the persons care. For example, the hospital or local authority. A relative we spoke to told us that they had been encouraged to come and look around the home and that the staff had been very helpful. They also confirmed that the manager had visited their relative in hospital, to complete an assessment of their needs before they moved into the home. Comments made to us included mum seems Care Homes for Older People Page 10 of 25 Evidence: to have settled in very well and all the staff have been very good. Care Homes for Older People Page 11 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People received the care they need from pleasant and caring staff. Evidence: Since our last visit the new operations manager for the Abbey Care Village has introduced a new format for peoples care records. Everyone at the home doesnt yet have the new care records in place, but The records we looked at provided a good picture of peoples care needs, using a comprehensive system of assessments, risk assessments and care plans. The records had been reviewed regularly and were being kept up to date. Staff we spoke to had been involved in setting up the new care records and staff comments included everyones been working really hard, the new care plans are looking good and staff do want to make the improvements. During our visit we spent time on the Archery and Bower units, observing the care and support that was being provided. Staff were making sure that the communal areas of the home were being supervised and we saw that staff spent time talking and interacting with people in a pleasant way. When staff helped people to move using the hoist they explained what they were doing and reassured people. Care Homes for Older People Page 12 of 25 Evidence: During our visit we spoke to two peoples relatives and we also received surveys from three peoples relatives. People told us that they were happy with the care being provided, with comments including I find the staff very helpful and I havent come across any complaints at all, the staff are excellent and work hard, they care for residents as well as being carers, residents are kept clean and staff respect their dignity, they are very well looked after and very happy so far. During our visit we looked at the way medication was stored and administered on both units. We found that medication was being stored safely and the records we checked showed that people were receiving their medication when they needed it. Good systems were in place to make sure that any changes in medication dosages were carried out correctly. For example, changes to Warfarin doses. We also saw the records of the medication audits that management are completing regularly. These checks help to make sure that medication is being managed safely at the home. Care Homes for Older People Page 13 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the opportunity to join in activities and now have a choice of freshly prepared meals and snacks. Evidence: There is an activities coordinator who works on the Archery and Bower units. She is now employed for 37 hours a week and helps to coordinate the activities and social events at the home. During our visit she showed us the activities boxes that are available in each unit. These contain games, quizzes and other props that can be used by the care staff while they are on duty. We also saw the activities programme for the coming weeks. Activities taking place included a visit from the local PAT dog, painting, reminiscence, music, art work, films, cookery, trips out and puzzles. The home had also recently held a VE day celebration, which involved a visit from the local armed forces. Staff told us a lot of our residents go out for walks. We spoke to several relatives during our visit, who confirmed that they could visit when they wanted and were made to feel welcome. The homes meals are now freshly cooked in the Abbey Care Village kitchens. On the day of our visit we observed the lunch time meal. The kitchen staff brought the meals over to the home in a hot trolley and served the meals. This meant that the care staff Care Homes for Older People Page 14 of 25 Evidence: could concentrate on helping people with their meals, rather than serving the food. People had the choice of fish and chips with peas or chicken and vegetable pie with mashed potatoes for their main course. The food looked nice and there appeared to be plenty to go around. Comments made to us included the food for a start is so much better, its really nice now. Staff asked people if they wanted salt, pepper, tomato sauce or vinegar and sat next to people who needed help to eat. Some people ate in the dining room, while others ate in their rooms. We saw that there was fresh fruit in bowls in the homes dining rooms and in the afternoon we saw staff offering people fresh fruit to eat as a snack. The care records we looked at included nutritional risk assessments and showed that people had received help from a dietitian if this was needed. Staff we spoke to also confirmed that people get regular drinks and snacks during the day. Care Homes for Older People Page 15 of 25 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. People are protected by the procedures and staff training that are in place for handling complaints, allegations and safeguarding incidents. Evidence: The homes management told us that there is a complaints procedure in place and that information about making a complaint is displayed in the home. The new operations manager has also put in place a suggestions box, so that people can make suggestions about things they think could be improved. All three people who returned surveys told us that they knew how to complain if they needed to. When we asked them if the home had responded appropriately to any concerns they had raised, two people said always and one said usually. The complaints record showed us that a recent concern had been responded to appropriately. The home has reported any safeguarding issues appropriately to the local authority. They have also reported appropriate incidents to us. Staff we spoke to told us that they had received training on safeguarding adults and the training records we looked at confirmed this. The home manager and operations manager were familiar with safeguarding procedures and able to tell us how incidents would be reported and dealt with. Care Homes for Older People Page 16 of 25 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a clean and comfortable place to live, but some areas would benefit from being redecorated. Evidence: The Archery and Bower units form a purpose built care home. The home is arranged over the ground and first floors, with each floor being arranged into two fifteen bedded units, each with its own lounge, kitchen and dinning room, toilets and bathrooms. All of the bedrooms at the home have en-suite toilet and hand basin facilities. During our visit we looked around the building. The bedrooms we looked at had been made personal and homely. They included peoples own possessions and had peoples names and pictures that they could recognise on their doors. The communal areas looked comfortable and we found that the home was clean and tidy. There were books, toys and other tactile objects around the home, so that people could pick things up and benefit from a more stimulating environment. In the surveys that were returned to us peoples comments about what could be improved had included certain areas beginning to look tired, in need of redecoration. During our visit we also noticed that some of the communal areas did have scraped paintwork and wallpaper and would benefit from re-decoration. We talked to the management about this. They told us that a rolling programme of redecoration has started, which includes re-decorating empty bedrooms before they are reoccupied. Care Homes for Older People Page 17 of 25 Evidence: People told us that there are sometimes problems with the laundry service. For example, clothes becoming lost, discoloured or shrinking in the wash. We spoke to the management about this and found that steps were already being taken to improve the laundry service. For example, arranging that the homes laundry will only handle laundry for the Archery and Bower units, rather than servicing the whole Abbey Care Village. The management have also introduced a new infection control audit, to make sure that people are being adequately protected from the spread of infection. Care Homes for Older People Page 18 of 25 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. Staff are recruited safely and provided with ongoing training to help them do their jobs. Evidence: We checked the recruitment records for one recently recruited staff member. We found that all of the appropriate checks and information had been obtained before the staff member started to work in the home. We talked to the management and other staff about the staffing levels that are provided at the home. We also looked at the staff rotas and observed staffing levels while we were visiting. Staff we spoke to were generally happy with the level of staff on duty, with comments including upstairs I think staffing is quite good. Relatives we spoke to told us that the staff were pleasant, helpful and kind. The rotas we looked at showed that staff were being provided in appropriate numbers, with one-to-one staffing arrangements being covered where this had been agreed. However, one relative commented staffing levels are always an issue/juggling act or thats what it seems sometimes and some staff felt that some of the staffing provided on different units and at different times of day worked better than others. The management told us that staffing levels and rotas are still being reviewed, to make sure that staff are being used in the most effective way. Care Homes for Older People Page 19 of 25 Evidence: In their self-assessment the management told us that sixteen out of the homes forty permanent care staff had already achieved a National Vocational Qualification (NVQ) in care. During our visit we confirmed that a further seven care staff were undertaking this training. Staff we spoke to felt that they had the opportunity to attend appropriate training, with comments including weve had a lot of mandatory training recently and the trainings good, I think food handlings coming up soon. The homes training plan showed that training in a range of subjects, including important health and safety related topics, is planned throughout the coming year. The home employs a specialist training provider to deliver its training programme. However, the homes training records made it difficult for the manager to give an overall picture of what training staff had completed or if they were up to date with their core training. This information had to be gathered together and supplied after the inspection visit. Care Homes for Older People Page 20 of 25 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 benefits from management who have a clear idea of its strengths and weaknesses and have plans in place to keep making it better for the people who live there. Evidence: Since the last inspection an operations manager has been recruited, to oversee all of the services at the Abbey Care Village. This person has a lot of experience of managing care services and now provides managerial support to the manager of Archery and Bower. The manager of Archery and Bower has worked for the service for a long time and has now submitted an application for registration with us as the services manager. People we spoke to during our visit felt that the homes manager was approachable. They were also aware of who the new operations manager was and told us that they found him helpful, supportive and approachable. When we talked to the homes management during our visit they had a good understanding of the areas that needed to be improved at the service and how these improvements were going to be made. It was also evident that improvements had already been made. Care Homes for Older People Page 21 of 25 Evidence: The home will help people to manage a small amount of personal money. Each person has their own records and money, which is stored securely. We checked the records for one person. There were appropriate receipts available and the records and balance of money available were correct. A new quality assurance system is currently being implemented at the home. The manager told us how a new system of checks and audits is now regularly completed. These include regular room checks, infection control checks, medication audits, care plan audits and seeking peoples views through surveys and a suggestion box. Records also showed that there have been staff meetings, to discuss and inform staff about the changes and improvements that are being made at the home. We looked at a selection of maintenance and health and safety records. Records showed that the maintenance person carries out regular checks to make sure that the fire alarm and emergency lights are in good working order. Lifting equipment had been inspected and serviced in March. A specialist company had visited the home and completed a fire audit and risk assessment in March 2010, with the report including the comment the dedication of your organisation to the safety and wellbeing of residents, visitors and staff is clearly evident and commendable. Care Homes for Older People Page 22 of 25 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 23 of 25 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 2 7 19 The new care planning and documentaion system should be implemented for all of the people who live at the home. The planned decorating programme should be completed to ensure that people continue to have a well maintained and pleasant place to live. Care Homes for Older People Page 24 of 25 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 25 of 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. 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. 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