Care Home: West Abbey House

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What the care home does well The care planning system and quality of records kept at the home have improved and systems are in place to ensure they are monitored. People are cared for in a safe and appropriate way, and are treated with respect and dignity. They have access to good health and personal care. Food and dietry needs are managed well at the home The environment in which people live is of a high standard. Systems are in place to ensure staff have access to suitable training and supervision. What the care home could do better: No requirements or recommendations were made on this visit. Random inspection report Care homes for older people Name: Address: West Abbey House Stourton Way Yeovil Somerset BA21 3UA one star adequate service 21/01/2010 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Clare Medlock Date: 1 6 0 8 2 0 1 0 Information about the care home Name of care home: Address: West Abbey House Stourton Way Yeovil Somerset BA21 3UA 01935411136 01935420829 westabbey@barchester.net www.barchester.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Barchester Healthcare Homes Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 97 Number of places (if applicable): Under 65 Over 65 0 55 0 dementia old age, not falling within any other category physical disability Conditions of registration: 32 0 10 The maximum number of service users who can be accommodated is 97. The registered person may provide the following category of service: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Dementia (Code DE) maximum of 32 places Physical disability (Code PD) maximum of 10 places Old age, not falling within any other category ( Code OP ) maximum of 55 places Date of last inspection 0 1 0 4 2 0 1 0 Care Homes for Older People Page 2 of 8 Brief description of the care home West Abbey is located in a residential area on the outskirts of Yeovil. It was purpose built as a nursing home in 1994. In the main building is a 66-bedded unit for service users requiring general nursing care and this is located on two floors. There is one 13-person lift to the first floor. The corridors are wide and can accommodate people who mobilise using a wheelchair. The home has accessible and pleasant garden areas. The majority of the service users in the main wing are older people. The home is also registered to take up to 10 younger people (18-65). In a separate wing there is a single storey 28 bedded unit (Lyde) for older people with mental health needs. The Lyde unit has its own central courtyard garden. The homes current fees are £550 per week plus free nursing care,and for younger people fees are in line with their individual care needs assessment. Care Homes for Older People Page 3 of 8 What we found: The reason for this random inspection was to ensure that the service had responded to statutory requirement notices made regarding care plans. This inspection was a random inspection which means that the current rating could not be changed. The inspection took place on Monday, August 16, 2010 between the hours of 1030 am and 1330 pm. We spoke with the manager, regional operations director, five staff and three people who live at the home. A tour of the building confirmed that there were no obvious hazards or concerns noted. People being nursed in bed appeared warm, comfortable and pain-free. Appropriate use of specialist equipment was present for the prevention of pressure sores. Examples of safe and appropriate moving and handling techniques were seen. Staff performed these manoeuvres in a safe, respectful and sensitive way. Staff informed us that a full audit of the care plans have been carried out since the last inspection. In addition to this audit we were also told that staff meetings had been held with staff to remind them of basic professional record keeping, including The Nursing and Midwifery Councils guidance on record keeping. We were told that each member of staff had attended a one-to-one session to ensure they knew what standard was expected. The manager informed us that review dates have been planned and already implemented, in association with spot checks of three care plans per day by the manager himself. We were also informed that standards of care had also improved because of in depth daily clinical meetings held with nursing teams and heads of care. We were informed that a system to check care plans is carried out through weekly visits by the regional operations director, ad hoc visits from the organisations regulation team, and the presence of the clinical developmental nurse. Staff informed us that care plans are much better and clearer and easy to complete. Staff expressed a mild concern and hope that they would have sufficient time to complete care plans as more people moved to the home. A discussion was held with the manager and regional operations director, who confirmed that the review and quality assurance program would continue as each person moved into the home. They also gave assurances that people would be admitted in a carefully managed way, only when a full care plan was in place. We inspected three care plans on this occasion. All care plans seen were clear, well laid out and fully reviewed. Each care plan reflected the persons individual needs and clearly demonstrated what care and support was needed. Further evidence through observation confirmed that the plans of care were followed. Risk assessments were in place for tissue viability, risk of falls and risk of aspiration and choking. Additional checks and risk assessments were in place when people were being nursed in beds which were fitted with bed rails. All documents had been reviewed within the last month, with evidence that appropriate action had been taken when a persons condition changed. Staff explained that in addition to the care plans, daily charts are used to monitor bed rail Care Homes for Older People Page 4 of 8 equipment, fluid intake, food intake (including when people declined and action taken), and pressure sore prevention. Examples of good and excellent personal interaction, between staff and people in the home, was noted throughout the inspection. People demonstrating behaviours that could indicate distress were reassured and comforted appropriately. People who repeatedly asked the same questions were treated with respect each time. One person kept asking what was for lunch, and was reminded each time as if it were the first time they had asked. During lunchtime it was noted that instructions regarding diet and swallowing risks were carried out by staff. Those people who required assistance or prompting at mealtimes were helped in a sensitive and discreet manner. Evidence that people were now being offered snacks between meals was provided. Staff explained that they had noted an increase in weights since this had been implemented. Discussion with the manager confirmed that the changes had been positive at the home and were being monitored through robust quality assurance measures including a programme of staff supervision. Training matrixs showed that this was being carried out. What the care home does well: 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 set out on page 2. Care Homes for Older People Page 5 of 8 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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, 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 Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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 noncommercial 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 8 of 8 - 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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