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Key Inspection Report Inspecting for better lives Key inspection report Care homes for older people Name: Amesbury Abbey Nursing Home Address: Amesbury Abbey Nursing Home Amesbury Salisbury Wilts SP4 7EX The quality rating for this care home is: zero star poor service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Date: Susie Stratton 2 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. They reflect the things that people have said are important to them: 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 58 Reader Information Document Purpose Inspection report Author CSCI Audience General public Further copies from 0870 240 7535 (telephone order line) Copyright Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Care Homes for Older People Page 3 of 58 Information about the care home Name of care home: Amesbury Abbey Nursing Home Address: Amesbury Abbey Nursing Home Amesbury Salisbury Wilts SP4 7EX Telephone number: 01980622957 Fax number: 01980623767 Email address: [email protected] Provider web address: Name of registered provider(s): Mrs Evelyn Mary Cornelius-Reid Type of registration: care home Number of places registered: 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 old age, not falling within any other 0 50 category physical disability 2 0 terminally ill 3 0 Additional conditions: No more than 2 physically disabled residents at any one time No more than 3 persons in receipt of terminal care at any one time No more than 50 service users over 65 years of age at any one time. Date of last inspection Brief description of the care home Amesbury Abbey provides care with nursing for up to fifty older people. However, as a number of rooms registered as doubles are often occupied as singles, this reduces occupancy levels to a more usual figure of around forty. On the day of the first site visit, there were 30 persons living in the home and several vacant rooms. Most of the rooms are in the form of apartments with their own bedroom and sitting room as well as a bathroom. The property is a listed building, set in extensive grounds. Accommodation is provided over three floors, with passenger lifts in between. The small town of Amesbury is close by. Ample parking space is available on site and a bus Care Homes for Older People Page 4 of 58 Brief description of the care home stop is situated at the end of one of the drives. The home is close to the A303. The closest main line railway is in the city of Salisbury, about 20 minutes away. Amesbury Abbey is part of a group of four care homes. The Registered Owner is Mrs M Cornelius- Reid. The registered manager is Mrs Esther Thomas, she is supported by a deputy and a team of nursing and care staff. Mr David Cornelius-Reid, site manager, manages the maintenance, housekeeping and administrative staff of the home, as well as acting as Mrs Cornelius-Reid's deputy. Also situated within the grounds are Amesbury Abbey Mews they are not part of the registered accommodation. A deposit is required for all apartments, deposits range from 15,000 pounds to 25,000 pounds depending on the apartment. The fee range is then from 3,070pounds to 4,200pounds per callender month. The site manager reported that they are also open to negotiations on an individual basis. Items not included in the fees are hairdressing, chiropody, visitor's meals, newspapers and sundries. A copy of the service user's guide is provided in each resident's apartment and is also available in the main entrance hall. Care Homes for Older People Page 5 of 58 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: zero star poor service Our judgement for each outcome: Choice of home Health and personal care Daily life and social activities Complaints and protection peterchart Environment Staffing Management and administration Poor Adequate Good Excellent How we did our inspection: As part of the inspection, 35 questionnaires were sent out and 13 were returned. Comments made by the people in the questionnaires and to us during the inspection process have been included when drawing up the report. The home's file was reviewed and information provided since the previous inspection considered. We also received an Annual Quality Assurance Assessment (AQAA) from the home. This was their own assessment of how they are performing. It also gave us information about what has happened during the last year. We looked at the AQAA, the surveys and reviewed all the other information that we have received about the home since the last inspection. This helped us to decide what we should focus on during visits to the home. As Amesbury Abbey is a larger registration and a range of issues of concern were Care Homes for Older People Page 6 of 58 identified in questionnaires and at the first site visit, the site visits took place over two days. The first site visit was conducted by one inspector and the second by two inspectors. These people are referred to as "we" throughout the report, as the report is made on behalf of the Commission for Social Care Inspection (CSCI). The first site visit was on Tuesday 10th February 2009, between 9:00am and 4:50pm. The second site visit was on Tuesday 24th February 2009 between 9:15am and 1:20pm. The first visit was unannounced. The site manager and deputy manager were on duty for the first day and Mrs Thomas, the registered manager was on duty for the second day as well as the site manager and deputy manager. The site manager, registered manager and deputy manager were available for the feedback at the end of the site visits. During the site visits, we met with twelve residents, one visitor and observed care for three residents for whom communication was difficult. We toured all of the home and observed care provided at different times of day. We reviewed care provision and documentation in detail for six residents and reviewed certain aspects of care and documentation for a further two residents, across all parts of the home. As well as meeting with residents, we met with two registered nurses, six carers, the training manager, the site manager, the maintenance manager, the activities coordinator, the housekeeper, a waitress and a laundress. We observed a lunchtime meal and two cleaners performing their role. We reviewed systems for storage of medicines and observed a medicines administration round. A range of records were reviewed, including staff training records, staff employment records, complaints records, maintenance records and information given to residents. What the care home does well: Amesbury Abbey provides high standards in levels of accommodation, with all rooms much exceeding our standards for sizes. Some accommodation is very large, comprising several rooms for residents to live in. The Abbey has wide, well-kept grounds, providing both pleasing views from residents' windows and areas for them to enjoy walking or sitting in.
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