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Inspection on 02/04/10 for Angel Court Residential Home

Also see our care home review for Angel Court Residential Home for more information

This is the latest available inspection report for this service, carried out on 2nd April 2010.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Angel Court Residential Home The quality rating for this care home is: The rating was made on: two star good service 2 3 0 3 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Deborah Kerr Date of this annual service review: 1 8 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: Angel Street Hadleigh Ipswich Suffolk IP7 5HA 01473823147 01473829157 lucy.roughley@suffolk.gov.uk www.suffilk.gov.uk Suffolk County Council Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Number of places (if applicable): Under 65 Over 65 10 0 0 19 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Angel Court is a residential home for older people situated in the heart of the market town of Hadleigh, close to local amenities and owned and administrated by Suffolk County Council. The home offers accommodation and care for up to 29 residents. 10 places are allocated for those with special needs (inclusive of one special needs respite bed), the remaining 19 places also includes one respite bed. The home was initially opened in the mid 1960s and extensively refurbished between September 1996 and May 1997. Angel Court also operates a twelve place day centre for older people, having its own access and facilities. At the present time the day service is not subject to registration and inspection. The accommodation, located on two floors, includes a lift, and a staircase, connecting the two floor levels. The home has a garden, which includes patio-seating areas, birdbath and table. There is off road car parking at the front of the home. Current fees for this home range £400 to £709 per week. This was Annual Service Review Page 2 of 8 2 3 0 3 2 0 0 9 the information provided at the time of the inspection; people considering moving to this home may wish to obtain more up to date information from the care home. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Have Your Say Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The agency sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. One requirement was made following the last key inspection on the 23rd March 2009. This was for suitable provision to be made for storage in the home to ensure residents live in an environment, which remains safe and free from clutter. This referred to the downstairs bathroom. Information provided in the AQAA reflects the service has addressed this issue. We received fifteen Have Your Say surveys completed by people living in the home. These told us that people remain happy with the service they are receiving. Comments included, the home is kept clean and I like the company and enjoy the entertainment and activities, including the pub lunches and outings to Felixstowe and the staff are helpful, I am very happy in the home, there is nothing they could do better and I am very happy living here. They also told us what the thought the home does well, comments included, staff look after residents well and the food and activities is very good and we have lovely gardens and the food is good and so is the companionship. Another person commented, everything is done well, including the entertainment, we have plenty of everything, I am quite happy with it here. We also received nine staff and one health professionals Have Your Say surveys. The staff surveys told us, that staff are provided with the support, supervision and training Annual Service Review Page 4 of 8 they need relevant to their work, which helps them to understand the needs of the people using the service and provides them with up to date and new ways of working. Staff commented on what they thought the home does well, these included, residents needs are catered for excellently and they are treated with utmost respect and their dignity is maintained at all times and the home is very welcoming, clean and friendly and gives a very good service and we provide person centred care and lots of entertainment for the residents. However staff commented what they thought the service could do to improve is to have one more staff on the early shift, which would make a big difference, to help with serving breakfast and to provide more one to one time for the residents. The AQAA reflects action has been taken to ensure that the care hours are responsive to the needs of the residents, by introducing a float shift on both the morning and afternoon shifts. Eleven out of the fifteen residents surveys told us, there are always enough staff available to meet their needs, two said this is usually the case and two said they did not know. The health professional told us, staff provide a very person centred approach to care, staff training is good and there is excellent communication between the home and other services. They also commented that improvements could be made to provide more activities for the residents. The AQAA and Have Your Say surveys provided us with information about what the service does well. The residents surveys told us twelve people always received the care and support they need, with one person saying this is usually the case, two people did not know. All fifteen people were confident that they get the medical care they need. Twelve people told us in the surveys that they always like the food, with one person saying they usually do, however two people commented that they sometimes liked the food. To improve the dining experience for residents, the AQAA reflects changes have been made to the way people are able to choose their meals, residents are asked their choice during the morning, prior to the meal being eaten, to ease confusion. Plans are in place to provide visual menus to assist people to make decisions, particularly those with dementia. To ensure people living in the home are provided with the opportunity to express their views and opinions about the quality of the service they are receiving, regular residents meetings are held. Following feedback from these meetings the activity programme has been redeveloped and staff are carrying out a greater range of individual and group activities. The surveys reflect that, eight people felt activities were always suitable for them to take part in, with four saying this was usually the case, one said that they could sometimes join in, however two people said they are never provided with activities they could take part in. The AQAA states this is an area where they plan to develop, by providing a dedicated activity co-ordinator to ensure a regular programme of activities are available and enable staff to provide more one to one support for individuals. The manager of the service has informed us that resources are currently not available to facilitate the appointment of an activities co-ordinator, however they are aware of the benefits this can bring to residents. The manager is trying to access a six month placement for this role through the Future Jobs Fund via the job centre. The views of residents and their families are now included in the homes service user Annual Service Review Page 5 of 8 guide. This has been produced in a format to ensure it is readable for people with a visual impairment. Additionally the service is planning to make information about the service more widely available by producing a CD and / or audiotape. The AQAA reflects how the agency has improved in the last 12 months. As a result of listening to people who use the service, changes have been made to provide an informal monthly communion through the local Church of England and another resident is being supported to access the local Catholic Church. People using the service and their relatives have been included in reviewing care plans, so that each resident has a greater say in how their care is to be delivered and met. Care plans are now being kept by the individual in their own rooms. The AQAA reflects improvements have been made to the ordering storing and administration of medication to ensure there is an accurate audit trail. Staff have been provided with updated training regarding medication and moving and handling procedures, falls prevention, osteoporosis and MUST nutrition screening and changing cultures in Dementia, which has enabled staff to better understand the needs of people with dementia and provide appropriate activities. The AQAA reflects there is an ongoing programme of maintenance and decoration of the home. This has included refurbishment and opening up of the kitchen and dining room in the unit for people with dementia, providing residents with more pleasing surroundings to eat their meals and enables staff to assist and monitor residents without being intrusive. Toilets and all bathrooms have been redecorated and carpets have been replaced in two dining areas and one lounge. Residents have been involved and consulted in choosing the decor within the home. Notice boards, pictures and mirrors have been purchased to make the corridors more interesting for residents. Assistive technology has been purchased to ensure the residents are safe within the home. Fourteen residents surveys told us, the home is always fresh and clean, with one person saying this is usually the case. The service has identified where they need to make further improvements. These include providing further training for staff in the areas of end of life and palliative care, more health related training, such as continence promotion, catheter care and care planning in general. The service also has plans to provide IT equipment so residents can access links with family away or abroad. Further maintenance is planned for the service, which includes insulating the loft, replacing windows, ongoing decoration and replacement of carpets and bedroom furniture, as necessary. The home is good at letting us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They continue to work well with us and other professionals. Suffolk County Council Having Your Say provides people with a formal process for reporting comments, compliments and complaints about the service they receive. We have not received any concerns about the service, since our last inspection. The AQAA reflects the home has received eight complaints, which were resolved within the twenty eight days as specified in their complaints procedure. The AQAA states information on how to make a complaint can be found in the entrance area and all residents bedrooms. Twelve of the residents Have Your Say surveys told us that they are aware of the process to make a complaint if they are not happy with the service they receive, however three people told us that they did not know how to make a formal complaint, should this need arise. Annual Service Review Page 6 of 8 We looked at the information in the AQAA and our judgement is that the home is still providing a good service to the people living there and that they know what further improvements they need to make. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 17th January 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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