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Inspection on 11/06/09 for Buttercup House

Also see our care home review for Buttercup House for more information

This is the latest available inspection report for this service, carried out on 11th June 2009.

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: Buttercup House The quality rating for this care home is: The rating was made on: two star good 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 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: Joyce Bingham Date of this annual service review: 1 1 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 12 Radstock Road Woolston Southampton Hampshire SO19 2HP 02380472818 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mr Mark Dann Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Mrs Elizabeth Kitchen,Mr Richard Edward Kitchen Number of places (if applicable): Under 65 Over 65 20 20 0 0 0 20 The maximum number of service users to be accommodated is 20. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP) Mental disorder, excluding learning disability or dementia (MD). Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Although the new manager was in post at the last inspection his registration had not been fully processed. This is now completed. Annual Service Review Page 2 of 6 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Buttercup care home provides a residential care service to older people who may also have dementia or another mental disorder. The home is situated in a residential area of Southampton. Accommodation is provided in a mixture of shared and single rooms. The communal areas of the home consist of a dining room, lounge and a separate lounge/conservatory area. Current fees in the home range between £406 and £485 per week. Annual Service Review Page 3 of 6 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 since the last key inspection. This included: --The annual quality assurance assessment produced by the home (AQAA). This is a self assessment that focuses on how well the outcomes of the service are meeting peoples needs. It also gives us some numerical information about the service. --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. What has this told us about the service? There were no statutory requirements made as a result of the last inspection in 2008. Although the new manager was in post at the last inspection his registration had not been fully processed. This is now complete. He has obtained the National Vocational Qualification (NVQ) Level 4 and achieved the Registered Managers Award. The AQAA was provided when requested and it refers to improvements made in the last 12 months. Care plans have been developed as person centred files and are reviewed regularly. Staff sign to say they have familiarised themselves with them and fully understand the service users needs. As a result of internal quality monitoring processes the menu planning system has improved with provision for more choice. An increased number of activities are programmed, and happening more regularly. A new in-house training package has been introduced so staff can update their skills and knowledge, and a proper induction for new staff is in place. Over 50 of the care staff team have achieved NVQ Level 2. All other staff are in process of achieving this. A privacy lock has been fitted to the downstairs bathroom. A comment book has been introduced for all visitors to contribute suggestions or if they wish to recognise and acknowledge good practice they have observed in the service. Confidential surveys were returned by six residents and eight staff. The residents surveys indicate a general satisfaction with the service they receive, with majority positive comments made about the meals they receive, the availability and helpfulness of the staff team and the fact that the home is fresh and clean. They look after me very well. Im happy here. They try to keep it as a family said another resident. Suggestions about what the home could do better included, One to one care, and make sure there is someone in charge at all times. Annual Service Review Page 4 of 6 Staff surveys indicated a good level of confidence in the management and in the quality of training that equips them to meet peoples needs. The communication channels usually work well and staff are kept up-to-date with the information they need. An excellent homely atmosphere and quality food that is tailored to meet individuals needs and preferences, kept clean and friendly staff. Staff co-operate well with each other. It is a loving, caring home. However, fifty percent of the staff returns stated that more staff are needed at certain times, and higher staffing ratio, and better supply of bank staff or agency staff when staff shortages occur. Comments also highlighted the on-going improvement needed in the provision of equipment such as, a stand aid, lift, more raised toilet seats, raising beds, more user friendly bathrooms for disabled people. Several comments were made by staff about the potential to increase the range of activities and entertainments for the residents. These points were discussed with the manager and we were reassured that the needs had been identified by him and many items were being actioned. The Care Quality Commission has not received any complaint about this service since the last inspection and the home has stated that no complaints have been made directly to the service. One incident of safeguarding was appropriately reported by the manager, leading to referral to the temporary POVA list (Protection of vulnerable adults). What are we going to do as a result of this annual service review? The home works well with us and has shown us that their service continues to maintain good outcomes for the people who live there. We are not going to change our inspection plan. We will do a full key inspection by 12 June 2010. 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 5 of 6 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. 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 copy of the findings in a different format or language please contact our helpline or go to our website. 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