Annual service review
Name of Service: Enderby Grange The quality rating for this care home is: The rating was made on: three star excellent service 0 8 0 1 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: Kim Cowley Date of this annual service review: 1 0 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Sparsis Garden Enderby Leicestershire LE19 2BQ 01162752555 01162753555 enderby@ala-care.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: A.L.A. Care Limited Number of places (if applicable): Under 65 Over 65 0 0 0 0 11 10 40 6 No more than 10 persons to be admitted into the home who fall within the category MD(E) when 10 persons who fall within this category, or this category combined with DE(E), are already accommodated in the home. No more than 11 persons to be admitted into the home who fall within the category DE(E) when 11 persons who fall within this category, or this category combined with the MD/E category, are already accommodated in the home. No more than 6 persons to be admitted into the home who fall within category PD(E) when 6 persons who fall within this category are already accommodated in the home. To be able to admit the named person as identified in variation application V25717 dated 17/10/05. 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: Date of last key inspection: None 0 8 0 1 2 0 0 9 Annual Service Review Page 2 of 6 Date of last annual service review (if applicable): Brief description of the service Enderby Grange is a 40-bedded purpose built residential care home. It caters for older people, some of whom have mental health needs and/or physical disabilities. All bedrooms are single, over 12 sq m, and have ensuite facilities. There are four lounges, a dining room, visitors room, chapel, craft room, balcony/roof garden, and conservatory. The home is set in wheelchair-accessible landscaped gardens and is close to local shops and bus routes. The fees range from £400- £420 per week. Futher information about the home is available from the Manager or our website csci.gsi.gov.uk 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, 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. 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 home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us the main information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service and that they know what further improvements they need to make. One resident completed a survey for us. They told us the home is fresh and clean, and staff are always available to provide the care and support they need. They commented, The staff keep the home a happy place by remembering birthdays and holidays when we all get together for special meals. Two relatives also completed surveys to us. Both praised all or most aspects of the home and the following comments were made: I have peace of mind seeing how loved, cared for, and settled my relative is. The staff always have a listening ear. Kind, caring staff team. A family, working together, to both my relative and myself. They obviously look after their staff as there is not a huge turnover. Most staff are the same as three years ago which gives continuity and you get to know them. The home runs efficiently and the residents seem content. I find Enderby Grange excellent. I cannot thank them enough. Records show that since the last key inspection many improvements have been made to the home. Annual Service Review Page 4 of 6 We had asked for a notice to be put up reminding residents and visitors that they can use the chapel at any time and just to need to ask a member of staff for the key. This has been done, with one notice in reception and one on the chapel door. In addition, a notice advertising items for sale in the homes shop (including greeting cards, stamps, sweets, toiletries, etc) has been put up. This also explains that if anyone wishes to purchase items they can ask a member of staff who will be willing to assist them. Staff have produced a booklet called Visiting Loved Ones who have Dementia. This is given to relatives and friends (where relevant) to explain the changes they might see in the person they are coming to see. It contains advice on interaction with them, joining in with meals and activities, and Coping with Behaviour We find Difficult. The Gold Standards Framework has been adopted by the home to ensure that residents receive a Gold Standard of care at the end of their lives The activities programme has been further improved, with a visiting tutor now providing monthly exercise classes and music therapy. However two relatives thought more could be done. One said they believed residents would enjoy listening to music more often, and the other thought trips out should be provided. Consideration should be given to these suggestions. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. 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 8 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 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:
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