Please wait

Inspection on 28/09/09 for Heath Street Nursing Home

Also see our care home review for Heath Street Nursing Home for more information

This is the latest available inspection report for this service, carried out on 28th September 2009.

CQC found this care home to be providing an Excellent service.

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: Heath Street Nursing Home The quality rating for this care home is: The rating was made on: three star excellent 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: Joy Hoelzel Date of this annual service review: 2 5 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 103 Heath Street Chesterton Stoke-on-Trent Staffordshire ST5 7ND 01782563259 Telephone number: Fax number: Email address: Provider web address:   heathst@choiceshousing.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Choices Housing Association Limited Number of places (if applicable): Under 65 Over 65 6 6 0 0 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home with Nursing (Code N); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 6 Physical disability (PD) 6 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 103 Heath Street is a care home with nursing that is registered to provide care for six people with a learning disability or physical disability and who also require some degree of nursing care. The property is located in a residential area of Chesterton, a suburb of Newcastle-under-Lyme. The home is a bungalow on one level and has wide corridors and support rails throughout to assist both those who use wheelchairs and those people with reduced mobility. Annual Service Review Page 2 of 7 All of the bedrooms are single occupancy and are equipped with a washbasin and a nurse call system. Each bedroom is well personalised for the individual. Bathrooms with toilets are well located in the home, being close to bedrooms and communal areas. The lounge, although small, is tastefully decorated and fitted with soft furnishings that provide a domestic style environment. The dining room is spacious and pleasant with adequate dining furniture and room for the specialist chairs of some of the service users to be fitted around it. The dining area opens on to a spacious kitchen that has been refitted to allow access for those who use wheelchairs, and it also has appropriate height work surfaces. A small garden area is available at the rear of the property. Parking facilities are situated at the front, although the space is limited. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised and are readily available. Weekly fees for the service ranged from £339:00 - £687:00. These fees were applicable in 2007, the reader is advised to contact the service for current details. Care Quality Commission reports for this service are available from the provider or can be obtained from www.cqc.org.uk Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? The last key inspection for the service was carried out on 24th October 2007, with an annual service review 10th September 2009. We looked at all the information that we have received, or asked for, since the last key inspection. 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. The AQAA was completed in July 2009 and returned to us. Surveys returned to us were completed by relatives, carers and advocates, members of staff and a health care professional. 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? The home 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. We looked at the information in the AQAA and our judgment is that the home is still providing an excellent service and that they know what further improvements they need to make. Four relatives, carers or advocates completed the survey. They indicated that in their opinion people using the service are cared for by experienced staff, get enough information about their care and know how to make a complaint. They made additional comments of The staff are well trained, and the staff work well as a team The food is fresh and nutritious and I can visit at any time. The in house activities and interactions are good. Five surveys were completed by staff working at the home and indicate that they are given up to date information about the support needs of people using the service. They told us that the training they receive is relevant to their role. One person indicated that there were never enough staff on duty and commented More staff would give us more time to spend with service users. The AQAA tells us that there are seventeen staff in total working full and part time hours, agency staff are sometimes used to cover shortfalls in staffing. One staff member further commented on the limited space in the lounge and dining areas for the people using wheelchairs. Annual Service Review Page 4 of 7 The AQAA tells us that - We provide ground floor accommodation with easy wheelchair access to all areas. The last key inspection recorded - The organisation has been trying to make more space throughout the home so that it is easier for the staff to support the residents. This is needed in some bedrooms and the lounge, and there is a need for more storage space. These efforts should continue. A health care professional completed our survey and expressed a satisfaction with the service. In their opinion the service does particularly well in providing Prompt attention to the medical health needs of the residents. The AQAA tells us the many improvements that have been made since the last inspection We have planned activities around the needs and wishes of the service user as well as numerical level. New system now in place to monitor drugs ordered, received and disposed. Service users care packages now reference finances. Mental capacity act and deprivation of liberties has been referenced. Decoration has taken place as scheduled. Wheel on weighing scales have been purchased to allow safer, more convenient weighing of service users. One service user has had a specialised chair to promote tissue viability and comfort. Bathroom fully refurbished. We have completed all mandatory training for staff. We have looked more at the needs of the individual rather than what looked good on paper. It goes on to identify what could be done better and how they are planning to achieve this- Communication is difficult with service users who have no structured means of communication so we need to try and find, develop or adapt systems to promote choice and contribution. The AQAA documents that they have not received any concerns, complaints or allegations during the last twelve months, but they have received compliments from the relatives of people using the service. We, the commission, have not received any correspondence relating to complaints, concerns or safeguarding issues over the last twelve months. Annual Service Review Page 5 of 7 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 31st October 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 6 of 7 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!