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Inspection on 25/09/09 for Iden Manor Care Home

Also see our care home review for Iden Manor Care Home for more information

This is the latest available inspection report for this service, carried out on 25th September 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: Iden Manor Care Home The quality rating for this care home is: The rating was made on: two star good service 1 4 1 0 2 0 0 8 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: Susan Hall Date of this annual service review: 2 5 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Cranbrook Road Staplehurst Kent TN12 0ER 01580891261 01580893323 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 Conditions of registration: Whitepost Health Care Centre Number of places (if applicable): Under 65 Over 65 51 0 0 51 The maximum number of service users to be accommodated is 51. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE). 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 Iden Manor Care Home is owned and operated by Whitepost Health Care, who own another care home with nursing in Surrey, and a private mental hospital. Iden Manor is a Victorian Manor House, built at the end of the 19th Century. It is situated in fifteen acres of land on the edge of Staplehurst. Staplehurst offers the usual facilities of a small town and has a mainline railway station. The home is also near to Annual Service Review Page 2 of 7 1 4 1 0 2 0 0 8 the towns of Maidstone and Ashford. The home provides 26 beds for older people with nursing needs, and 25 beds for older people with dementia and nursing needs, in the Good Shepherd unit. Two passenger lifts and stair lifts provide access to the upper floors. There is car parking space at the front of the property, and at the front of the Good Shepherd unit. Fee levels are set according to the individually assessed needs of residents, and depending on the locality of the room being used. 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 Inspector reviewed all the information that the Commission has received, or asked for, since the last Key Inspection in October 2008. This includes: Formal notifications about things which have happened in the service, which the care home is legally required to send to CQC. The Annual Quality Assurance Assessment (AQAA), which was sent in by the service. AQAA is a self assessment that focuses on how well the home is meeting outcomes for people who live there. It also provides detailed information about how the home is running. Information about any concerns or complaints; or referrals to the Social Services Safeguarding Adults department. Details from the last key inspection and report. Relevant information obtained from other organisations. Information obtained from phone calls and letters received since the last inspection. What has this told us about the service? The AQAA was returned to CQC within the required timescales, was satisfactorily completed, and contained helpful information about the ongoing progress of the home. The last inspection report showed that the home has a caring staff team who treat the residents with dignity and respect. There are good processes in place to enable prospective residents and their families to find out about the home, and to visit it. An appointment system has been set up to ensure that a named member of staff is available to spend time with enquirers, show them around the home, and answer their questions. In the last year, this process has been extended to include trial days, where families can visit for the whole day, observe activities and stay for lunch (at no cost). Pre-admission documentation has been revised to ensure that it contains as much helpful data as possible. All residents have a pre-admission assessment to ensure that the home will be able to meet their individual needs. The assessment process has been updated to include a section on mental capacity. This applies new legislation, and provides a detailed picture of the resident and their capabilities prior to admission. Personal care plans are implemented on admission, and the residents or their representatives are involved in their care planning where possible. The care plans provide a holistic approach to all aspects of the persons health and welfare. The nursing staff will contact other health professionals as needed for further input, such as GPs, hospice nurses, psychiatrists, and dieticians. The AQAA states that the nursing and health care assistants have had increased training during the last year in palliative care, and in dementia care; and the residents benefit from their increased awareness Annual Service Review Page 4 of 7 and understanding. There has been an increase in the range and amount of activities available. There is a weekly activities programme, and a monthly programme for themed days and seasonal events. Some pets have been introduced into the home, and this is particularly good for reminiscence with residents who have dementia. Care staff are designated to work alongside activities staff during the mornings and afternoons, so that more residents can take part. The AQAA states that there are plans to increase the range and amount of activities at weekends. Families and friends are invited to share in the life of the home as much as possible; and seasonal newsletters are sent out to keep them informed of changes and forthcoming events. There are planned trips for taking residents out. Food is well managed and well presented, and staff assist residents with eating and drinking as needed. The manager has a daily presence in the home so that she is easily available; and she has an open office time each week, so that there is a specific time set aside to discuss any concerns or complaints. The complaints procedure is kept available for anyone coming into the home, and all complaints are responded to quickly. There have been two complaints during the past year, and these were both resolved within agreed timescales. One referral was made to the Social Services Safeguarding Adults team, and the home co-operated fully with their investigation processes. All staff are trained in the recognition and prevention of abuse to older people, and receive updates for this training. There have been improvements made to the premises during the past year, including refurbishment of the dementia unit, and increased space for residents with dementia to wander. There is also a rummage area. In the nursing unit, a new wheelchair stair lift has been installed, and corridors have been re-carpeted. Additional equipment has been obtained, including more electrical nursing beds, and two new mobile hoists. There is a rolling programme of refurbishment for all areas. The premises are kept clean and hygienic. The home has extensive grounds, with areas that can be accessed by the residents; and safe and secure garden areas for residents with dementia. Staffing levels have been increased since the last inspection, and this includes twilight shifts, ensuring that there are additional staff on duty at the busiest times. The home has recruited two more Registered Mental Nurses, and this has increased the skill mix of nursing staff. Staff training has been developed to include additional subjects apart from mandatory training. This includes training courses in nutrition and medication management, as well as training in palliative care and dementia care. A new training provider is now overseeing the training programme, improving the quality of staff training. The home has also been approved by Christchurch Canterbury University to take first year student nurses on placements. The company actively encourage staff to study for NVQ levels 2 and 3, and for the Learning in Care programme. The manager is a level 1 nurse, and has over twenty years of experience in caring for older people. She is assisted by a deputy manager and by administrative staff. Regular staff meetings are held, to enable all staff to take part in developing the ongoing life of the home. There are also meetings for residents and relatives, and yearly Annual Service Review Page 5 of 7 questionnaires, to encourage people to share their views. The AQAA includes data in regards to servicing and maintenance records, and policies and procedures for the home; and it confirms that these are kept up to date. What are we going to do as a result of this annual service review? The Commission is confident that this home is continuing to operate to a good standard, and we will continue to monitor the home through ongoing processes. A key inspection will be carried out by 14th 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 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. 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