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Inspection on 16/06/09 for Keep Hill Rest Home

Also see our care home review for Keep Hill Rest Home for more information

This is the latest available inspection report for this service, carried out on 16th 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: Keep Hill Rest Home 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: Maureen Richards Date of this annual service review: 1 6 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 17 Keep Hill Drive High Wycombe Bucks HP11 1DU 01494528627 N/A keep.hill@tiscali.co.uk N/A Mrs Gillian Robinson,Mr Grahame Robinson Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 9 The maximum number of service users to be accommodated is 9 The registered person may provide the following category 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 category : Old age, not falling within any other category (OP) 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: Conditions of registration added that the registered person may provide the following category 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 category : Old age, not falling within any other category (OP) Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 7 Keep Hill Rest Home is a care home registered to provide care and accommodation to nine older people. It is privately owned and is located in a residential area on the edge of High Wycombe, close to local amenities, shopping and public transport. The home was originally a semi-detached, double fronted house, which has been extended to accommodate nine residents. All bedrooms are single and two are fitted with en-suite facilities.Other bedrooms are close to bathrooms and toilets. There are a limited number of car parking spaces at the front and a compact, but accessible, garden with a patio area and pergola at the rear of the home. Please contact the Provider for the current range of fees. 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? 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. The last key inspection of the home took place on the 9th July 2008. 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 informative and outlined what progress and improvements have been made within the home and what it aims to achieve over the next year. Surveys were sent to 9 service users, 10 staff, 4 health professionals and 4 care managers. 6 residents and 4 staff surveys were returned. The AQAA confirms that residents are provided with the key information on the home, that comprehensive assessments take place prior to admission and that they adhere to their statement of purpose. They plan to improve residents contracts over the next 12 months. The AQAA outlines that person centred care plans and risk assessments are in place which are kept up to date and reviewed with views of residents, families and advocates incorporated into care plans. Residents have access to a range of healthcare professionals and are supported with their medication. The AQAA outlines that the home offers residents flexible meal choices and have appointed an activities coordinator to develop activities for residents with structured Annual Service Review Page 4 of 7 activities programmes in place. The AQAA indicates that the home has had no complaints in the previous 12 months. No complaints have been received by the Commission in respect of this service during the period under review. Written feedback received from residents confirm that five out of the six residents that responded know how to make complaint. The AQAA confirms that the agency has had no safeguarding of vulnerable adults referrals and investigations in the previous 12 months. In house safeguarding of vulnerable adults training is provided for all new staff and they are aware that what they need to do better is to send staff on external safeguarding of vulnerable adults training. The home plans over the next 12 months to access an advocate to get independent feedback from residents and staff to further safeguard residents. The AQAA outlines that the home is well maintained, clean and homely with substantial refurbishment having taken place over the last 18 months and further work planned to improve the home internally and externally. The AQAA outlines that staff are suitably recruited, inducted, trained and supervised. Written feedback received from staff confirm this. Eight out of eleven care staff have a National Vocational Qualification level 2 or above, The manager has obtained a National Vocational Qualification level 2, 3 and 4 and have achieved the Registered Managers Award. The AQAA confirms that there has there has been an increase in care staff, cleaning staff, management and on call hours to provide a more responsive service to residents. One staff member commented that the shifts are well covered apart from the 3 to 10 shift where there is only one person on duty until 7 pm. In response to this comment the Registered Manager confirmed that from Monday to Friday the Care Manager and/or Registered Manager are available with at least one of them there to assist the carer till 7pm. At week ends there is an additional carer on from 2pm to 6pm. The registered manager confirmed that there may be rare occasions where there is 1 member of staff for 1 hour from 6pm to 7pm at weekends. The AQAA confirms that policies and procedures were reviewed and updated in 2008 and 2009 with appliances having up to date servicing. All of the residents fed back that they were happy with the quality of care provided and included comments such as the care is good. I am very happy with the care and attention. The food is lovely. The carers are all very kind and helpful. Care is just like family care. Personal, caring relationships between staff and residents. I am very grateful to all the staff for looking after me so well. The care in this home is wonderful from the proprietors and staff, such genuine and loving care for everyone. This is a superb home in which to live in every way, so much is done to make the residents feel happy, many activities are arranged and you could not be in a more lovely pleasant and happy home. Its just great. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. 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 the 9th July 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. 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