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Inspection on 05/05/09 for Lyme Regis Nursing Home

Also see our care home review for Lyme Regis Nursing Home for more information

This is the latest available inspection report for this service, carried out on 5th May 2009.

CQC found this care home to be providing an Good 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: Lyme Regis Nursing 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: Annie Foot Date of this annual service review: 2 5 0 6 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service Address of service: Pound Road Lyme Regis Dorset DT7 3HX 01297442322 01297444851 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 Magna Care Centre Limited Number of places (if applicable): Under 65 Over 65 0 27 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: Date of last annual service review (if applicable): Brief description of the service Lyme Regis Care Home is established in premises originally built as a cottage hospital. The home is on a hill above Lyme Regis and thereby parts of the ground and lower ground floors have direct and level access to the gardens and car park. The home is owned by Magna Care Centre Limited and managed, since 2008, by Affinity Care Homes Limited. It is registered to provide nursing care for a maximum of 27 service users requiring nursing care in a total of 23 single and 2 double bedrooms. The home has a locally contracted agreement to provide five Lyme Community PMS (Primary Medical Service) nursing beds. There is a communal lounge on the first floor and a smaller lounge/dining room at lower ground level. A passenger lift enables level access throughout the home. There is a level car park to the front of the home and an additional parking area at one side of the building. There is a large paved area and a landscaped garden to the rear of the house. Change of registered manager Annual Service Review Page 2 of 5 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 and requested since the last key inspection, which took place on 29 April 2008. This included: The annual quality assurance assessment (AQAA) sent out by us, was completed and returned to CQC in a timely manner. 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. Regulation 37 notifications informing us of significant events in the home have been received throughout the year. We reviewed the previous key inspection report. We took account of what other people have told us about the service and any relevant information received from other organisations was considered. 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 detailed and gave us all the information we asked for. The AQAA tells us that regular meetings are held between people living at the home and the management. Family members and professionals are invited to attend. Residents are encouraged to participate in the running of the home. Risk assessments and care plans are completed within 48 hrs of admission and reviewed within one week and then monthly or more frequently should the residents condition or needs change. Care plans have become extended and more individualised over the year. Residents in the care of the intermediate rooms are reviewed daily with input from the community nurses. As a result to listening to what residents have said, the menu choice has been reviewed and a second choice and alternatives have been added at all mealtimes and for snacks. There is a robust complaints procedure in place. The home aims to deal with complaints in a timely manner, sending an initial holding letter and a full response within 28 days. 5 complaints were received during the year. All were resolved within the timescale of 28 days. An open door policy operates at the home encouraging staff to speak freely and feel supported. The staff induction programme has been improved and a regular Medication Competency Assessment introduced. All care staff are enrolled or have already achieved an NVQ level 2, or above in care. Annual Service Review Page 3 of 5 The AQAA tells us that the staff turnover has reduced over the year and that the staff team are stable. Use of agency staff has been eliminated. The Service User guide has been updated during the year and the website and brochure under review. There are a comprehensive range of policies and procedures in operation at the home. These were all reviewed between 2007 and 2009. From the information received the home continues to provide a high standard of care and there is no evidence to indicate that outcomes for people who use the service have changed since the last inspection of the service. 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 28 April, 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 4 of 5 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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