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Inspection on 26/11/09 for Nashley House Retirement Home

Also see our care home review for Nashley House Retirement Home for more information

This is the latest available inspection report for this service, carried out on 26th November 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 Excellent.

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: Nashley House Retirement Home The quality rating for this care home is: The rating was made on: three star excellent 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: John Clarke Date of this annual service review: 2 3 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 27 Montpelier Weston-Super-Mare North Somerset BS23 2RN 01934620070 01934614909 office@nashleyhouse.com www.nashleyhouse.com Future Care Limited 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 52 The maximum number of service users who can be accommodated is 52. The registered person may provide the following category of service: Care home only Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Nashley House is owned by Future Care Limited, the registered manager is Lisa Wall and the responsible Individual is Mr Clive Wilson. The home is registered with The Commission For Social Care Inspection to provide personal care only for people aged 65 years and over. They can provide long term care as well as respite care but cannot provide nursing Annual Service Review Page 2 of 7 NONE 1 4 1 0 2 0 0 8 care, however they can obtain input from the Local Community Nursing Team if the need should arise. The majority of Nashley House is purpose built, designed to accomodate the elderly. The original Victorian House has been thoughtfully adapted to suit the needs of people living in the home. It retains many of the original features such as ornate ceilings and carved open fire places. All the bedrooms are single and above the minimum standards for size, most have en-suite facilities. All areas are accessible with a passenger lift. There are accessible garden areas providing pleasant views from windows and with ample seating and a covered gazebo for people to sit in in warmer weather. Nashley House is conveniently placed for local bus routes making town amenities such as the shops, sports centre, bowling green, library and pubs easily accessible. The homes aim is to provide care and support to people whilst recognising their need to maintain choice and control over their lives. (A full copy of the homes aims and objectives is available from the manager on request). Current fees range from 375 pound to 447 pound per week. 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 requested 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 the people that use 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 who have contact with the service such as relatives and health professionals. 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 may have told us about the service. What has this told us about the service? The home told us in their AQAA that they have made a number of improvements these have included reviewing client care needs procedure, reviewing of risk assessments and care documentation. They now use the PCT Trigger chart to identify health needs and risks. The home told us they are providing more varied activities with 3 activities or entertainment weekly. We asked in our Have Your Say questionnaire Does the home arrange activities that you can take part in? 15 respondents said Always and 4 Usually. We also received comments about activities: the home organizes activities and outings, musicians and singers and theatre trips there is always something stimulating and interesting going on. The home provided us with a copy of their Entertainment Record which showed that this included: Chris Rainbow on guitar, Weston Gospel Male Voice Choir, Juilette Movement to Music session, Christchurch ladies Group Tea Party, Coach outing to Clevedon. The home plans to promote residents to use free LA Community Transport and Monthly pre planned shopping trip escorted by staff. and offer beauty and Annual Service Review Page 4 of 7 aromatherapy. The home told us that they have improved the meals available for individuals in the home with individual choices offered and larger choice of meal options available. In our survey we asked Do you like the meals at the home? 8 respondents said Always and 11 Usually. With regard to the homes environment improvements have included doorguards fitted on all rooms, increased security with fitting of access gate to the property and separate intercom controlled pedestrian access , additional en-suite facilities and re-decoration of community areas and some individuals rooms. Comments we received about the environment the home provides a safe and comfortable environment home kept clean and tidy. All of the respondents to our survey said that the home is always fresh and clean. The home has improved in the area of staff training through more certificated training in house: Dementia care training, Infection Control training, DOLLS/Safeguarding Adults. Information about staff training provided to us showed that staff have all completed mandatory training i.e moving and handling, first aid, fire, food hygiene (where this is required). It did not show the number of staff who have completed Safeguarding training or have NVQ professional qualification. A number of staff responded to our Have Your say questionnaire (13) and they told us that they receive the training they need. One staff member told us there is alot of training and support given to everyone and another there is always on-going training. We received a number of comments about the care provided at Nashley House which we believe reflect the quality of care: I am so glad I live here it is perfect for all my needs, all care staff are kind and caring, provide care of the highest quality (from a relative), homely atmosphere and friendly knowledgeable staff, staff are competent and caring, friends and relatives always made to feel welcome. In our survey we asked about the availability of staff and respondents said that staff are always 10 usually 9 available when individuals need them. We also asked Do you receive the care and support you need? 14 individuals said always and 5 usually. Comments we received from staff reflecting their views about the management of the home and working in the home: very well run care home, excellent management team and also a caring team of senior carers and care assistants high level of care and understanding in comfy, warm and safe surroundings daily report book is a must, ours is excellent and keeps us all up to date with events excellent management and senior staff always happy and friendly atmosphere. The manager stated in the AQAA: As service provider we aim to meet all legislative requirements, we endeavor to fulfill clients expectations, meeting individuals needs as well as wants, choice, variety, high Annual Service Review Page 5 of 7 quality consistent service is vital. From the AQAA and questionaire responses and comments we have received it is evident that the home continues to provide an excellant quality of care. It is also noted that the home has retained a high number of staff over a long period which in our view reflects the positives of the service and helps to ensure continuity to those that live in the home. Further the home is making real efforts to seek the views of those that live in the home and other individuals such as relatives to help in improving the service. It would have been helpful to have more information such as results of questionnaires and actions taken, minutes of residents meetings, committee. This would have enabled us to make a more informed judgment on the service provided at Nashley House. What are we going to do as a result of this annual service review? We will continue to monitor and review the service provided at Nashley House and do not plan to inspect the home during the current inspection period. However we may at any time decide to visit the home if we have concerns or receive information which leads us to have concerns about the quality of the service or the health and welfare of those that live in the home. 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). 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