This is the latest available inspection report for this service, carried out on 1st December 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.
Annual service review
Name of Service: Roxton Nursing Home The quality rating for this care home is: The rating was made on: two star good service 2 8 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?
Yes 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: Lisa Evitts Date of this annual service review: 1 6 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 154 Birmingham Road Sutton Coldfield Birmingham West Midlands B72 1LY 01213542621 01213552135 Telephone number: Fax number: Email address: Provider web address:
www.Roxton.org.uk Roxton Nursing Home Limited Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 45 0 0 45 The maximum number of service users who can be accommodated is: 45 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: Dementia (DE) 45 Old age, not falling within any other category (OP) 45 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 The Roxton Nursing Home is a converted Victorian Building accommodating 45 people who may have nursing dementia care needs. The home can also take four people for day care. The home is situated in a residential area close to Sutton Coldfield town centre. The home is within walking distance of bus and train links and is situated on the main road into the town centre. There is limited car parking to the front of the
Annual Service Review Page 2 of 6 2 8 1 0 2 0 0 8 building, but a larger additional car park is at the rear of the building. The home has been converted and retains some of its original features. The home offers a variety of bedrooms including 20 single rooms, 11 shared rooms, 1 shared ensuite and 3 single ensuite rooms. The rooms are situated over three floors. There are two passenger lifts and some stair lifts to assist people to access all areas of the home. A pleasant garden area is easily accessible via a ramp. There are a number of separate lounge rooms and a dining area/conservatory. The home has hoists and pressure relieving equipment to meet the assessed needs of the people living at the home. There are assisted toilets and bathrooms available and corridors have handrails to assist people to mobilise freely around the home. Previous inspection reports of the home are available in reception should anyone wish to read them. Current fee rates are available upon request from the home. Standard fees are reviewed every March and any increases are effective from April 1st. Additional costs include toiletries, newspapers, trips, telephone calls, dry cleaning and escorts. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The last key inspection at the home was 28th October 2008. 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. We sent 15 surveys to people who live at the home and their relatives. Three people returned these to us and their comments are included within this report. What the service has told us about things that have happened in the home, these are called notifications and are a legal requirement. Information about how the home had managed any complaints or safeguarding concerns. The previous key inspection report. What has this told us about the service? We received the annual quality assurance assessment (AQAA) before the date the manager had to send it to us. The manager told us that they had completed this as they knew we would be requesting the information. We got good information from the AQAA as it was detailed with clear evidence of how the home has improved since our last key inspection. The home is able to think of new and creative ways to make sure that they do things that matter to people. Examples of this are that people who live there are now involved in the recruitment of new staff. This means that people help to decide who will be delivering their care and will be supported by staff that they like. A residents committee has been implemented and people meet monthly so that they can be involved in decisions about how the home is run. We received surveys from three people who live at the home; they told us they were happy living there and knew who to talk to if they were unhappy. Comments from people included: They try hard to fulfill all their obligations The general nursing care is very good The majority of carers are first class and do their job with pride The owners put on some nice special occasions and my first Christmas last year was Annual Service Review Page 4 of 6 very lovely The home told us that they have made improvements since our last visit including: A wet room is being installed on the middle floor so that people can access a shower without having to go up or downstairs. Work continues on improving the decor throughout the home to enhance the environment in which people live. New mattresses have been purchased to help minimise the risk of people developing sore skin. The menu has been revised with the help of people who live at the home so that they should receive food that they like. A new activity coordinator has been appointed; there has been a garden party in the summer and trips to Walsall Illuminations. Further trips are planed for people who want to go on them. Staff have received training including the Mental Capacity Act, Advocacy and Deprivation Of Liberty Safeguards. The home told us they have produced information leaflets for the people who live there. This should mean that staff know how to meet peoples needs and protect them from harm. The AQAA told us how the home wants to improve further. This shows that the management is constantly reviewing the home to ensure that it is run in the best interests of the people who live there. The home told us that they have not received any complaints in the last 12 months. We have received one complaint about the activities provided by the home. We asked the owner to look into this using their own complaints procedure. The owner responded in a timely manner and provided good evidence of how the complaint had been looked into. The home has made one safeguarding referral to ensure that the people living in the home are protected from harm. The home tells us about things that have happened there and show that they manage issues well. They work with us and have shown that they continue to provide good outcomes for the people who live there. What are we going to do as a result of this annual service review? We think the quality of the home might have improved since the last key inspection. We will do a key inspection by the 28th 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 living at the home. Annual Service Review Page 5 of 6 Reader Information
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