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Inspection on 07/10/09 for Sandringham

Also see our care home review for Sandringham for more information

This is the latest available inspection report for this service, carried out on 7th October 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: Sandringham The quality rating for this care home is: The rating was made on: three star excellent service 2 1 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: Carolyn Delaney Date of this annual service review: 2 6 0 8 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 5-7 Westcliff Avenue Westcliff On Sea Essex SS0 7QR 01702352911 01702430650 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 Darby and Joan Organisation Number of places (if applicable): Under 65 Over 65 0 0 20 20 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 Sandringham provides accommodation for up to twenty older people, including people who have dementia. The home is situated close to the towns of Southend, Westcliff and Leigh and a short distance from the seafront. The homes facilities include a lounge, dining area, conservatory/quiet area and twenty single bedrooms with en-suite facilities. There is a passenger lift, which provides access to all floors. The home offers a small rear garden and there is limited off street parking to the front of the premises. The fees charged for a place in home range from £396.00 to £581.00 per week. None. 2 1 1 0 2 0 0 8 Annual Service Review Page 2 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We carry out an Annual Service Review for services which have 2 star good or 3 star excellent ratings and who provide good outcomes for people they serve. In carrying out this review we looked at all of the information that we have received about the home, or asked for since the last key inspection. We reviewed the information in the homes Annual Quality Assurance Assessment (AQAA), which was returned to us on 14th August 2009. The AQAA is a selfassessment in which the manager is legally required to tell us how well outcomes are being met for people who live in the home. It also provided some numerical information about the service including numbers of staff who work there, the number of complaints received etc. We sent ten surveys for residents and ten surveys for staff to complete and five surveys for health care professionals tell us what they think about the home. At the time of completing this review four residents and one health care professional had completed surveys their views were used when completing this review. We also reviewed any information we have received about how the service has managed any complaints or safeguarding (protecting people) issues. We looked at the information that the manager told us about things that have happened in the home such as illness or injury or any other event which would affect people who live there. These are called notifications and the manager must legally inform us of them. What has this told us about the service? The manager told us in the Annual Quality Assurance Assessment about the ways in which they consult with residents, their families, other significant parties and commissioners (people such as social services who purchase places in the home). They told us that they hold regular meetings with residents and other interested parties are invited, they seek feedback from health care professionals and send out surveys annually to obtain the views of people about the home and to make improvements where issues are identified. The manager told us of some of the improvements made to the service as a result of listening to residents. They told us that they have had revised the menus to provide more choice. They also told us that they now have a carer who has been trained and allocated to monitor nutrition and adjustments to menus as required. They made changes to the times and frequency lunch time meal sittings to better suit the needs and wishes of residents and they have introduced one-to-one activities due to the introduction of an activities coordinator which improves the quality of interaction particularly for those who are bed bound. The manager told us in the Annual Quality Assurance Assessment that all people admitted to the home including emergency admissions, have a full care needs assessment prior to admission. They told us that this includes family and multidisciplinary health team input, and that individuals who are self funding are assessed by the manager, or an alternate skilled and experienced senior member of staff. All residents have a contract to which they have agreed and those who are self Annual Service Review Page 3 of 6 funding are advised to seek advice from independent financial advisers. They told us that prior to admission, management make decisions regarding the ability of the home to meet the needs of the potential service user in conjunction with other experienced care staff. Each of the eight residents who completed surveys told us that they had received enough information to help them decide if the home would be the right place for them before they moved in. They also told us that they had received written information about the homes terms and conditions (contract). One healthcare professional who completed a survey told us that the homes assessment arrangements always ensured that the right service was planned for people. Seven members of staff completed surveys and they told us that they always received up to date information about the needs of the people they care for. The manager told us in the Annual Quality Assurance Assessment that they complete risk assessments for falls, pressure sores, carry out weekly skin assessment, fracture, nutrition, medication, moving and handling and, bed rails or bed sensor (if necessary) for all residents on admission. They told us that these assessments are updated monthly or when the residents condition changes. They told us that these, together with the senior staff initial care needs assessment form the basis of the residents individual person centred care plan. Where possible, residents and relatives or advocates have input to the care plans and sign their agreement to the plan. All plans are individual and include details of the residents wishes, needs and any identified actual or potential risks and their management. As with the risk assessments, care plans are reviewed and updated monthly or where the service users condition changes. Seven of the eight residents told us that they always receive the care, medical attention and support they need and the other person told us that they sometimes do. Staff told us that they way in which information about residents is shared works effectively. The healthcare professional who completed a survey told us that peoples social and healthcare needs were properly monitored, reviewed and met by the home. They also told us that the home sought and acted on specialist advice to improve the wellbeing of residents. The manager told us that activities provided included access to the community library, outings to the sea front, hairdressing, arts and crafts, active reminiscence, outings to the theatre, chair based exercise sessions, bingo, quizzes, pantomime, singers, board games/ puzzles, hand massage/ manicure, piano, Cds radio, singing, dancing, gardening, newspaper headlines / current affairs and basic cooking e.g. icing cakes. They told us that they provided a quiet room for service users. They said that they facilitated access to activities and promotion of independence for all service users, taking in to account their capabilities, needs and preferences. We also encourage the younger service users who are more active, both mentally and physically, to participate in schemes which may result in their return to work and the wider community. Each of the eight residents who completed surveys told us that there were activities, which they could participate in. A number of people indicated that activities as one of the areas where they home did well. The majority of residents told us that they enjoyed the meals provided by the home. Some people said the food was fine, good or mostly good. The manager told us in the Annual Quality Assurance Assessment that there were policies on complaints, discrimination, diversity and equal opportunities have been strictly adhered to. They told us that the complaints policy and procedure is displayed at the entrance to the home. They said that suggestions had been acted upon quickly, Annual Service Review Page 4 of 6 where possible and that relatives and friends feel confident in approaching the staff team with their suggestions or queries at any time. They told us that opportunity was offered for voting for all residents who were able to make that choice. Staff had received Dementia Training, which has improved their understanding of dealing with physical / verbal aggression. Staff have received safeguarding training and all are fully aware of the Whistle blowing policy. We had received no allegations of concern or complaints about the home since the last inspection. Residents who completed surveys told us that staff listened to what they said and acted on this. They told us that they knew who to speak with informally if they were unhappy and how to make a complaint. Staff told us that they knew what to do if residents or others raised concerns about the home. The manager told us of the arrangements in place for ensuring that the home was clean, comfortable and suited to the needs of people who lived there. Residents told us that the home was always clean and fresh. The manager told us in the Annual Quality Assurance Assessment that they had the Registered Managers Award and Level 4 in Care and Management. They told us that staffing levels were constantly monitored and adjusted to the needs of the residents. They told us that they employed an activities coordinator and care staff assist service users to take part in activities as required. They said that catering and housekeeping staff were employed and therefore care staff carry out minimal food handling and housekeeping tasks. They told us that all new staff undertook an induction training based on the Skills For Care Induction Standards and that they were employed in accordance with robust recruitment policies and procedures and where possible residents and their advocates were included in the recruitment process. Staff who completed surveys told us that all of the checks including references and Criminal Records Bureau disclosures were obtained before they commenced work at the home. They told us that the induction mostly covered everything they needed to know about the job and that they received training, which was relevant to their roles and helped them to understand the needs of people they supported. The healthcare professional told us that they felt that staff working in the home had the skills and knowledge to meet the social and health needs of people living in the home. The manager told us in the Annual Quality Assurance of the ways in which the home was managed so as to benefit the people who lived there. Comments made by residents, staff and healthcare staff were positive. We therefore judge that outcomes for people who live in the home remain excellent. 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 24th September 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 5 of 6 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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