Annual service review
Name of Service: Shipdham Manor The quality rating for this care home is: The rating was made on: two star good service 0 3 0 3 2 0 0 9 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: Jane Craig Date of this annual service review: 1 6 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Chapel Street Shipdham Thetford Norfolk IP25 7LB 01362820939 01362822036 shipdhammanor@manorcourtcare.co.uk www.manorcourtcare.co.uk Manorcourt Care (Norfolk) Ltd 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 Conditions of registration: Number of places (if applicable): Under 65 Over 65 31 0 0 31 The maximum number of people who can be accommodated is: 31 The registered person may provide the following category of service only: Personal Care Only - Code PC to people of the following gender: Either whose primary care needs on admission to the home are within the following categories: Older persons not falling within any other category - Code OP Dementia - Code DE 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 Shipdham Manor provides residential care for up to thirty one older people, some of whom may have care needs associated with dementia. The home is owned by Health Care Homes who own a number of other services in the area. The home is discreetly divided into three small living groups. There are 23 single
Annual Service Review Page 2 of 6 0 3 0 3 2 0 0 9 bedrooms and 4 shared bedrooms. All bedrooms are en-suite and are situated on the ground and first floors. There are pleasant gardens with safe walking paths and sitting out areas. The car park is at the front and side of the home. Shipdham Manor is situated in the centre of the village of Shipdham on the Dereham to Thetford road and is close to all local amenities. Information about the home, including fees and extra charges, is available from the manager. 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? We looked at all the information that we have received, or asked for, since the last key inspection, which was carried out on 3rd March 2009 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. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The manager sent us the annual quality assurance assessment (AQAA) when we asked for it. It was completed to a high standard and gave us all the information we asked for in good detail. From this information we were able to make a judgement that the home continues to provide a good service. The AQAA told us about a number of improvements that have been made in the past year. For example, there had been staff training in a number of areas, including management of medication, dementia care and end of life care. This helps to ensure that staff have the correct knowledge and skills to meet the needs of people at the home. The AQAA gave us examples of how the manager and staff consult with people using the service and provide them with opportunities to have a say in the development of the home. As a result of listening to people, the manager made some changes to meals and activities. The manager is clear about what further improvements the service needs to make and the AQAA outlined a number of plans to further improve the quality of life of the people living at the home. Two people who use the service returned our surveys. Their responses to the questions we asked were all positive. Both indicated that they always received the care and support they needed. They responded that staff were always available and that staff listened to them and acted upon what they said. One person commented, All staff at the home, under the excellent leadership of the manager, seem to work together to provide the highest levels of care. Two staff also returned surveys. They all indicated that they went through a thorough recruitment process, received appropriate training and were supported by the manager. Neither had any suggestions for what the home could do better. Annual Service Review Page 4 of 6 Information supplied in the AQAA indicates that the service has an open and positive attitude to complaints and that anyone can discuss their concerns at any time. The service had not received any complaints in the past year and the Commission has not received any complaints about the service. The manager continues to work well with us and informs us of any incidents affecting the safety and welfare of people using the service. From all the information we have received we have concluded that the service is effectively managed and continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? Under the Care Quality Commission current inspection frequencies we must carry out a key inspection within three years of the last key inspection. 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. Helpline:
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