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Inspection on 25/01/10 for St Mary`s House

Also see our care home review for St Mary`s House for more information

This is the latest available inspection report for this service, carried out on 25th January 2010.

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.

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: St Mary`s House The quality rating for this care home is: The rating was made on: two star good service 2 1 0 1 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: Gwyneth Bryant Date of this annual service review: 3 1 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 38/39 Preston Park Avenue Brighton East Sussex BN1 6HG 01273556035 01273556035 stmaryshousebrighton@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Miss Jeraldin Anthiras Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The Grace and Compassion Benedictines Number of places (if applicable): Under 65 Over 65 0 22 The maximum number of service users who can be accommodated is 22 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP 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 St Marys House is a residential home registered to provide care and accommodation for up to twenty-two older people. The home is owned and run by the Benedictine Sisters of our lady of Grace and Compassion. No nursing care is provided at this home. District nurses will provide nursing input for those residents requiring this. The home Annual Service Review Page 2 of 6 2 1 0 1 2 0 0 9 is comprised of two detached properties, which have been joined together for its current use. It is situated within walking distance of local shops and bus routes into Brighton and overlooks Preston Park. All rooms are for single occupancy and are located over three floors. All rooms are provided with en suite facilities. There is passenger shaft lift available to assist residents in accessing all areas of the home. There is a good-sized lounge room and dining room for residents to use. There is a chapel on site and a large accessible garden at the rear of the home. There are five communal toilets located throughout the home and five assisted bathing facilities; four assisted baths and one wheel in shower. There is limited parking available at the home, however free parking is available in adjacent streets. There are six rooms available at the home that are designated for visitors that may require accommodation when visiting. The current fees range from £400 to £450.00. per week from April 2009. There are additional fees for hairdressing and dry cleaning. Prospective residents find out about the home through social services referrals, word of mouth and from themselves/relatives living in the area and through the church. 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 or annual service review. 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. * 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. * Surveys returned to us by people using the service and from other people with an interest in the service. 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 gave us all the information we asked for. It had been thoroughly completed and gave us detailed information on all parts of the service, in addition to some numerical information. The previous inspection was completed on 21 January 2009. There were no requirements or recommendation made as a result of the key inspection in January 2009 and since then the service has regularly reported significant events that have happened in the care home, as they are required to do. Information in the AQAA showed that care plans are clear and comprehensive and they are person centred, reflecting individual personal care and needs which are reviewed and updated every month and whenever necessary to accommodate changing needs. The AQAA stated that the home is keen to see people receiving a service as individuals and to meet their very individual needs at the outset with a comprehensive pre admission assessment. The home has said that it is good at getting feedback from people living in the home and their relatives and supporters, through written survey, resident meetings and informally. They have acted on these comments by having a designated activity room, providing more menu choices and to investigate the feasibility of proving more Annual Service Review Page 4 of 6 television channels. The home has not received any complaints in the last twelve months. There is on-going maintenance with a refurbishment and redecoration programme for all parts of the home. Improvements made include decorating most bedrooms and the communal areas have been upgraded. Once the Chapel is completed in 2010 residents will be consulted on how to improve other parts of the environment. The home has a comprehensive staff training programme and currently the service exceeds the standard in respect of staff with National Vocational Qualifications with all of the 18 care staff with at least National Vocational Qualification in care at level 2. Information in the AQAA indicated that there is a robust recruitment process which ensures residents are not at risk. The AQAA identified some areas where they need to continue to make improvements to all aspects of the service through the quality monitoring systems. The home has a range of policies and procedures pertaining to the running of the home that are regularly reviewed as part of the quality monitoring process. Nine residents returned surveys as did two members of staff and overall comments from all were positive. Residents all praised the care given and that they felt safe and looked after. One less positive comment was the need for more lighting near the lift. The members of staff said they felt they received a good level of training in addition to support from the manager. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know where improvements need to be made. 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 21 January 2011. 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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