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Inspection on 19/10/09 for The Churchley Rest Home

Also see our care home review for The Churchley Rest Home for more information

This is the latest available inspection report for this service, carried out on 19th 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 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: The Churchley Rest Home The quality rating for this care home is: The rating was made on: two star good service 1 6 0 9 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: Elizabeth Dudley Date of this annual service review: 2 1 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 91 New Church Road Hove East Sussex BN3 4BB 01273725185 01273725185 kdlewis@churchleyrh.freeserve.co.uk 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: The Churchley Rest Home Ltd Number of places (if applicable): Under 65 Over 65 0 18 The maximum number of service users to be accommodated is 18 The registered person may provide the following category 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 category : 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 The Churchley rest home is registered to provide accommodation and personal care for up to 18 older people. The registered provider is the Churchley Rest Home Limited and the registered manager is Mrs Karen Lewis. The home is located in Hove with good access to local transport and amenities. It is a large property that is set out over three floors. There is a passenger lift from the ground floor to the first floor and a chair lift from the first floor to the second floor. There are sixteen bedrooms, fourteen of which are single. Seven bedrooms have en-suite facilities. There is a good range of Annual Service Review Page 2 of 7 1 6 0 9 2 0 0 8 communal space. Current fees charged range between £394 and £560 per week. Other services such as provision of newpapers, hairdressing and chiropody are not covered by the fees and details of these are available from the manager. 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 asked for since the last key inspection or annual service review. This included: 1.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 attained for people using the service. It also gave us some numerical information about the service. 2.Information we have about how the service has managed any complaints. 3.What the service has told us about things that have happened to the service users. We generally refer to these as notifications, and it is a statutory requirement for the registered persons to inform the commission within 24 hours of their occurrence. 3.The Care Quality Commission sent out ten surveys to people using the service and five surveys to the staff working in the home prior to this Annual Service Review. Of these, five were returned from residents, and six from staff. Comments received were used in the formation of this report. 4.Monthly reports. The provider of more than one home is statutorily obliged to make a monthly visit to the home and form a report and if required to submit to the Commission. The registered provider can undertake these, but more likely this is fulfilled by an appointed person with no connection to the home. We refer to these as providers reports. 5.The previous key inspection and the results of any other visits that we have made to the service in the last twelve months. 6.Relevant information from other organisations. 7.What other people have told us about the service. What has this told us about the service? The last key unannounced inspection for this service took place on the 16th September 2009. The manager returned a clear and comprehensive annual quality assurance assessment (AQAA) when we asked for it. The assessment identified areas that had improved in the last year and others where further developments were planned and would benefit the service users. The last inspection report was positive, two statutory requirements were made relating to staff training in infection control and the replacement of block soap and hand towels with towel and soap dispensers. Five good practice recommendations were made and the manager has since confirmed that both the requirements and recommendations Annual Service Review Page 4 of 7 have been complied with. The last inspection showed that prospective residents are well informed about the home prior to going to live there and that all prospective residents are thoroughly assessed by the manager to ensure that the home can meet their needs and expectations. The AQAA informs us that the home has recently produced a new and comprehensive brochure. Each resident has a plan of care, these are regularly reviewed and reflected the care needs of the individual. Comments received from residents showed that they experience a good standard of care and that medical attention is sought as the need arises. Residents said that their bells were answered promptly and that staff were always pleasant and caring. A varied and nutritious menu is provided, and whilst at the last inspection residents said that they generally enjoyed the food, some described the menu as repetitive. The manager informs us in the AQAA that menus have been reviewed. Leisure activities for the residents are provided by the staff and these include some outings, musical entertainment and the provision of an art therapist. Residents are encouraged to form new interests and to maintain their previous interests. The religious needs of residents are catered for by monthly services and visits by ministers of religion to the home. There is an open and transparent atmosphere in the home and relatives said that if necessary they were aware of how to make a complaint and would be comfortable doing so. The AQAA tells us that there have been two complaints received by the home in the past twelve months, one of which was upheld. Concerns were raised with the manager at the last inspection regarding some staff not having had regular health and safety training. The AQAA says that all staff have received this training and this was confirmed with the manager. The AQAA states that over 75 of the staff have completed the National Vocational Qualification in Care at either levels 2 or 3. Whilst the AQAA tells us that the manager is ensuring that levels of training are being maintained, it does not show whether or not staff or management have received training in the Mental Capacity Act or the Deprivation of Liberty Safeguarding. The owner manager Mrs K Lewis has been in post for twenty one years and the majority of the staff in the home have been employed by the home for a number of years. This benefits the residents by ensuring a continuity of care, staff cover for each other for holidays and absences, thus negating the need for agency staff to be used. The home operates robust recruitment practices when new staff are required and ensures that all the checks required by regulation are in place to safeguard the residents. New staff undertake an induction programme which is nationally recognised. Discussions with the manager were held regarding staff supervision and she assured us that staff are receiving regular supervision at the intervals directed by the National Minimum Standards. The home continues to do regular reviews and audits of care plans and the medication Annual Service Review Page 5 of 7 as well as other systems in place in the home. Staff meetings and residents meetings take place and the manager also gains feedback from residents by the use of questionnaires which are collated and used to inform the practices in the home. Policies and procedures used to inform staff and residents have been updated recently and the AQAA tells us that all utilities and equipment have been serviced and checked to ensure resident and staff safety. At the last inspection it was apparent that there was a good ambiance within the home and that staff and residents were happy both working and living in the home. All the records available provide enough evidence to suggest that the home is continuing to look at ways to improve the delivery of care and how this can be better accomplished. What are we going to do as a result of this annual service review? The Commission is reasonably confident that this service is continuing to provide good standards of care, and will continue to monitor it through ongoing processes. A key inspection will be carried out by the 30th August 2010. The Commission has the power to inspect the service at any time, particularly if there are concerns about the quality of the service, or the safety of the people using the service. 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!