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Inspection on 12/04/10 for The Lawns Neighbourhood Care Centre

Also see our care home review for The Lawns Neighbourhood Care Centre for more information

This is the latest available inspection report for this service, carried out on 12th April 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 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: The Lawns Neighbourhood Care Centre The quality rating for this care home is: The rating was made on: three star excellent service 2 8 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: Lynne Bennett Date of this annual service review: 0 1 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: Bristol Road Quedgeley Gloucester Glos GL2 4QW 01452721345 01452723628 anna.carrier@btconnect.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability old age, not falling within any other category physical disability The Lawns NCC LLP Number of places (if applicable): Under 65 Over 65 2 0 15 0 31 0 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 Lawns is a care home providing nursing care, for adults over the age of 18 years. A qualified nurse is on duty 24 hours a day. The home is currently caring for some service users who have very specialist needs. The main accommodation is provided in a converted older style house, with a contemporary extension, and is provided on two floors. Staircases, a shaft lift and stair lift provide access to the upper floor. Various equipment and adaptations have been provided for assisting service users and staff, which includes assisted bathing facilities and hoists. Service users private accommodation is provided in single rooms on both floors, though there is one shared room on the upper floor. Many of the rooms have an en suite facility. There are several lounge areas and a dining room. An adjoining day centre provides an additional Annual Service Review Page 2 of 6 2 8 0 3 2 0 0 9 spacious room. A pleasant and accessible garden also includes a sensory patio area. There are many opportunities for social activities available inside and outside the home. Two specially adapted wheelchair buses are available to transport service users. Copies of the Statement of Purpose and Service User Guide can be obtained from the office. Fees for the home are available upon application. 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 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. (DataSet). 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. What other people have told us about the service. What has this told us about the service? At the last inspection in 2009 the home was rated as an excellent service. We received the annual quality assurance assessment (AQAA) in January 2010. This provided considerable information about the service and how they had improved since the last inspection. The AQAA said that the home specialises in care for people with nursing needs, young adults with complex needs and has a bed for palliative care. It stated,The residents work as a community and support each other. They inform us what they want or changes that they would like. Staff pay rises were based on direct feedback from people living in the home who are also involved in recruitment and selection and the induction of new staff. People have the opportunity to attend regular house meetings and take part in an annual quality assurance survey. Their views shape any changes to the home or the service. The AQAA provided examples of good practice which were illustrated with quotations from people living in the home. An away day for staff focused on dignity in care. The AQAA said that people are treated with dignity and respect and facilitated to be as independent as possible. Improvements over the past year included providing profiling beds and safes for all rooms, upgrading the sluice room and providing a clinical room as well as providing sliding sheets and hoists. A person centred approach to care planning is in place which involves assessment, monitoring and review of peoples care plans to reflect any changes in their needs. People continue to have access to a day centre on site which is also used by people from the local community. They have access to a range of activities reflecting their hobbies and interests. They are supported to go out for weekly outings to places such as West Midland Safari Park or Toddington Steam Train. The home has retained the Investors in People Award for the past 15 years. There are a number of audits in place Annual Service Review Page 4 of 6 monitoring the standards within the home which feed into the annual quality assurance system. The AQAA said, we have a stable staff and management team with a wealth of experience who are proud to be part of the Lawns and enthusiastic about their contribution to the clients. We did not request any surveys for this report. The home was conducting its own survey of people and other interested parties as part of their process to collate information to support the registration of the home under the Health and Social Care Act. As part of the last inspection comments received from surveys said, they provide expert care to people with complex nursing needs, combined with love and dignity, and the staff are always so friendly and welcoming, and we enjoy visiting the home. The AQAA stated that people were aware of the complaints procedure. In response to complaints a new weekend cook had been appointed. The home had received 4 complaints. We (CQC) had not received any expressions of concern or complaints. The home has sent us some notifications about incidents affecting the wellbeing of people living at the home in accordance with our requirements. People are safeguarded from possible harm through training for staff in the protection of adults and the mental capacity act and robust recruitment and selection procedures. The DataSet indicated that 57 per cent of staff had a NVQ Award in Health and Social Care. Five staff had completed an induction this year which was equivalent to the Skills for Care Common Induction Standards. What are we going to do as a result of this annual service review? We think the quality of this service has remained the same. Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 28th March 2012. We can however inspect the home at any time if we have concerns about the quality of the service or the safety of people living at the home. 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: 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Annual Service Review Page 6 of 6 - 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. 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