Annual service review
Name of Service: Cambrian House The quality rating for this care home is: The rating was made on: two star good service 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?
Yes 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: Emily White Date of this annual service review: 0 1 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 294 Chester Road North Kidderminster Worcestershire DY10 2RR 01562825537 01562825537 Telephone number: Fax number: Email address: Provider web address:
None Kidderminster Care Ltd Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 25 0 25 0 25 0 The maximum number of service users to be accommodated is: 25. The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 25, Old age, not falling within any other category (OP) 25, Physical disability (PD) 25 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 Cambrian House is a care home providing personal care and accommodation for up to twenty-five older people of either sex, who may have a physical disability or a mental health need associated with old age. It is located in a residential area on a main road about a mile and a half from Kidderminster town centre. The home is a large threestorey house, which has been adapted and extended for its current purpose.
Annual Service Review Page 2 of 6 Accommodation for the residents is provided on the ground and first floor. On the first floor there are seven single bedrooms, six of which are en-suite and there are eighteen single bedrooms on the ground floor, seventeen of which are en-suite. There are communal bathrooms fitted with Parker baths and one conventional bathroom, and there are separate communal toilets provided in addition to those ensuite. Communal lounges, a coffee shop and dining areas are also provided. Access to both floors is provided by a shaft lift and handrails are appropriately placed through the home. There is parking at the front and side of the house and at the rear there is a good-sized level enclosed garden with seating and tables. On 08/07/2008 the scale of charges for the home as quoted from their guide is #400 per week. The CSCI inspection report is also available within the guide. 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? Date quality rating was made 8th July 2008 Date by which we will do a key inspection 8th July 2011 Date of last key inspection 8th July 2008 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. 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 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? We received the AQAA when we asked for it. The AQAA tells us that the service is improving in some areas, for example: The home is setting up a picture version of the service guide and welcome pack which will be put in all bedrooms. The service completes audits to make sure that all assessments are carried out in detail before people move to the home, and medications are administered appropriately. People have residents meetings where they can give feedback about the service. There are regular activities, a newsletter and a coffee morning. The service is trying to improve how it responds to complaints so that people feel listened to. A high number of the staff have NVQ qualifications. We sent out 30 surveys to people using the service, their relatives and advocates, staff and health professionals. We received four surveys from people who use the service which tell us that: People using the service feel they are getting the support they need. There are usually enough staff available when they are needed. People like the meals and there are activities available. People know who to speak to if they are not happy. Comments from people who sent in surveys include: Everything is taken care of in a very nice and kind way. The home looks after me. I am satisfied with life at the home. We also received a survey from a member of staff which tells us that staff have been recruited safely but feel they are not getting relevant training which keeps them up to Annual Service Review Page 4 of 6 date. Since May 2009 we have received four complaints about the service and one concern which led to a referral to Worcester social services safeguarding team. The complaints which we referred to the service provider have been responded to in a timely way, however did not provide a detailed investigation of each complaint. We have not received any notifications from the service since February 2009. Concerns include: A high turnover of staff, a shortage of senior staff, and new staff that are inexperienced. Staff have little time to motivate or stimulate people using the service, particularly people who stay in their rooms upstairs. There has been a decline in the quality and choice of meals. Cleanliness and control of infection has deteriorated. Medications and moving and handling practices are not safe. The registered manager has been away from work for a large part of this year and during this time it has not always been clear who is in charge. The last key inspection was in July 2008. A number of recommendations were made in relation to reviewing staff levels, supporting people who who use the service who are at risk from isolation, and support for the registered manager. Because of the concerns raised about the home since May 2009 we have concerns about how the home is being managed and how this is affecting people living at Cambrian House. What are we going to do as a result of this annual service review? We will do a random inspection by 28th November 2009 to look at the issues raised in this review. This inspection could mean that we will bring our next key inspection forward. 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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