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Inspection on 15/10/09 for Cams Ridge Nursing & Residential Care Home

Also see our care home review for Cams Ridge Nursing & Residential Care Home for more information

This inspection was carried out on 15th 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: Cams Ridge Nursing & Residential Care Home 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?   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: Ian Craig Date of this annual service review: 3 0 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 7 Charlemont Drive Cams Hill Fareham Hants PO16 8RT 01329238156 Telephone number: Fax number: Email address: Provider web address:   camsridge@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne Boss Limited Name of registered provider(s): Name of registered manager (if applicable) Mrs Alison Mary Reilly Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 51 51 0 The maximum number of service users to be accommodated is 51 The registered person may provide the following categories of service only: Care home with Nursing(N) 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 catrgory (OP) Physical disability (PD) Have there been any changes in the ownership, management or the Yes 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 A new manager has been appointed. Annual Service Review Page 2 of 7 Cams Ridge is a care home with nursing for service users over the age of 65 years, with a condition that service users can be admitted over the age of 50 years. The Home is also registered to admit persons with physical disability. The home has been extended to provide accommodation for 51 service users. The Home is situated in a quiet residential area close to the local amenities. Potential residents are given a brochure and a Service Users Guide that provide information about the services and facilities provided by the home. 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 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? The service returned the AQAA. It gave us all the information we asked for. Surveys were returned by 9 staff and 14 residents. Each residents survey was completed with the help of a member of staff from the home. It would have been preferable if residents had completed the surveys independently, or with the help of relatives if they are not capable of completing the form, which was the instruction given to the service. This would allow residents, and their relatives or representatives, the opportunity to express their views more freely. 10 residents said that they received enough information about the home to help them decide if it was the right place for them to move into. 2 people said that they did not receive enough information and 2 people said they didnt know. 11 people said that they get the care and support they need. 3 people said that this is only sometimes the case. One person said that his/her privacy when using the toilet could be improved and that his/her wishes are not always followed for personal care routines. Residents confirmed that they get the medical support they need. 12 people said that staff are always or usually available when needed, and 2 people said that staff are sometimes available when needed. 11 people said that staff listen and act on what they say, but 3 people said that this happens only sometimes. Residents say that activities are provided which they can take part in. The home has an activities co ordinator and there is a programme of activities. There are opportunities for staff to have one to one sessions with residents for stimulation according to the AQAA, although several staff surveys said that there could be more staff so that time can be spent with the residents. Entertainment is provided by musicians and dancers. 10 residents said that they like the like the meals at the home and 4 people said they sometimes like the meals. One person said that the food should be softer so that it Annual Service Review Page 4 of 7 can be swallowed more easily and another person said, The variety and standard of food could better. The AQAA states that the home carries out a nutritional assessment when someone is admitted to the home and that residents are consulted about their food preferences. Staff confirmed that they are given up to date information about care needs. The AQAA states that since the last inspection staff have been given training in working with dementia needs. Surveys show that there is someone who residents can speak to informally if they are not happy. 9 people said that they know how to make a formal complaint, but 5 people said that they do not know how to do this, indicating that should be an improvement in making residents aware of the procedure. The AQAA states that the home has received 8 complaints in the last 12 months, that 75 per cent of these were resolved in 28 days and that each complaint was upheld. The AQAA states that the home records complaints and how they are investigated. The AQAA states that 90 per cent of staff have received training in safeguarding vulnerable people from possible harm and that the home has copies of the local authority procedures on safeguarding. The AQAA states that residents with mobility needs and wheelchair users can access the garden via specially constructed paths. There is a redecoration plan and the home has staff for maintaining the environment. Staff have received training in infection control. The home was inspected by the Environmental Health Services on 12 February 2009 and the AQAA confirms that the home has acted on the matters raised. Staff confirmed in surveys that they received an induction, which prepared them for their work. Staff also say that they receive relevant training, although one person that training does not give enough information about health care and medication. 60 per cent of the staff have, or are studying, National Vocational Qualification level 2 or 3. Four staff said that they only sometimes meet with their manager for support and to discuss work at the home. The remaining surveys said that these meetings take place regularly. Staff said in surveys that they work as a team and that the home has a friendly and happy atmosphere. Only 2 of the 9 staff surveys said that there are enough staff to meet residents needs. One person said there are never enough and 6 sometimes enough staff. Staff also said that they feel under pressure because of the staffing levels and that the home has to use agency staff. The AQAA states that there are 2 Registered General Nurses on duty from 7am to 7.45pm each day, plus 8 care staff 7am to 1.30pm and 5 care staff 1.30pm to 7.30pm. There are additional staff hours such as the activities co ordinator, the registered manager and ancillary and catering staff. These staff hours are the same as evidenced at the last key inspection. The registered manager holds the Registered Managers Award qualification and has completed other courses in complimentary therapies. Annual Service Review Page 5 of 7 The AQAA states that a number of audit tools are used so that the home can monitor its own performance including surveys for residents, relatives and health and social care professionals. 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 19/10/2010. 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 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!