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Inspection on 21/09/09 for Cranford Nursing Home

Also see our care home review for Cranford Nursing Home for more information

This inspection was carried out on 21st September 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: Cranford Nursing 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: Michelle Oliver Date of this annual service review: 2 1 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 15 Cranford Avenue Exmouth Devon EX8 2HS 01395263295 01395267273 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: Baystone Limited Number of places (if applicable): Under 65 Over 65 0 26 The maximum number of service users who can be accommodated is 26. The registered person may provide the following category of service only: Care home with nursing- Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category- Code 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 Cranford Nursing Home is a detached 1920s building in a quiet residential part of the East Devon town of Exmouth. It provides residential accommodation to 26 older people who require nursing care. It is situated in attractive gardens. Accommodation is provided on two levels, and has a passenger lift and large staircase. Accommodation is provided in 24 single and 1 double room. 22 single rooms have en suite facilities. The home has a large, welcoming reception hall where seating is provided. Baystone Ltd. owns the Home and the responsible individuals are involved in its day-to-day Annual Service Review Page 2 of 7 management. The homes statement of purpose and service user guide is available at the home, which includes details about the philosophy of the home, a statement of terms and conditions and details about living at the home. This is made available to all potential residents before they make a decision about living at the home. A copy of the most recent inspection report is available on request. Information received from the home indicates that the current fees are £730 to £850 weekly depending on individual needs. Services not included in this fee include hairdressing, chiropody and personal shopping, laundering of delicate clothing or dry cleaning, televisions, visitors meals and transport at 25p per mile. 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 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. 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 what further improvements they need to make. People living in the home, and family representatives, tell us that they are happy there. We received comments from 9 people living in the home. All continue to be very satisfied with the quality of the care provided. Six responses confirmed that people had been provided with enough information to enable them to make an informed choice about making Cranford their home, three responses stated that they didnt know whether they had been provided with enough information. All those who responded confirmed that the home was always fresh and clean. Six people told us they always liked the meals served at the home, 1 usually and 2 sometimes liked the meals and all but 1 person stated the home always provided activities they could take part in; 1 person stated they didnt know whether activities Annual Service Review Page 4 of 7 were provided. Comments in surveys included: When a person first arrives everyone introduces themselves and makes them very comfortable, another good cooking, lovely gardens, very clean and have nice friendly staff and I cant think of anything it doesnt do well. In response to what could the home do better 8 people commented nothing and one possibly needs more equipment. The manager provided the Commission with information about the service prior to this report being completed. We were told that since the inspection the service continually make minor changes on a day to day basis to reflect individual needs at the time and people living at the home have not expressed a collective desire for any specific change, but any such change suggested would be discussed widely, with the recognition that the Cranford is their home. The service continues to strive to avoid the danger of becoming institutionalised and is open to suggestion and change at all times. We also sent surveys to 5 staff at the home and received responses from all. All who responded confirmed they had had checks, which included references and police checks, undertaken by the providers before they were employed at the Cranford. They also confirmed they are given information and relevant training to be able to meet the health and social care needs of people living at the home. Comments in surveys returned from staff, in response to what does the home do well, included: Care, another having come to the Cranford from another Nursing Home I feel the standard of care is fantastic, all the staff go that extra step to ensure our residents are happy and comfortable. The activities here are very good and all residents seem to enjoy them and everyone works well together, good team work. No complaints have been made to the Commission since the last inspection. The service tells us they have had one complaint in the last year, which was investigated and upheld and appropriate action taken. The service has a clear complaints procedure which complies with requirements and a copy is displayed on the main notice board in the entrance to the Cranford to inform visitors how they can make a complaint. The service operates an open management culture to ensure that everyone who lives, works or visits the Cranford feels confident that any issues they may have will be taken seriously and dealt with. We sent surveys to 5 health care professionals and received responses from 2. In response to what does the home do well comments included: Personal service, individualised care, very good with palliative care needs, excellent Annual Service Review Page 5 of 7 liaison with palliative care services, treat patients respectfully and support family. The service has an holistic approach and I find their team professional and caring. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. 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 23rd October 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). 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