This inspection was carried out on 12th November 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 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.
Annual service review
Name of Service: Falstone Manor Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service 0 9 1 0 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: Irene Bowater Date of this annual service review: 0 8 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Cliffe Park Whitburn Road Roker Sunderland SR6 9NQ 01915496699 01915497799 Telephone number: Fax number: Email address: Provider web address:
www.southerncrosshealthcare.co.uk Apta Healthcare (UK) Ltd Name of registered provider(s): 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 17 36 0 The maximum number of service users who can be accommodated is: 53 The registered person may provide the following category of service only: Care home with nursing - Code 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 category - Code OP, maximum number of places: 36 Physical disability - Code PD, maximum number of places: 17 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 Falstone Manor provides nursing care for up to thirty-six older persons on the first and second floor of the building and provides a unit on the ground floor for up to seventeen younger adults with a physical disability. Falstone Manor Care Home is a purpose built three-storey building situated near to the sea front at Roker, enjoying panoramic views
Annual Service Review Page 2 of 6 0 9 1 0 2 0 0 8 across the coastline. It is part of a complex,which also includes Falstone Court. The two services share car parking space to the front and rear of the building, kitchen and laundry facilities. The home is within short walking distance of the sea front, local seaside amusements and shops. It is accessible by local transport services and is within easy reach of Sunderland City centre. Fee rates vary from 402 pounds for general social care,505.80 pounds for general nursing, 442 pounds for YPD non nursing and 545.80 pounds for YPD nursing. Detailed information about the service is available in the Statement of Purpose and Service User 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? 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 gives 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 and safeguarding issues. 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 twelve 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(AQQA) although there was some delay due to CQC processing system.However the registered manager made sure that the AQQA was e-mailed following a request from the Inspector. It was clear and gave us the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service and that they know what further improvements they want to make. This service has two separate units caring for younger and older people, some with complex needs.Both units are spacious,well equipped and appropriately staffed. Prior to admission to the home,you told us that robust assessments take place,and that all relevant parties are involved to ensure that prospective service users needs can be met. The information provided informs us that the service has procedures in place to safeguard and protect service users,these include: robust recruitment practices, staff training and development with over 90 of care staff having a National Vocational Qualification,and that detailed health and safety procedures are in place. Clear procedures for dealing with complaints and protection are in place and the service continues to work with all professionals to make sure people are protected.The manager has an open door policy and holds a monthly surgery where those using the service or their representatives can come and discuss any issue they may have. Annual Service Review Page 4 of 6 You told us that care plans are comprehensive and are regularly reviewed and updated. Medication is given as prescribed and audits show no discrepancies. There have been improvements in the choices of meals and the Nutmeg system makes sure peoples nutritional status is met. The environment continues to be improved so that people can maintain their independence and make sure they have a stimulating place to live. The home has their own mini bus so that people can go out and about to various places and there is a vast range of activities which people can join in with should they wish to do so.This includes a workshop,themed pub lounge and computer equipment. There are regular checks with records kept to show how the quality of the service is maintained and developed. 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 excellent 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 5 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 5 of 6 Reader Information
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