Inspection on 08/05/09 for Fernleigh Care Home

This inspection was carried out on 8th May 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.

Other inspections for this house

Fernleigh Care Home 29/05/08

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Annual service review Name of Service: Fernleigh 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?   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: Keith Charlton Date of this annual service review: 0 8 0 5 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 37 Tamworth Road Ashby De La Zouch Leicestershire LE65 2PW 01530414755 Telephone number: Fax number: Email address: Provider web address:   avvsim.care@gmail.com Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Avvsim Care Ltd Number of places (if applicable): Under 65 Over 65 27 27 0 5 27 27 27 5 The maximum number of service users who can be accommodated is: 27. 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 with the following categories: Old People, not falling within any other category - Code OP Dementia - Code DE and DE(E) Mental Disorder, excluding learning disability or dementia - Code MD and MD(E) Physical Disability - Code PD and Code PD(E). 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 Annual Service Review Page 2 of 6 Fernleigh Care Home is situated in the west of the county of Leicestershire, and is close to the local shops and parks of Ashby de la Zouch. The home provides accommodation for older people either with or without a physical disability and/or a mental disorder. Part of the home is a converted older property, with the addition of a new extension. This has resulted in some of the rooms having en-suite facilities. The majority of the bedrooms are single, with four shared rooms also available, many of the bedrooms having views of the garden. There is a choice of lounges where individuals can relax, a dining room and many of the bedrooms have views of the garden. The mature gardens contain a range of mature trees and shrubs that fits in well with the rest of the residential properties in the area. The Statement of Purpose sets out the aims and objectives of the home, which includes the Service Users Guide. This information is available on request. A copy of the most recent inspection report is available on request. A copy of the Commission for Social Care Inspection (CSCI) registration certificate and Employers Liability of insurance certificate is displayed in the entrance to the home. 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? The home was registered with the Commission for Social Care Inspection in 2007. It is a medium size residential home which is owned by Avvsim Care and managed by Elaine Sparks. The home was last inspected on 29/5/2008 where the home was found to provide good outcomes for residents. No regulatory action has been taken against the provider to indicate that the provider is unfit to manage a care home. The registered provider has complied with the responsibilities of a registered provider within this service. We looked at all the information that we have received or asked for since the last key inspection. 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 sent out to residents and staff: Recent surveys received from residents stated that residents were satisfied with the home in general, that staff were friendly, care was good, rooms are clean, tidy and comfortable and there was a good choice of meals. Staff in the surveys returned said that good staff support was in place and that there was a good caring team of staff to assist residents with the only suggestions being to provide better seating outside with a shelter for smokers and improve the decor of the home, which management said that this was going to happen. Information we have about how the service has managed any complaints: There have been two complaints made to the Commission for Social Care Inspection since the last inspection. Relevant information has been received from another organisation which involved a concern following an accident to a resident. This was investigated by the local Adult Care Department and not found to be an issue. There is also a current issue regarding residents care which is being investigated by Adult Care and a Meeting i held to discuss issues arising. What the service has told us about things that have happened in the service: These are called notifications and are a legal requirement. There have been notifications regarding relevant issues sent to the Care Quality Commission which were seen to be properly dealt with by the management of the service. The previous key inspection. There were two Requirements made in this Report, which involved medication management. No other visits have been made to the service in the last 12 months. What has this told us about the service? The Registered Manager sent us the annual quality assurance assessment (AQAA). The AQAA gave us information on the information we asked for including information as to Annual Service Review Page 4 of 6 the essential policies and procedures that need to be in place for the proper running of the home. We looked at the information in the AQAA and our judgement is that the home is aware of how to provide a good service and has an awareness of all issues that need to be considered as to the proper running of the home. The Manager has identified a number of improvements that will be made to the service - refurbishment of the home to include fitting radiator covers to fully protect residents from the risk of being burned etc. The Annual Quality Assurance Assessment also confirmed that all policies and procedures have been reviewed. What are we going to do as a result of this annual service review? We will do an additional random inspection as there have been issues raised in this review regarding residents care. 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. 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. 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