Annual service review
Name of Service: Hartshead Manor 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: Karen Summers Date of this annual service review: 1 4 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 817 Halifax Road Hartshead Moor Cleckheaton West Yorkshire BD19 6LP 01274869807 01274852426 hartsheadmanor@rochehealthcare.com 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 physical disability terminally ill Conditions of registration: Roche Healthcare Limited Number of places (if applicable): Under 65 Over 65 0 5 5 55 0 0 Can provide accommodation and care for two named service users under 65 years From time to time the home is able to admit service users between the ages of 60 and 65 years, to a maximum of five in the home at any one time. 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 Hartshead Manor provides care and nursing for up to 55 elderly people of either gender. It was converted into a nursing home in 1989. It has many of the original features and it was formerly the manor house to Hartshead Moor, the original building dating back to Georgian times. There are gardens with open lawns that provide a level area of some 3 acres, easily accessible by foot or by wheelchair. The orchard and
Annual Service Review Page 2 of 6 walled area have been preserved to provide shade in the summer from the sun and a sitting area when weather permits. The home is near to the major cities and towns of Leeds, Bradford, Halifax and Huddersfield, however it is set in a rural village offering all essential amenities. There are adequate parking facilities within the grounds and public transport is accessible, with bus stops located within five minutes walking distance from the home. Information about the home and the services provided are available from the home 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? The quality rating for this care service is: Level 3 Good. The rating was made on: 23rd October 2007 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. 7 surveys (out of 25 sent out) returned to us by people using the service and from other people with an interest in the service. What the service has told us about things that have happened in the service. The previous key inspection. Relevant information from other organisations. As well as the above we completed a risk assessment of the service to ensure we had enough information about the service to determine the quality rating has not changed in the past 12 months What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA). It was clear and gave us all the information we asked for. Our judgement is that the home is still providing a good service and that they know what further improvements they need to make. We received comments from three surveys from people living in the home, and they tell us that they receive the care and support that they need, and that staff are available when they need them. All three people said that they usually liked the meals at the home and that they were offered variety and choice. And everyone said that the activities the home arranges they can take part in if they want. When asked what the home does well people made the comments Creates a loving, family atmosphere. I feel loved and cared for at Harshead. Lots of social activities with lots of diversity. Welcomes my family and keeps them informed about me. Everyone always addresses me by name. Another person said, Approachable, cheerful staff who are always ready to help in any way they can. The nursing care and cleanliness in the home are excellent. When asked what the home could do better, one person said, I cant think of anything. Annual Service Review Page 4 of 6 Always ensure staffing levels, - everyone works very hard. As a result of listening to people the service now have monthly resident committee meetings, where ideas for improvements are made and acted upon. E.g. the cook has added requested meals to the new 4 week menu i.e. Lasagne, Pasta Bake, Corned beef hash, prawn cocktail. A bird table was moved in the garden so more people could see it from their windows. We received one survey from a member of staff. They said that they receive support from the manager and that she met with them often to discuss how they are working. When asked what does the home do well, this person said, We provide good care for a variety of people. We have good friendly staff. When asked what the home could do better, the person said, Provide more activities. Three surveys were received from health care professionals (social workers, community nurses and doctors). Comments about what the service do well include, Good pre admission information, and visits to the service are encouraged prior to people making a decision to move into the home. Another person said that the staff attends to peoples needs, and a third person said that the care they had witnessed could only be described as excellent, and they also said that responses from the people who live at the home confirmed this. The service has received eleven complaints in the last year. Ten of which were resolved within 28 days. The information received from the service states that the ethos of the home is such that it views complaints as an opportunity to improve. People using the service said that there was someone who they could speak to informally if they were not happy and that they knew how to make a formal complaint. The home referred three incidents themselves to the local authority as safeguarding alerts, one of which was investigated, and the home worked with the different professionals in making changes to prevent it from happening again. 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 have also 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? It is our statutory responsibility to inspect all care service at least once every 3 years. The completion of the Risk assessment and Annual Service Review has not changed our view of the quality rating of this service therefore we are not planning to inspect this service before 22nd 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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