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Inspection on 05/06/09 for Huntington House Nursing Home

Also see our care home review for Huntington House Nursing Home for more information

This inspection was carried out on 5th June 2009.

CQC found this care home to be providing an Excellent service.

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: Huntington House Nursing Home The quality rating for this care home is: The rating was made on: three star excellent 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: Mavis Clahar Date of this annual service review: 0 5 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Huntington House Drive Hindhead Surrey GU26 6BG 01428604600 01428606825 manager@huntingtonhouse.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Katarina Parr Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Huntington House Limited Number of places (if applicable): Under 65 Over 65 0 41 The maximum number of service users to be acommodated is 41 The registered person may provide the following category of service Care home with Nursing (N) to service users of the following gender: Either whose primary care needs on admission ot the service are within the following category : Old age, not falling within any other category (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 Huntington House is registered to provide nursing care for up to 41 service users. The service is near Hindhead and is set in 30 acres of well-tended grounds, which provides a peaceful setting. Nursing care is mainly offered in single bedrooms. There are a total of 33 single bedrooms, 26 of which have en-suite facilities and 4 double bedrooms, Annual Service Review Page 2 of 7 three of which have en-suite facilities. At present one double bedroom is utilised as a single occupancy. There is suitable equipment to provide for the nursing care and safe lifting and handling of service users. The space provided throughout the service is satisfactory. Ample parking is available to the front of service, close to the reception. The service is privately owned and run by Mr and Mrs Hoare the principals.Both principals are closely involved with the day to day operation of 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? The last Key inspection for this service was carried out on 13/06/ when a rating of 3 Stars was awarded. The last Annual Service Review (ASR) was carried out on 23/06/2008. The date of this ASR is 13/06/2009. The next Key Inspection for this service is due June 2010. We looked at all the information that we have received 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. Surveys No surveys were returned to CQC at the time of this review. 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 notificationsand are a legal requirement. The previous key inspection, the previous ASR 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 AQAA informs the home invites all residents and relatives to participate in a comprehensive satisfaction survey. Their last survey was done in July 2008 and they have shared the results with staff, residents and relatives. They also consult with residents on a bi-monthly basis through the residents meetings. There is a pre planned agenda which always invites residents to raise and evaluate issues. Similar meetings are held with staff within a few days following the residents meeting to enable staff and residents to work together on current issues. All views are included in planning any actions required. Should staff team have concerns they will request additional meetings or discussion sessions with the manager. The home facilitates these sessions regularly for nurses as part of their clinical supervision as well as for kitchen staff in order to accommodate the individual needs of new residents. All potential residents to the home have a pre-admission assessment carried out by the manager in the residents environment whenever possible. On some occasions the prospective resident might prefer to visit the Care Home. The AQAA informs the home has a new pre-admission process , which is comprehensive and contains a comprehensive account of all baseline information needed to offer excellent care. Following the assessment, potential residents are informed whether or not the home can meet their needs and are issued with pre-admission questionnaires and guides that ask for their contribution in terms of advising the home of their likes and dislikes, care choices, advocacy requirements and further health care arrangements. Residents or their families complete this questionnaire following the prospective service users assessment and bring it along with them on the day of their admission. On the day of admission there will be a signed contract in place and all residents will receive a 4 week trial period. The care home has a named nurse and key worker system in place. Annual Service Review Page 4 of 7 When a service user is admitted into the care home, these members of staff are primarily responsible for assisting the new resident in the settling in period. The home assure all residents that they employ competent staff to meet their care needs identified during pre-admission process. If there is a resident who requires specific equipment or clinical intervention other than available at Huntington House, their admission would go ahead only when that piece of equipment is obtained and suitable clinical skills acquired by staff. The AQAA informs the homes new assessment and care plan tool is very comprehensive and created with assistance of the Alzheimers Society, NICE guidelines 2006, Regulation of Older People and National Minimum standards for older people and National Service Framework for older people. Using these tools we are able to methodically and systematically identify generic and specific risks and needs of our residents. The Gold Standard Framework enables us to manage residents and relatives long term goals and expectations so we are always prepared, know residents care choices and review any change in their condition pro actively. They always do this in collaboration with residents and relatives where possible. The review systems enables them to liaise with the most appropriate people in delivering care to an individual. All residents receive timely personal care of standard acceptable to them. The AQAA informs the home ensures all care staff receives training and regular updates from a variety of sources in the prevention and management of pressure sores. The care home is fully equipped to care for service users who are at a high risk of developing sores. They promote privacy and dignity at all times. The team are very aware of how important these values are. They treat all service users and their relatives and friends with respect and compassion. They produce comprehensive care plans for each service user. The home informs they are methodical and competent in all areas of medication handling and enabling the residents to self medicate for as long as they are able to do so and adhering to safe ordering, handling, administration, storage and disposal of medication.. Nurses manage and record all clinical issues. This includes wounds, skin problems, pain control, nutrition, swallowing difficulties, depression, anxiety, continence, falls and mobility. The AQAA informs as a generic system they have a GP contracted to visit the home on a weekly basis and in emergency they use Thames doc out of hours. In the pre admission questionnaire residents can choose to receive chiropody, dentistry, hairdressing, manicures and massages. The home liaise closely with eye clinics and arrange a fast service for their residents with the eye clinic at the Royal Surrey Hospital and hearing specialist based in Cobham. All nursing residents are referred for nursing assessment. The AQAA informs the home received three complaints within the last year and they were all satisfactorily resolved. They also informed us they enable service users to exercise their rights in every way promoting respect, dignity and choice. Residents are constantly reminded of how to go about raising concerns and suggestions and all complaints made are responded to within one week although they have published that the response will be made within a maximum of 28 days. They have demonstrated that they have kept their staff and their records of training up to date with policies and issues relating to safeguarding adults. The manager has demonstrated that she has kept herself updated both in management issues and issues relating to clinical care and governance. They have maintained and improved their premises, ensuring they continue to offer excellent outcomes for residents living at the home. Annual Service Review Page 5 of 7 The home continues to let us know about things that have happened since our last key inspection. They work well with us and have shown us that their service continues to provide excellent outcomes for the people who use it. The Care Quality Commission (formerly Commission for Social Care Inspection) has not received any complaints or allegations in regard to this home. What are we going to do as a result of this annual service review? We will continue with our inspection plan and the service will receive a key inspection as planned during 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, or if the new commission CQC decide to change the order of inspection. 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. 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