This inspection was carried out on 11th December 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.
Annual service review
Name of Service: James Hince Court 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: Linda Hirst Date of this annual service review: 0 6 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Windsor Gardens Carlton-in-Lindrick Worksop Nottinghamshire S81 9BL 01909733821 01909735920 julie.bromilow@nottscc.gov.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Nottinghamshire County Council Number of places (if applicable): Under 65 Over 65 35 0 5 35 10 0 10 OP to include up to 5 PD 55 years and over to be accommodated in Thoresby. 35 DE - 55 years and over (to include 35 DE(E) to be accommodated in either Rufford, Carburton, Clumber or Welbeck. The total number of residents must not exceed 45 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 James Hince Court is a purpose-built, single storey care home, providing personal care and accommodation for 45 residents. It is owned and operated by Nottinghamshire County Council Social Services. The home was opened in 1986 and is located in the middle of a housing estate in the village of Carlton in Lindrick, 3 miles north of
Annual Service Review Page 2 of 6 Worksop. A day centre is attached to the home and is jointly used by social services and the local health authority as a specialist dementia assessment unit. The home is separated into five units each with its own kitchenette, dining and sitting areas, bathroom and toilet facilities. One of the units is designated to provide respite care. The home is surrounded by gardens, which are fully enclosed by fencing and provide a safe area for people to wander freely. The weekly accommodation charges for those residents who are self funding would be #377.00. A copy of the most recent inspection report is available in 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? 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 service 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 service is still providing good care and that they know what further improvements they need to make. We noticed however that the electrical circuit testing is overdue and that some policies and procedures have not been reviewed and updated for a significant amount of time. People who use the service always tell us that they are happy with it. They are particularly pleased with the quality and reliability of the staff and the care they provide. Comments included, (the service) does everything well, I cant fault it, and (this home does) Everything (well), this home and staff provide excellent care and attention to all its residents. However, 10 of the 11 people who sent surveys to us commented that activities could be improved. 5 out of 9 staff also said they would like more staff to provide better activities and enable them to have more quality time with the people they care for. The manager told us in her AQAA that this is an area they recognise they could and will improve in. Two people told us they did not receive enough information in a format they understand to enable them to make informed choices about moving into the home and two people told us they do not know how to complain. As many of the people who live at the service may have difficulties understanding policies, the manager and staff should consider different ways of helping Annual Service Review Page 4 of 6 people express their concerns. We received comments from 3 relatives, carers or advocates of people who use the service. All continue to be very satisfied with the quality of the care. One comment was, The staff care for the residents with dignity and sensitivity. They are professional, polite and are able to give the specialist care required by people with Dementia. The building is ideal for these residents who hate to be confined. They can wander the length of the home and into the garden and be free but safe. One person raised concerns about the quality of the laundry service however and this should be considered as part of the ongoing quality assurance of the home. We received comments from 9 members of staff, they were all very proud of the service they provide and commented, every residents is very well cared for addressing every need they may have on an individual basis. This could be personal care, health care needs, special diets are always catered for. There is regular care for anyone who requires bed care or bed rest. Every resident is encouraged to be as independent as possible whilst supporting disabilities and encouraging abilities. There have been no concerns, complaints or allegations made to us about the service since our last visit, though the service have dealt with a complaint using their own internal procedures. They continue 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? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. 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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