Inspection on 26/03/10 for Lymewood Nursing Home

This inspection was carried out on 26th March 2010.

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

Lymewood Nursing Home 04/02/09

Lymewood Nursing Home 06/03/08

Lymewood Nursing Home 25/08/06

Lymewood Nursing Home 09/02/06

Lymewood Nursing Home 05/08/05

Lymewood Nursing Home 10/02/05

Extracts from inspection reports are licensed from CQC, this page was updated on 10/04/2010.

Annual service review Name of Service: Lymewood Nursing Home The quality rating for this care home is: The rating was made on: two star good service 0 4 0 2 2 0 0 9 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: Rachel Fleet Date of this annual service review: 2 5 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: Lymewood Nursing Home Woodhouse Uplyme Lyme Regis Devon DT7 3SQ 01297445444 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Lymewood Care Ltd Number of places (if applicable): Under 65 Over 65 0 0 37 37 You may admit up to five service users with Dementia (DE) aged over 55 years, subject to individual assessment by local care management teams. 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 The home provides accommodation, personal and nursing care for up to 37 older people who have needs related to dementia or a mental disorder. The home may admit up to 5 people with dementia aged over 55 years, subject to individual assessment by local care management teams. Mr Paul Stratton is the Responsible Individual acting for the registered provider, Lymewood Care Ltd. Annual Service Review Page 2 of 6 0 4 0 2 2 0 0 9 In a beautiful rural location about 2 miles from Lyme Regis, access to the home is from the centre of the village of Uplyme. The Woodhouse Road entrance is not used. People who would be at risk if they left the grounds unescorted can be given a device that alerts staff if they go through the gate into the drive from the main road. They can thus walk freely in the homes extensive gardens, with support given if they go further afield.The home has plenty of parking space, and its own transport, used to take people for health appointments, etc. Accommodation is on 3 floors, with stair lifts to all floors, and a passenger lift between some areas. The manager assesses the suitability of bedrooms for prospective residents, considering the rooms location and the persons level of mobility. Some double rooms are available. Several single rooms have ensuite facilities. There are two lounge-diners and a dining room off the entrance hall to the home, a small lounge in the newer extension, and a hairdressing room. In certain circumstances, people can bring existing pets with them when they first move into the home. Fees from April 2009 were £550-700 per week, depending on whether people need nursing care or not. The fees did not include newspapers, hairdressing, and chiropody, which were charged at cost price. There was also a charge of £1.50 per week for personal requirements such as toiletries. Our previous inspection reports are available from the home, or our website. 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 (on 4 February 2009). 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 8 people using the service (all of who were helped by relatives to complete the survey), and from 9 relatives of people living at the home. - 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 they are a legal requirement. - The previous key inspection. We have not made any other visits 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 home sent us their annual quality assurance assessment (AQAA) when we asked for it. 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 a good service and that they know what further improvements they need to make. Relatives of people living in the home had helped people complete their survey, or completed it on their behalf, to the best of their knowledge. Responses indicated that people usually or always received the care and support they needed, including medical care, as well as care that was expected or agreed. Two surveys included comments that the person living at the home was always well presented. Staff were said to be usually or always available when they were needed, and they listened and acted on what people said. When asked what the home does well, someone replied that there were some very kind people at the home. Another felt the care was outstanding, and there were wonderful staff. Most felt staff always or usually had the right skills and experience to look after people properly, with one person saying Dont know. Most surveys indicated that there were activities people could take part in if they wanted. One person suggested more activities could be offered, and that there be Annual Service Review Page 4 of 6 facilities for taking people who use a wheelchair on outings. Most people usually or always liked the meals provided. One person commented that their relative had been under nourished and underweight when admitted to the home, but they were now back to normal weight. Two people said catering was something the home did well, although a more varied menu was one suggestion as to what the home could do better. Visitors were made to feel welcome, and one person said there was a good, relaxed atmosphere at the home. Relatives indicated that they felt they were kept up to date and informed about the person living at the home and about the care service. The home was said to be usually or always clean and fresh. The fire authority visited the home in May 2009, and asked them to take certain action to ensure fire safety measures were sufficient. The AQAA indicates that work is ongoing at the home to address this requirement. We have not received any complaints about the service. 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 good 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 4 February 2012. 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 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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