This inspection was carried out on 18th 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.
Annual service review
Name of Service: Lyons Court Care Home The quality rating for this care home is: The rating was made on: two star good service 3 0 0 1 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: Sam Doku Date of this annual service review: 0 9 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Stones End Evenwood Bishop Auckland County Durham DL14 9RE 01388834516 01388832327 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 Conditions of registration: Durham Careline Ltd Number of places (if applicable): Under 65 Over 65 50 0 0 50 The maximum number of service users who can be accommodated is: 50 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 50 Dementia Code DE, maximum number of places 50 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 has just been recently registered and complies with all the necessary agencies such as fire and environmental health. It is well designed and has pleasantly landscaped surroundings. It shares a site with its sister home, Bowes Court. There is ample parking space and
Annual Service Review Page 2 of 6 3 0 0 1 2 0 0 9 views of the surrounding countryside. The home has three floors and all are accessible by lift. The home has very generous communal and circulatory space and it has been designed to enhance the experience of the service users and to make operation easier for the staff. There is a generous amount of storage space in the home. This design and build is an example of good practice. There is a good standard of equipment such as mobile and fixed hoists, and specialist beds. A suitable call system has been installed. The scale of charges is between 454.71 and 507.95 Pounds per week. 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? For this annual service review, we looked at all the information that we have received, or asked for, since the last key inspection. The Annual Quality Assurance Assessment (AQAA) that was sent to us by the Manager of the home contained good information, including identifying areas for improvement to the service. The AQAA is a selfassessment document that focuses on how well outcomes are being met for people using this service. Information we have about how the agency has managed any complaints or safeguarding adults referrals. What the staff told us in the staff questionnaires that were received. What the service users told us in the service user questionnaire. What the home has told us about things that have happened there. These are called notifications, and are a legal requirements. What has this told us about the service? The Manager of the home sent us an annual quality assurance assessment (AQAA) when we asked for it. The AQAA was received in time for this annual service review to take place. We looked at the information in the AQAA and our judgment, based on the information given, is that the home continues to provide good service. The responses from the 4 service users were very positive about the quality of care provided by the home and the support. However, two relatives on behalf of a service user commented on the unsatisfactory standard of care that their mother was receiving at the home. This matter has been referred to the manager to address with the family, and to provide the Commission with the details of the outcome. The Manager knows what further improvements they need to make, and she has identified these in the AQAA. These include: Providing the service user guide in different formats, including CD, DVD and Braille. Improve on the social activities for the residents to include trips to museums, cinema and seaside resorts. Institute a monthly surgery where the manager would be available to relatives if they need to consult with her on any matters relating to the home. Put in place a program of decoration to make sure all part of the home are up to standard. Employ a company trainer to facilitate staff training. What are we going to do as a result of this annual service review? Annual Service Review Page 4 of 6 The details in the AQAA, staff comments tell us that the home continues to provide a good service that is managed by a competent manager and a dedicated team of staff. All health and safety issues are regularly reviewed, including training in this respect. Annual Service Review Page 5 of 6 Reader Information
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