Inspection on 03/06/09 for Mabbs Hall Nursing Home
Also see our care home review for Mabbs Hall Nursing Home for more information
This inspection was carried out on 3rd June 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 Excellent.
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: Mabbs Hall 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: Ann Wiseman Date of this annual service review: 0 4 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: High Street Mildenhall Suffolk IP28 7EQ 01638712222 01638712155 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 MNS Care PLC Number of places (if applicable): Under 65 Over 65 29 0 0 29 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The manager, who was already in position when the last ASR was carried out, has successfully undertaken our registration process. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Mabbs Hall is situated in the centre of Mildenhall with easy access to the local shops and other facilities. The service offers accommodation to twenty-nine older people some of whom may have nursing needs or dementia. There are twenty-five single rooms and two double rooms over two floors that are connected by a passenger lift. All the rooms have en suite toilet and washbasin facilities. On the ground floor there is a large lounge and a dining room. There is also a smaller lounge, which looks over the gardens and has level access to the outside. There is car parking available in the front of the building. Each of the people living at the home has a contract of terms and conditions; which
Annual Service Review Page 2 of 6 reflect the fees and how much they are expected to pay per month. Fees range from £387 plus the Registered Nursing Care Contribution (RNCC) rate up to £650 per week, depending on peoples assessed needs and choice of room. These charges do not cover additional services such as the hairdresser, chiropodist and personal items such as toiletries, daily newspapers and personal transport. 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? Mabbs Hall was made a three star, excellent service during its last key inspection on 11th June 2007 and has already had an ASR previous to this one on 18th July 2008. 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. 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. Talking to the manager. The previous key inspection and the results of any other visits that we may 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 home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was very clear and gave us all the information we asked for in a detailed and thoughtful manner. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service and that they know what further improvements they need to make. We spoke to the manager on the phone and she told us what had been happening at the home since we last visited. She explained that she is giving training to staff individually during supervision on diversity and equality, while she told us what the training entailed it became obvious that she had a very good understanding of the subject. She also confirmed that all the requirements made during the last key inspection had been complied with. One of the requirements asked the home to consider ways they could gather peoples wishes and expectations about how they would like to be cared for at the end of their lives. The manager has put a lot of thought and planning into Annual Service Review Page 4 of 6 what steps she can take to collect this information in a sensitive way. She talked about allowing people to be in control of what happens to them. Staff have received training in understanding what happens when people die and offering palliative care. We have not had any complaints made directly to us regarding this home since the last review and the manager told us about how she has handled a recent complaint made by a relative. It was handled in line with the services complaints policy and procedures and the person who made the complaint was happy with the outcome. 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 excellent 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 11th June 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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