Inspection on 10/12/09 for Mamsey House Nursing Home
Also see our care home review for Mamsey House Nursing Home for more information
This inspection was carried out on 10th 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 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: Mamsey House Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service 1 5 1 0 2 0 0 8 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: Shelagh Laver Date of this annual service review: 1 4 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Priest Street Williton Somerset TA4 4NJ 01984633712 01984632281 mamseyhouse@hotmail.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Clinida Care Ltd Number of places (if applicable): Under 65 Over 65 0 33 The maximum number of service users who can be accommodated is 33 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code 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 Mamsey House Care Home is a converted vicarage with an additional purpose built extension. The home is registered to provide general nursing care and personal care to older people. Accommodation is arranged over two floors of the original building and on one floor in the extension. The extension was registered in 1998. All rooms are for single occupancy and vary in size. All rooms except one have en suite facilities; this room has a wash-hand basin only but is adjacent to a disabled toilet facility. Communal areas comprise of two dining areas and a lounge and activities area. The
Annual Service Review Page 2 of 6 1 5 1 0 2 0 0 8 lounge has been extended to provide an open conservatory area with views of the countryside. The home has been adapted to meet the needs of residents who require nursing and personal care. There is independent wheelchair access to the main entrance and level access to some of the grounds. There is a ramp leading from the lounge to the patio where residents can enjoy the well-maintained gardens in finer weather. There is a fishpond, garden seating gazebo and raised flowerbeds. The home is set close to a main road a few hundred yards from the village of Williton and the local shops. The home has dedicated administration staff and a nurse Manager. There is a Registered Nurse on duty 24 hour a day. 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. We reviewed 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. We looked at any information we have about how the service has managed any complaints. We looked at what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We revisited the previous key inspection and the results of any other visits that we have made to the service in the last 12 months. We sent surveys to the home to be completed by staff who work in the home and people who lived there. We noted that it was good practise that an Age Concern advocate assisted some people to complete their forms. What has this told us about the service? The AQAA was received on time and was completed in detail giving us a clear up-date. It contained plenty of information about equal opportunities practise within the home. We were able to see that the home is not complacent about their high standards but continue to develop both clinical and social practise. People continue to benefit from the weekly General Practitioner clinic held at the home and are able to make choices about their own GP. Nurses at the home are preparing for accreditation of the Gold Standard which is a system of ensuring good care for people at the end of their lives. The home is preparing to participate in a trial of a computerised drugs system. Care staff are beginning to use a new system of training (e-learning). The AQAA records developments to the social and entertainment aspects of the home. The crafts organiser is now a trained Creative Activities Therapist. There has been the creation of a new role Morning Activities Person. The AQAA states It was identified that due to the workload of care staff in the mornings, some residents social needs were not being met. The responsibility of this person is to ensure that both group and individual activities provide social stimulation for those residents who would like to take part. This is in addition to our normal staffing levels. The manager confirms that the home maintains high occupancy, level of compliments Annual Service Review Page 4 of 6 and retention of staff. At the time of writing this ASR we have received 10 comment cards from staff who work at the home. Staff confirmed that they always received up to date information about the needs of the people they support or cared for. They said they received enough support from their manager and knew what to do if there were concerns about the home. There were some very positive individual comments. We try and give the best care. We like to make it friendly. I enjoy working here, it is a great place to be. Staff thought it was important that people who live in Mamsey House had a place to call home. Mamsey house treats every resident as an individual. When asked how the home could be improved one member of staff had written We are always thinking of ways to improve the home or make our clients more happy and entertained. There was a request for up-dated hoists and scales. We have so far received 14 surveys from people who live in the home. The responses were very positive. People received the care and support they needed. Staff are available when needed and listen to people. Medical care, activities and meals also score highly. People were unanimous in saying they could speak to someone if they were not happy. Individual comments were I am pleased I came here I am very content. When a concern was raised about the home the manager responded promptly and cooperated fully with other agencies to ensure the matter was swiftly resolved. We receive regular notifications and the home contacts us promptly if there are any concerns. What are we going to do as a result of this annual service review? 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. We are not going to change our inspection plan and will do a Key Inspection by October 2011. However we can inspect the service at any time if we have concerns about they quality of the service. Annual Service Review Page 5 of 6 Reader Information
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