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Inspection on 02/11/09 for Meadowside Residential Home

Also see our care home review for Meadowside Residential Home for more information

This inspection was carried out on 2nd November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Meadowside Residential Home 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: Julie Schofield Date of this annual service review: 2 2 0 9 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 60 Holden Road Finchley London N12 7DY 02084926500 02084926603 admin.meadowside@fremantletrust.org www.fremantletrust.org The Fremantle Trust 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: Number of places (if applicable): Under 65 Over 65 0 0 22 46 The maximum number of service users who can be accommodated is: 68 The registered person may provide the following category of service only: Care Home only - Code PC 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, Dementia - Code DE 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 registered manager has resigned. A new manager, Ms Hazel Greenway, has been appointed and began working in the home in August 2009. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Meadowside is a large purpose built care home for sixty-eight men and women over the age of sixty-five. Twenty-two of the places are for people with dementia. The home was opened on 15th May 2006 as a result of two care homes Chandos Lodge and Annual Service Review Page 2 of 8 Lonsdale, closing. The home is owned by Catalyst Housing Association and is one of fifty-five homes managed by The Fremantle Trust. The home is designed over four levels with six separate units. Access to all floors is via the stairs or two lifts. Two units are dedicated dementia units and the other four are mainstream units. Each bedroom has its own en-suite facilities. The ground floor contains offices, a garden lounge, a laundry room, hairdressers, treatment room, kitchen and a reception area. To the front of the home is a car parking area. To the rear and side of the home is a well maintained landscaped garden and an enclosed patio area. There is also a separately managed day centre at Meadowside run by Fremantle Trust, which is open seven days a week. The home is located in a residential area of North Finchley, near Woodside Park underground station and bus routes to various parts of London. For information about the fees please contact the manager of the home. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? At the last key inspection on the 1st October 2007, the home achieved a quality rating of 2 Stars. This means that the people who use this service experience good quality outcomes. 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. Information we have about how the service has met any statutory requirements identified during the previous key inspection. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? A random inspection of the home took place on the 16th December 2008. It took place shortly after an annual service review had been completed. The random inspection focused on staffing arrangements and staffing levels after feedback was received that staffing levels were not adequate for the meeting the needs of residents. We found that a review of staffing levels had taken place during 2008 resulting in more staff being provided in the 6 units. However, the service was being affected by short notice changes to the rota due to staff absences. Where 3 members of staff covered 2 units instead of each unit being allocated 2 members of staff the impact on residents was in waiting times and a delay in having breakfast etc. A statutory requirement was made that staffing levels be arranged so that residents were not affected by short term changes. During this inspection we received positive comments from residents about the service provided and from members of staff. The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was completed in June 2009 by the previous manager of the service. It was Annual Service Review Page 4 of 8 clear and gave us all 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. They tell us that the strengths of the service are that they are committed to the provision of services for older people to a high standard and are continually trying to improve the standards that they have achieved. They tell us that during the last 12 months the manager and staff have worked extremely hard to develop the service. The service is now 3 years old and the staff team feel pleased with the quality of service to date. They say that they know what further improvements they need to make and the new manager has also added her comments to this section. Care planning development and more person centred care have been identified for the homes action plan. The new manager is trying to recruit an activities co-ordinator and wants to increase the range of social outings. (An outing to Buckingham Palace and theatre trips have already taken place). The service would like to increase the time spent by a prospective resident making a visit to the home, subject to the timing of transport from and returning to the hospital. The decorating programme for the home is to continue with redecoration taking place when rooms are vacant. We received 6 completed survey forms from residents living in the care home. Three of the residents said that they had received enough information to help them to decide if this home was the right place for them, before they moved in. Two residents said that they had not received sufficient information and 1 resident said that the home had been recommended to them by a friend. Only 3 residents said that they had been given written information about the homes terms and conditions i.e. a contract. Two of the residents werent sure and 1 resident said no. While most residents said that they usually or always received the care and support they needed, 1 resident ticked never. Residents told us that there are always or usually staff available when the resident needs assistance and that they always or usually listen to the resident and act on what the resident says. Two residents tell us that the home always makes sure they get the medical care they need, while 4 residents tell us that this usually happens. We asked residents whether the home arranges activities that they can take part in if they want and 2 residents said usually and 4 residents said sometimes. When asked whether they like the meals at the home 2 residents ticked always, 3 residents ticked usually and 1 resident ticked sometimes. Four residents told us that the home was always fresh and clean and 2 residents said usually. It is recommended that the responses on the survey forms are discussed at a residents meeting so that there is an opportunity for changes to be made to increase client satisfaction. When we asked residents what the home does well they told us the food is nice, all good workers, overall I am happy, very caring, the staff of the home do their best to keep me happy and fit and well, help to maintain independenceand the rooms are comfortable. Two forms mentioned more activities and change the beds at least once a week when asked what the home could do better. We received 3 completed survey forms from members of staff working in the home. When asked whether they are given up to date information about the needs of the residents they support 1 person ticked always, 1 person ticked usually and 1 person ticked sometimes. They told us that the induction very well or mostly covered everything they needed to know to do the job when they started. Since then the training they have received has been relevant to their role. They were asked Annual Service Review Page 5 of 8 whether their manager meets with them to discuss how they are working and to give them support and whether the way they share information about residents with colleagues or the manager work well. One person ticked regularly, 1 person ticked sometimes and 1 person ticked never in respect of support by the manager. One person ticked always, 1 person ticked sometimes and 1 person ticked never in respect of sharing information. These forms were completed before the new manager began working in the home. However, it is recommended that the new manager reviews arrangements in place for 1:1 supervision of members of staff and makes adjustments in the regularity of these meetings, if required. It is also recommended that they discuss the sharing of information at the next staff meeting. We asked whether there are enough staff to meet the individual needs of all the people using the service and 2 persons ticked sometimes and 1 person ticked always. They told us about what the home does well and said provide training. Having more staff was identified when asked what the home could do better and more staff meetings to ask us our views. We received 2 completed survey forms form social or health care professionals. They told us that assessments usually or always ensure that accurate information is gathered and the right service is planned for people, usually or always ensure that social and health care needs are properly monitors, reviewed and met by the service and usually or always seek advice and act on it to meet the residents social and health care needs and improve their well being. The service always respects the residents privacy and dignity. It usually or always supports residents to administer their own medication or manage it correctly where this is not possible, supports people to live the life they choose wherever possible, have the right skills and experience to support the residents social and health care needs and respond to the diverse needs of individual residents. When asked what the service does well we were told that individual care was given and that they care for dying residents very well. During the previous key inspection the service achieved a judgement of good in the key outcome areas of Health and Personal Care, Safeguarding and Management. We contacted the home on the 21st September 2009 and spoke with the new manager about a statutory requirement made following a random inspection of the home in December 2008, to review progress made towards compliance. The statutory requirement identified the need to arrange staffing levels so that residents were not affected by short term changes. She said that compliance with the statutory requirement had been achieved. She is in the process of building up a bank staff team to provide relief help when permanent members of staff are on annual leave or sick leave etc. Following an advertisement the manager will be interviewing applicants in October. Compliance will be verified during the next key inspection. The home recorded in the AQAA that it has received 10 complaints during the last 12 month period. They tell us that these were all investigated and and responded to within the 28 day deadline and the complaints were upheld. We asked residents if they knew how to make a formal complaint and 3 residents told us yes and 3 residents told us no. It is recommended that residents are advised of the complaints procedure and how to use this by their key worker and during a residents meeting. The members of staff that completed a survey form confirmed that they knew what to do if someone has concerns about the home. The home continues to let us know about things that have happened since our last key inspection and last annual service review. They have shown us that they have Annual Service Review Page 6 of 8 managed issues well. They have made 5 safe guarding alerts to the local authority since the previous annual service review which have all been investigated and resolved. The residents that completed a survey form all agreed that if they were unhappy there was someone they could speak to informally. The home works well with us and has 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 the 1st October 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 7 of 8 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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