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Inspection on 29/06/09 for Mount Carmel

Also see our care home review for Mount Carmel for more information

This inspection was carried out on 29th June 2009.

CQC found this care home to be providing an Excellent service.

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: Mount Carmel 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: Angela Kennedy Date of this annual service review: 2 9 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 310 Highfields Park Drive Broadway Derby Derbyshire DE22 1JX 01332553466 Telephone number: Fax number: Email address: Provider web address:   mountchome@yahoo.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Sisters of Mercy Trustees Number of places (if applicable): Under 65 Over 65 0 20 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 Mount Carmel House is a single storey purpose built Home providing personal and social care for 20 people aged 65 years and over. The care Home is located off the Broadway in Derby. There are a number of small seating areas in the Home for the use of Residents and visitors, and a large dining room, which is also available as an activities room. There are 20 single bedrooms, all of which include a shower. Each bedroom is supplied with a staff call system, and all of the bedrooms meet the National Minimum Standards space requirements. The Home has a non-smoking policy, although smoking is permitted outside of the Home. Regular outings are arranged and activities regularly take place within the Home. The Home also has well set out gardens and outside seating areas. A copy of the Commissions inspection report is available from within the Home. Annual Service Review Page 2 of 6 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? The last key inspection of this service was undertaken on the 13th June 2007 and the last annual service review was undertaken on the 10th June 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. 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. 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) on time. They told us what they do well. They said that they provided a high standard of individualised care for the people that used the service. They told us that they did this by ensuring each person needs were thoroughly assessed before they were offered the service to ensure their needs could be met. They told us that the information they gathered was from the individual and their representatives such as their family and care manager and that this information was then incorporated into the individuals care plans. They told us that they work closely with professionals to ensure that peoples needs are met and that they have sufficiently trained staff on duty to ensure peoples needs can be met. They told us that the home is purpose built and is well maintained with safe facilities. They told us that the views of the people that used the service were listened to and gave us information about the changes that have been made to the service as a result of listening to peoples views. These included, a weekly shopping trolley to enable people to purchase goods of their choice and a six monthly newsletter for the people living at the home,their families, the staff and visiting professionals. The home told us that to enable them to meet each persons holistic needs they established each persons gender, ethnic culture and religion and provided a room for visiting religious groups to meet with individuals if requested and a bible group that Annual Service Review Page 4 of 6 visits the home every two months. They said that daily activities are provided and the people using the service are encouraged to join in. The home said that they had made the following improvements in the last twelve months. They said that staff training was more structured and that staff received study days, which had proved to be more enabling and supportive to the staff and made it easier to identify training needs. They told us that their policies and procedures had been updated, this ensures the home are following current practice. They told us about the ongoing maintenance of the home and said that there were plans to enlarge the facilities. The home told us areas that they felt they could improve upon. These included having more frequent staff meetings, having all staff trained to a minimum of NVQ 2, as they told us that out of twenty one permanent care staff there was eight with an NVQ 2 or above in care. They also said that they felt that further training for staff regarding the Mental Capacity Act and Safeguarding Adults would be of benefit to both the staff and the people using the service. The service has sent us information about what has happened at the service in the last twelve months and included information in their AQAA about 1 complaint they have received in the last twelve months. They stated in their AQAA that this complaint was awaiting an outcome at the time the AQAA was completed. We have not received any complaints about the service. The service told us that they had not made or had any safeguarding referrals or investigations in the last 12 months and we can confirm that none have been made. Due to an administrative error surveys were not sent out the service prior to this Annual Service Review. The registered manager brought this to our attention on receipt of the draft Annual Service Review. Surveys will be sent out and any information received will be documented in the services records held. This information will be used to inform our next inspection visit. 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 11 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 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 6 of 6 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!