This inspection was carried out on 21st September 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.
Annual service review
Name of Service: Mowbray Nursing 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: Christine Potter Date of this annual service review: 1 4 0 8 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Victoria Road Malvern Worcestershire WR14 2TF 01684572946 01684891233 julie_askew12@hotmail.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Ms Kathryn Elizabeth Lowry Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Minster Care Management Limited Number of places (if applicable): Under 65 Over 65 3 0 39 0 39 0 The maximum number of service users who can be accommodated is: 39 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: Dementia (DE) 3, Old age, not falling within any other category (OP) 39, Physical disability (PD) 39 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service
Annual Service Review Page 2 of 6 The manager Kay Lowry has been registered. Mowbray Nursing Home is a large detached Victorian building conveniently situated in Malvern close for the local amenities and public transport. .Limited parking is available on both sides of the home for visitors, and also on the main road. The home is set in spacious grounds with wonderful views of the open countryside. Minster Care Management Limited owns the home. The registered manager for the home is Kay Lowry who has been in post for the last 12 months. Kay is a registered nurse with many years experience caring for older people. The home is registered to accommodate 39 residents with both nursing and residential needs. Residents have a choice of either single or double bedrooms, many benefiting from having en-suite facilities. Other facilities provided for residents include lounges, bathrooms, gardens and a dining room. Passenger lifts are available to enable residents who possess mobility problems access to the first floor of the home. Information regarding the home can be obtained from the statement of purpose and the service user guide which are available from the home. The fees for the home are available directly from the home. 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 had received or asked for since the last inspection. This included: The annual quality assurance assessment 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 gives us some numerical data about the service. Surveys returned to us by residents and staff from the home. The previous key inspection. Other information we have been told about the service. What has this told us about the service? The home sent us their annual quality assurance assessment, which provided us with some information about Mowbray and their plans for what they are doing now and what they want to do in the future. The Annual Quality Assurance Assessment did not provide sufficient information about how the home had progressed since the last inspection in meeting the recommendations from the previous inspection report. The recommendations given in the 2008 key inspection included producing the service users guide in a format suited to people with sensory impairments. For standard 28 provide 50 per cent of care staff with NVQ level 2 or equivalent. For standard 38 it was recommended that the home had internet access to assist staff in referencing clinical sites for guidance and assist in checking recruitment safety checks for new staff. No requirements were made at the last key inspection in 2008. We looked at the information in the Annual Quality Assurance Assessment and completed surveys our judgement is that the home is still providing a good service. They told us about how they have met issues relating to Equality and Diversity. This includes the following:- On assessment the above are discussed and where a particular request is raised we will do our best to accommodate the persons wishes. We have provided more training, which will be ongoing and aimed at promoting the service users as individuals with their own set of needs and beliefs: We will promote the fact that we have staff from varying cultures and encourage them to share the different information on these systems. The organisation has a management structure and quality assurance mechanism in place, which helps in checking that the standards are being maintained. This helps to safeguard and improve the quality of life for people who use the service. The home achieves this in the following ways: Independent monthly Registered Provider Visits Listening to and observing individual residents. Relatives meetings. Comments from people using the service included for what the home do well: The staff are helpful and caring. the staff are friendly and helpful The surveys told us that people receive enough information about the home to assist them with their choice of home. It was confirmed that people receive a contract of terms and conditions when Annual Service Review Page 4 of 6 they are admitted to the home. The surveys confirmed that the residents always receive the care and support they need. The response in the surveys about the number of staff responded usually. The reponse for the cleanliness of the home responded usually clean. People using the service are consulted about the service. The Annual Quality Assurance Assessment tells us how this is done and includes changes that they are making from listening to people using the service: Activities have been reviewed, a new activities organiser has been appointed and new equipment has been purchased. Menus are being reviewed ready for summer. The Annual Quality Assurance Assessment tells us how they have improved in the last twelve months, and this included the following information: New pre-admission assessment forms have been introduced and these provide more information relevant to the needs of the person being assessed and assist the nurses when constructing care plans. All care plans within the home have been re-written and evaluations are now more relevant and in response to the plan of care. Trained staff are now more aware of outside training available to them and are encouraged to attend. All service users are more aware of the opportunities to attend outside activities and they given the opportunity to become involved in choosing and planning summer trips and activities for example fetes. New forms have been introduced to record verbal complaints Training in infection control has continued. More cleaning hours have been allocated, and a new cleaner has been appointed. New furniture has been obtained and much of the home has been redecorated. New and forward thinking trained staff appointed and this has encouraged a change of attitude amongst other staff. We re-thought the way we used our care staff and have placed a senior carer on rota to assist the trained nurse each morning, this helps with the booking of GP visits, transport etc. Staff files have been re-organised and now incorporate individual training information. What are we going to do as a result of this annual service review? A key inspection of the service will take place before the 5th August 2010. However we may bring this inspection forward in views of the concerns raised by people in their surveys and if we receive any other information 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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