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Inspection on 26/04/10 for Nazareth House

Also see our care home review for Nazareth House for more information

This inspection was carried out on 26th April 2010.

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: Nazareth House The quality rating for this care home is: The rating was made on: two star good service 1 9 0 3 2 0 0 9 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: Megan Walker Date of this annual service review: 2 9 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: Durnford Street Stonehouse Plymouth Devon PL1 3QR 01752660943 01752256842 Telephone number: Fax number: Email address: Provider web address:   www.sistersofnazareth.com The Congregation of the Sisters of Nazareth Name of registered provider(s): Name of registered manager (if applicable) Miss Alison Patricia Hart Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 42 Service users may include up to 17 older people with nursing needs, accommodated in designated rooms. 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: YES Responsible Individual now Mr Robert York 1 9 0 3 2 0 0 9 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Nazareth House is a care home providing accommodation and personal care for up to forty-two older people, and nursing care with accommodation and personal care for up to seventeen people. Annual Service Review Page 2 of 6 The home is owned by The Congregation of the Sisters of Nazareth. It is a purposebuilt, two-storey, detached building situated in large grounds in the residential area of Stonehouse, approximately a mile from Plymouth city centre. Nazareth House has thirty-nine single bedrooms, thirty-five of which have en suite toilets; there is a oneperson flat with a bedroom, lounge room and bathroom; and one shared room with an en-suite toilet. The 1st floor of the home can be reached by stairs or by using the shaft lift. Communal rooms are on both floors and consist of two lounges and two dining rooms, as well as a large reception area and a chapel. The home has extensive grounds and gardens with access to the sea front and many rooms in the home have good views over Plymouth Sound. Nazareth House is within walking distance of local shops and a church. It is on a bus stop and the railway station is easily reached by public transport. Nazareth House has its own transport so able to offer trips into town, as well as further afield, and a small shop is open daily within the foyer of the home. The home has plenty of parking space inside the grounds and there is on street parking available outside, although a permit is required to park there at certain times. Information about the home, including copies of inspection reports, can be obtained from the Registered Manager, Alison Hart. 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. This included: The Annual Quality Assurance Assessment (AQAA). 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 information about the service. The AQAA is a legal requirement. 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) when we asked for it. It was 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 and that they know what further improvements they need to make. The AQAA told us that the service offers A friendly caring place for clients to call Home. Families are encouraged to visit at anytime. New learning opportunities are sought by our activities organiser to promote service users skills and feelings of self belief. The home listens to the needs of the service user and the employees and also acts to ensure that best practice is delivered. The AQAA also told us that there are plans to introduce a new rota that will alter the skill mix of staff to ensure that the staff can meet the needs of all the people for whom they are caring. Also to achieve more flexibility with the rota. We received completed surveys and comments from ten people living in the home. They all continue to be satisfied with the quality of the care however four people commented that communication could be improved. Three people were particularly anxious about the pending temporary move whilst the care home undergoes major building works. Comments included: Communication is poor, especially so at present while we are waiting to move to a new home. Communication with family support around changes associated with relocation is not as clear as it could be. The routine of how things run could be better communicated. They are about to upgrade the building and the patients and residents are being housed elsewhere temporarily. I hope the transition is smooth. Lots of communication needed. The ten people who returned a survey told us that Nazareth House is welcoming, and usually caring and supportive, and meets peoples spiritual needs. There were mixed responses abut food from Excellent food to Food quality, quantity, variety - a lot of fried food catering for individual needs is not good. Three people told us they would like a bigger variety of Annual Service Review Page 4 of 6 activities and trips out. One person told us that the activities are well managed and varied but stop when the organiser is away or sick. We also had similar comments about the cleanliness of individual bedrooms, these suffer when the cleaners are away or sick. Routine tasks such as room cleaning do not always happen. All ten people commented about the staff, their comments included: All the staff are very friendly and approachable. The care is very good although often low staffed. Respond to my worries and concerns. Staff are disrespectful of residents at times. [Staff are]condescending and intolerant of the foibles of the elderly. Staff morale is low. This does not affect the actual care but it does create an atmosphere of discontent. One person told us that they found it very hard to have any privacy and they do not feel people are encouraged to be independent. Six staff members returned surveys to us. They told us that they receive good training and regular staff meetings. Comments included: Provide a home from home environment for residents with the added spiritual atmosphere which creates a unique work environment. I believe Nazareth House is a very happy home..... residents benefit from very good care, religious needs, activities, catering. The home provides a loving, caring environment [and] a religious aspect with a church on the premises, this ensuring that religious needs are fully met. One staff member told us: The home will soon be undergoing major improvements to service users personal rooms and this is very much needed. Another staff member commented Incorporate the staff as a whole instead of creating a divide which does at times cause animosity. People informed us, using surveys, that they know how to make a complaint and know who to speak with if they are unhappy. The AQAA told us that Nazareth House has received four complaints since the last inspection and and none of these were upheld. The Care Quality Commission is aware of two safeguarding alerts raised by the home. The Care Quality Commission has received three complaints about the service since the last inspection. The home continues to let us know about things that have happened since our last key inspection. 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 19th March 2011. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!