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Inspection on 23/02/10 for Nicholas Rothwell House

Also see our care home review for Nicholas Rothwell House for more information

This inspection was carried out on 23rd February 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 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.

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: Nicholas Rothwell House 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: Kathy Jones Date of this annual service review: 2 6 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 290 Harborough Road Kingsthorpe Northampton Northants NN2 8LR 01604841882 01604850845 loraine@nicholasrothwell.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Loraine Lucas Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Charity of St Giles Number of places (if applicable): Under 65 Over 65 21 0 21 0 21 0 The maximum number of service users who can be accommodated is: 21 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: Mental Disorder, excluding learning disability or dementia - Code MD Old age, not falling within any other category - Code OP Physical disability - Code PD 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: Annual Service Review Page 2 of 6 Date of last annual service review (if applicable): Brief description of the service Nicholas Rothwell House is a Residential Care Home owned by the St. Giles Charity Estates. The Charity, founded in the 15th Century, is non-profit making. The running of the Home is overseen by a Board of Trustees who meets regularly at the premises to monitor practice, plan and develop services and to consult with Residents on their overall satisfaction of the service. The Home provides care for Residents over the age of 65 and includes two places for People with Physical Disabilities. The premises are situated in quiet and pleasant surroundings on the north side of Northampton and are easily accessible by public transport being just off the main A508 Harborough Road. The Home is near to the suburb of Kingsthorpe and its local amenities The accommodation provided to Residents is solely on the ground floor and the facilities include a large comfortable lounge/dining room and a conservatory/lounge overlooking the patio garden. Residents are provided, in the main, with single bedrooms, there is one double bedroom. There is a central kitchen supplying all meals and the home has its own laundry. Currently there are up to twelve permanent places with the rest of the places offering short-term care. Residents come to the Home for a variety of different reasons, such as respite care whilst their relatives or carers are on holiday, upon discharge from hospital and unable to go straight home or require long term care. At the time of inspection in June 2007, the fees ranged from £381.15 to £404.25 per week for permanent stay and £462.00 to £532.00 per week for short stay (respite care). Fees are usually reviewed annually. Chiropody, hairdressing services, and newspapers can be arranged and are charged separately. 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? Please note that within this report there may be reference to the Commission for Social Care Inspection (CSCI) and also the Care Quality Commission. From 1 April 2009 the duties of CSCI were taken over by the Care Quality Commission, the new independent regulator of all health and adult social care in England. We looked at information received since the last annual service review. This included: The annual quality assurance self assessment (AQAA) that was requested and sent to us in April 2009. The AQAA provides the service with an opportunity to consider how well they are doing in meeting the National Minimum Standards for older people, which focus on outcomes for people who use the service. It also provides an opportunity for the service to inform us of the areas that need improving and of the action they are taking to achieve this. We reviewed information received such as any concerns, complaints and allegations. We also looked at information received from Nicholas Rothwell House who are legally required to notify us of accidents, incidents and events that affect the well being of people who use the service. Prior to this review we identified a sample of people to send surveys to, which included people who use the service, staff and professionals involved with the service. however these had not been received when we carried out this review. Any information received following this review will be taken into account as part of the next inspection and dependent on the information received could alter the timing of the inspection. What has this told us about the service? The annual quality assurance self assessment (AQAA) was forwarded to us when we asked for it demonstrating an understanding of the importance of co-operating with regulatory requirements. The AQAA provides some information about what the service does well in relation to the quality of care and outcomes for people who use the service. However there is very minimal information about what has improved and what needs to be improved in relation to the quality of care and outcomes for people who use the service. We would have expected to see more information in the AQAA. For example it indicates that there are quality assurance systems in place and tells us that this includes satisfaction surveys which are sent to people every three months and any actions are taken into account and acted on. The AQAA also tells us that there is an annual audit and development plan which is reviewed regularly by the committee. We would have expected to see information about the types of issues that people raised in the surveys and what action had been taken and also some information about the audit and development plan. This helps us to see that the service is being pro-active to the changing needs and expectations of people who use the service and also to any changes in legislation. The AQAA tells us that all staff are up to date with their training. It is not clear what Annual Service Review Page 4 of 6 training staff are receiving and if this training takes account of changes to legislation, such as the Mental Capacity Act 2005 and the Deprivation of Liberties Safeguards. A section of the AQAA which asks for dates that equipment was last serviced has not been completed. We have spoken to the registered manager, who confirms that all of the equipment has been serviced regularly and that she will forward the dates to us to confirm this. There was a change of manager in December 2008, and the current manager was registered with the Care Quality Commission in April 2009. We have discussed the AQAA with the current registered manager and given some advice about the importance of the organisation demonstrating that they are continually evaluating the service. The Care Quality Commission or its predecessor organisation the Commission for Social Care Inspection have received no complaints about the service since the last review. It is important that people are able to raise any concerns so that they can be addressed and improvements made. The AQAA tells us that there is a clear and simple complaints policy in place and each person who uses the service has a copy. Staff also receive information about this as part of their induction. We looked at information that the service are legally required to notify us of, such as any deaths, accidents, incidents and events that affect the well being of people who use the service. We found that we have received some of this information very recently, however our records indicate that all information has not been forwarded to us. For example the AQAA shows that there have been seven occasions when people have been admitted to accident and emergency over the last twelve months. Although the registered manager is new in post we have discussed and clarified the expectations with her. What are we going to do as a result of this annual service review? The rating for this service given in June 2007 is 3* excellent which means that we would carry out a key inspection before 26th June 2010. We were satisfied that the registered manager was receptive to the advice given about the need to keep us informed. We are not going to change our scheduled inspection plan on the basis of the information we have currently about the service. We will continue to review information received about the service, which will include any feedback received in surveys and will take this into account when planning a date for inspection. 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!