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Inspection on 16/09/09 for Retired Nurses National Home

Also see our care home review for Retired Nurses National Home for more information

This inspection was carried out on 16th 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 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: Retired Nurses National Home 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: Annie Foot Date of this annual service review: 0 7 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Riverside Avenue Bournemouth Dorset BH7 7EE 01202396418 01202302530 rnnhoffice@btconnect.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Trustees, Retired Nurses National Home Limited Number of places (if applicable): Under 65 Over 65 0 52 One named person (as known to CSCI) under the age of 65 may be accommodated to receive care. 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 The Retired Nurses National Home is a long established care home located in a purpose built building on the outskirts of Bournemouth. The home enjoys a semi-rural situation, yet is within half a mile walking distance of a local superstore (food, clothing, electrical goods, newspapers/magazines) Local buses are also available approximately half a mile from the home, travelling to Bournemouth, Christchurch and beyond. The home stands within extensive attractive grounds offering numerous seating areas. Car parking is available for visitors. The home is registered to accommodate up to fiftytwo older people. Ramps are available to assist access to the home. Accommodation is arranged on the ground and first floors, with a passenger lift and stairs between floors. All bedrooms are for single occupancy; thirty-five bedrooms have en-suite facilities. Annual Service Review Page 2 of 7 There are sufficient communal bathrooms and WCs available on each floor. There is a spacious dining room and two sitting rooms. The home has its own chapel, reading room and hairdressing salon. The Retired Nurses National Home is a registered charity and has recently extended the criteria for permanent admissions to include some other medical professions, as well as nurses. The home also provides short-term or respite care, including for those who are not from a nursing or allied professional background. Trustees have overall responsibility for the functioning of the home, which is managed on their behalf by Mrs. Elaine Brace. 24-hour personal care is provided, as well as all meals, laundry and domestic services. A range of activities is available to provide stimulation and interest for residents. Occasional outings are arranged. All meals are prepared and cooked within the home. Special diets can be catered for. The fees for the home, as confirmed to the Care Quality Commission (CQC). Annual Service Review Page 3 of 7 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 which took place on 22 August 2007 and the annual service review completed on 15 August 2008 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) when we asked for it. It was clear and detailed and gave us all the information we asked for. We also received 9 completed surveys from people living at the home. These tell us that people receive sufficient information about the home prior to making a decision to move in. Some people will come for a short stay at the home which helps to familiarise themselves with routines. A number of comments were received about what the home does well. These include, there is normally a relaxed happy atmosphere with a good balance between individual freedom and necessary restrictions from living In a community, and, gives a pleasant attitude as if everyone were friends willing to be helpful and listen. Staff tell us that the home gives residents a very high level of care, and provides a happy caring living environment, promoting independence with everyday needs. The AQAA tells us that monthly meetings between residents and management and different staff, facilitates regular discussion with opportunities to share thoughts, views and suggestions. As a result of meetings with the Chef, changes have been made to the menus and to how food is served. Following the introduction of I.T. the home have installed Skype so that residents are Annual Service Review Page 4 of 7 now able to chat to family and friends other parts of the country and abroad. The home has a gardening club which is popular with residents. Gardeners are able to grow vegetables in the grounds and in raised beds. Other residents and families are invited to help themselves. Other activities are arranged . Some residents and staff, say they would like to see more. Free IT lessons are provided for anyone wishing to learn more about how to use IT, in particular use of the internet and email. The home has an accessible complaints procedure and most people responding to our survey said they knew who to talk to if they had a concern or wished to make a complaint. There have been no complaints or safeguarding referrals in the last year. The home aims to provide an environment suited to the residents individual wishes, with decorations and furnishings for bedrooms chosen individually. It also includes enabling residents to move rooms, if they so choose, as and when another becomes vacant. people responding to our survey say that the home makes sure that the home is regularly redecorated and refurbished. A number of improvements have been made over the year year including; purchase of a new hoist, and several modern hospital beds to enable staff to care for frailer Residents more comfortably. The activity room has been refurbished and a new door entry system has been installed. There are a comprehensive range of policies and procedures in operation at the home which were all reviewed and updated in the last year. The AQAA confirms that in the last year there have been 7 new admission to the home. 31 permanent members of care staff are employed at the home. Of these 25 have achieved an NVQ level 2 or above in care. We received 6 completed surveys from staff employed at the home. These tell us that staff are provided with up to date information about the needs of the people they care for. They also confirm that induction and other relevant training is provided . Staff say that the manager meets with them to discuss working practice. Several staff commented that the manager is supportive in my role, and support staff with appropriate training or any problems which occurs. A number of comments made in responses to our surveys from both residents and staff commented on staffing levels and the frequent use of agency staff. Some residents would like to see better communication at all levels. Sometimes people are left waiting for staff to come back later, which does not happen. Comments are made about leaving a wheel-chair user in the garden overlong and not having the opportunity to be pushed outside for some fresh air as this requires more staff. Others say staff are very busy with no time to spend with residents or to do little jobs for them. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. There is no evidence to indicate that outcomes for people who use the service have changed since the last inspection of the service. Annual Service Review Page 5 of 7 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 22 August, 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 6 of 7 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. 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