Inspection on 23/12/09 for Shipley Lodge

This inspection was carried out on 23rd December 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.

Other inspections for this house

Shipley Lodge 22/05/07

Shipley Lodge 26/06/06

Shipley Lodge 04/10/05

Shipley Lodge 21/04/05

Shipley Lodge 02/12/04

Shipley Lodge 10/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Annual service review Name of Service: Shipley Lodge 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: Angela Kennedy Date of this annual service review: 1 0 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 94 Derby Road Heanor Derbyshire DE75 7QJ 01773535212 01773535212 shipleylodge@rethink.org www.rethink.org Rethink Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 16 0 Shipley Lodge Care Home is registered to provide nursing and personal care to service users whose primary care needs fall within the following categories :- Mental Disorder excluding learning disability or dementia (MD) 16 The maximum number of persons to be accommodated at Shipley Lodge Care Home is 16 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 Shipley Lodge is a purpose built care home. It is situated in a residential area of Heanor close to local shops, public houses and bus routes. The home provides nursing care for up to sixteen people, eight males and eight females, aged 18 years upwards, who experience enduring mental health problems, although the majority are in the 18-65 year age group. People have opportunities to take part in daily living and social activities, and enabled to have a more independent lifestyle. Annual Service Review Page 2 of 7 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 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 when we asked for it. It was clear and gave us all the information we asked for. We looked at the information provided by the registered manager and the surveys that were returned by the people that use the service,their representatives, the staff team and the community pharmacist. Our judgment is that the home is still providing good outcomes for the people that use the service and that they know what further improvements they need to make. The home lets us know about things that have happened and this demonstrates an open and transparent approach to the service they provide. The information provided by the registered manager told us that individuals concerns are taken very seriously and that the company and local authority procedures are followed. The information provided by the registered manager told us that, A complaints leaflet, called how to make a complaint, was available in the entrance area of the home. All bedrooms had an A4 folder containing the complaints procedure information. The safeguarding policy at the service had recently been updated. A whistle blowing Policy and code of conduct was in place. No Safeguarding referrals or investigations have been made in the last twelve months. The service has received two complaints within the last twelve months, both of these were resolved within 28 days and neither of these complaints were upheld. We have not received any complaints or safeguarding alerts from or about the service in the last 12 months. The information provided by the registered manager told us that the views of the people using the service and are regularly sought. Through satisfaction surveys. Service Advisory Groups. Consultation as part of the monthly service audits, known as regulation 26 visits. Service reviews. Rethink participation and Research Team. Annual Service Review Page 4 of 7 Changes as a result of listening to the people using the service included, redecoration of the home, as an ongoing process and individuals are able to choose the colour of their bedrooms. Consultation regarding activities and holiday destinations in the forthcoming year. Consultation with individuals in their recovery plans. Consultation with individuals over the menus. The gym has been converted into a quite room. One of the smoke rooms has been converted into a meeting room with internet access. All of the four surveys returned from the people using the service indicated that people were happy with the support, care and services they received. The comments made were very positive such as, The staff are very good here and always make sure that us residents have a clean comfortable home to live in. The food is excellent as well and I dont think the home could be any better, everything is tip top and Im very happy here. Comments within the one relatives, carers and advocates survey returned was also positive Wonderful home from home, great food, bedrooms, etc, very supportive staff and very nice place in all. The information provided by the registered manager told us that, The skill mix and staff numbers are adequate to meet the needs of the people using the service. Bi monthly one to one supervision sessions are provided by staff, these are increased if required. Qualified nurses work on care and recovery planning. There is good team work and communication amongst the staff team. There is a good retention of staff. All nurse team leaders are enrolled or have done safe handling of medication courses. All staff are enrolled on or have completed the process of enrolling on first aid training. Two support staff are enrolled onto the NVQ 3 training and all support staff hold an NVQ 2 or equivalent qualification. All staff are in the process of completing Rethinks Knowledge and Skills Framework as an ongoing organisational process. This occurs annually rather than the previous appraisal system. Staff have attended person centered training and Mental Capacity Act training. Key worker and associate nurse groups have been re-established and job roles reviewed. All of the four staff surveys returned indicated that the training provided supported them in their job and was relevant to the needs of the people using the service. Responses indicated that staff were provided with regular supervision and that they were given up to date information about the needs of the people they supported. Comments made included, the home offers support and tries to promote recovery and we have a strong team, with quite a low staff turn over, which allows us to work effectively and we do our best to help each resident...help them to achieve any goals...help them with their independence. The survey returned from the community pharmacist said that the staff were, very efficient with regard to medication...from a drugs point of view, very hard to fault them. 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 21st May 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 7 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. 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). 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