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Inspection on 30/06/09 for Silverleigh Cedars

Also see our care home review for Silverleigh Cedars for more information

This inspection was carried out on 30th June 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: Silverleigh Cedars 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: 3 0 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Silver Street Axminster Devon EX13 5AF 0129732611 0129732559 silverleigh@cannoncarehomes.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Wendy Elizabeth Matthews Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Silverleigh Limited Number of places (if applicable): Under 65 Over 65 0 0 0 0 54 54 54 54 One person under the age of 65 years may be admitted to the home. 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 Silverleigh Cedars is a large, detached, converted and extended property set in its own grounds in the centre of the town of Axminster. The home is laid out in two separate Annual Service Review Page 2 of 7 New manager appointed October 2008 areas - one side is known as Silverleigh and the other side is known as Cedars. Accommodation and personal care is provided for up to 54 older people who may also have a physical disability, mental disorder or a dementia type illness. There are five lounges and two dining rooms plus other smaller sitting areas around the home. There are 36 single bedrooms, 5 double rooms and 4 apartments each consisting of an entrance hall, living room, kitchenette, bedroom and bathroom. 30 of the bedrooms have an en suite W.C. There are bedrooms on the ground, first and second floors. Passenger lifts provide access to all levels. There is also a stair lift. Outside, there are pleasant and interesting gardens with plenty of seating, and a private parking area. Fees for the home are £845 each week and include activity sessions, outings and one monthly hair appointment. They do not include personal toiletries, newspapers or transport to appointments. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk A copy of the inspection report for the home is available in a folder in the main reception area. 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 10 May 2007 and the annual service review completed on 10 May 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 received 17 completed surveys from people living at the home. Several people had been supported in completing the form. Everyone says either they or their relatives received sufficient information about the home prior to making a decision to move in. Everyone has received a contract from the home. Some people said they would like their contract to be renewed. Everyone says they receive the care support and medical attention they need. The AQAA tells us that the manager operates an open door policy and speaks with the service users on a daily basis. All suggestions are looked into and actioned if appropriate, feedback is always given either directly or during regular planned meetings. Regular meetings with service users and their representatives are held on different days of the week and at varying times, enabling as many individuals to attend as possible. The home has improved and updated the pre-admission assessment format to include more detailed information with regard to equality, diversity and cultural needs. Annual Service Review Page 4 of 7 Assessments are more person centred and bases assessment on a can do approach. Audits for medication, care plans, manual handling and continence have been introduced. There is a self elected residents committee who meet regularly with the management and housekeeper to discuss day to day living and the running of Silverleigh. As a result of listening to what residents say a number of changes have been implemented in the last year. These include: purchase of a mini bus which takes service users out 5 afternoons each week, a painting class has been set up as requested by a service user and additional hand rails have been put up in the shower room. People living at the home say that there are always activities available to join in with. Some people said they liked to go out to town or on the bus rather than join in with group activities. Others said they liked to walk, go swimming or to play the piano. Relatives are invited to join with activities. The AQAA tells us that there are team of staff to facilitate activities which are available 7 days days a week. New activities introduced during the year include, digital photography, model making with clay, Bowen Technique and painting classes. The Complaints procedure is displayed throughout the home and distributed to local health care professionals. Everyone responding to a survey said they knew who to talk to if they had a concern worry or complaint. 4 complaints were received during the year. All were resolved within a timescale of 28 days. 49 permanent care staff are employed at the home. 35 have achieved and NVQ level 2 or above in care. All staff receive induction and ongoing training. During the last year structured supervision for staff has improved and more training offered. People living at the home say there are usually staff available when needed although residents acknowledge that staff are very busy. Staff are reported to be very helpful , there is always someone to talk to and they are lovely. Some people would like to see more staff available at meal times, in the dining rooms. There are robust policies and procedures in operation which are regularly reviewed, reflecting equal opportunities, personal values and choice. Residents tell us that the food is usually very good and that there is always an alternative offered. There has been an increase in main meal choice and puddings. Cooked breakfasts have been introduced and a menu board with daily choices has been put outside the dining room . Books and magazines are regularly renewed to ensure current information is provided. The environment is maintained to a high standard and during the last year a number of improvements have been made including: redecoration and refurbishment of the dining room, reception area and communal lounge. New dining furniture has been purchased with the service users involvement. 20 new sets of bedroom furniture have been purchased. Bedrooms have been redecorated and refurbished and a new call bell system has been installed. 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. Annual Service Review Page 5 of 7 They work well with us and have shown us that their service continues to provide excellent outcomes for the people who use it. 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 10 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 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). 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 7 of 7 - 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!