This inspection was carried out on 4th January 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.
Annual service review
Name of Service: The Village Nursing Home The quality rating for this care home is: The rating was made on: two star good service 0 9 1 0 2 0 0 8 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?
Yes 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: Jennifer Hughes Date of this annual service review: 3 0 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 41 Church Road Banks Southport Lancashire PR9 8ET 01704220061 Telephone number: Fax number: Email address: Provider web address:
village.manager@craegmoor.co.uk www.craegmoor.co.uk Parkcare Homes (No.2) Ltd Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 40. 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 The Village is a forty-bedded, purpose built, care home, set in its own well-maintained grounds. It is located in the village of Banks and there are sufficient amenities of shops, a Church and public house nearby. Transport links to nearby towns of Southport
Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 0 40 The registered manager has left the service 0 9 1 0 2 0 0 8 and Liverpool can be accessed. There is ample car parking space alongside the home. The home provides personal and nursing care for older people, and is well equipped to suit the needs of its residents. All accommodation is at ground floor level, and there is easy access for wheelchair users and the less mobile. All rooms have an en-suite facility and there are two shared rooms. Communal space for service users comprises a lounge, dining area and two small seating areas along the corridors. The home has a patio area to the front and garden and patio to the rear. Qualified nursing staff and care staff are provided over 24 hours, every day of the year. Residents receive information about the home in the form of the Statement of Purpose and the Service Users Guide. A small brochure is also given out to anyone making enquiries. As at October 2008 the fees charged ranged from £366.00 per week, to £550.00 per week, depending on the level of care needed. Further details about fees can be obtained from the manager. 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, such as numbers of staff and what qualifications they hold. Any surveys returned to us by people using the service, and from other people with an interest in the service. What the service has told us about things that have happened in the service. The inspection record. This is a document where we record any activity or information that we receive about the home. Information we have about how the service has managed any complaints. The previous key inspection report and annual service reviews. What has this told us about the service? The home sent us their AQAA when we asked for it. It was very clear, and gave us all the information we asked for. From April 2009 the home has been managed by a team of managers within the Craegmoor organisation due to the absence of the registered manager. A series of issues had been raised concerning the care of residents and the running of the home. From July 2009 a new manager was appointed. The information showed us that the home are actively addressing any areas that have been identified as needing improvement and development. It showed us that there are comprehensive policies and procedures in place to help staff to deliver good care, and plans have been implemented to ensure these procedures are followed. The information showed us that the service is making sure the people who receive the service are supported. There is continual self monitoring to make sure good standards are kept. The manager told us about how individual records were being reviewed and updated to make information clearer and easier to access, and how the home always encouraged involvement from residents and their families. She told us We strive to provide an excellent standard of care from a highly person centred approach. Annual Service Review Page 4 of 7 Surveys we received from residents told us that they usually received the care and support they needed, from staff who were usually available. They said that the home ensured they received any medical care they required. Staff surveys confirmed they received a good induction to the work when they started at the home, and had received relevant and appropriate training to keep them up to date with ways of working. They told us they only sometimes had enough support from the manager, but usually had enough support, experience and knowledge to meet the needs of the residents. In response to the question What could the home do better?, a staff member suggested Management and higher could talk and listen to staffs point of views where their concerns for residents are raised. Other responses on staff surveys said It creates a family atmosphere, Work well as a team and Residents always come first. The AQAA told us that 65 of care staff had achieved National Vocational Qualifications (NVQ). Staff surveys told us that there were usually or sometimes enough staff on duty, and about the high work-load. The manager told us about plans to work towards employing a larger team of bank staff in order to have a back-up of staff where our own staff are off sick or on leave. Residents surveys informed us that there were usually activities arranged to take part in, and the manager told us how the Keeping Active care plans were being reviewed to ensure information about individuals preferences was up to date. The surveys showed some dissatisfaction with meals provided, with one resident commenting that the home should provide Better food. There have been 12 complaints about the care provided at the home, with all upheld. They have been addressed appropriately by the home. All homes are required to have written procedures in place to be followed if it is suspected that a resident has been the victim of abuse. These are generally referred to as safeguarding procedures.The home have these procedures in place, and there have been 5 safeguarding referrals made to the local authority regarding care practices at the home. The home has been working closely with the local authority to improve practices in the home to avoid similar complaints. An action plan has been drawn up and the home have been following it appropriately, making the required improvements. As the manager appointed in July 2009 left the employ of the home at the beginning of November 2009, the local authority continue to monitor the homes care provision, and plan to support the new manager, when appointed. Staff comments included It would help the running of the home if we were to have the stability of a permanent manager. The provider continues to work with us and has demonstrated that their service is working with plans to provide a good standard of care. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We will continue to monitor the service and will plan a random visit to identify that progress is being made. We can also 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
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