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Inspection on 20/01/10 for WCS - Attleborough Grange

Also see our care home review for WCS - Attleborough Grange for more information

This inspection was carried out on 20th 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.

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: WCS - Attleborough Grange 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: Patricia Flanaghan Date of this annual service review: 1 1 1 2 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Attleborough Road Nuneaton Warwickshire CV11 4JN 02476383543 02476326704 admin@attleborough.f9.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Miss Kay Louise Ward Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Warwickshire Home Care Services Limited Number of places (if applicable): Under 65 Over 65 31 0 0 31 The maximum number of service users who can be accommodated is: 31 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: Dementia (DE) 31, Old age, not falling within any other category (OP) 31 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 Attleborough Grange was built in the early 1900s and totally refurbished in 1995. A large extension was added to the rear and side of the original building providing Annual Service Review Page 2 of 8 purpose built accommodation. The home is one in a group of care homes owned by WCS. The home is currently registered to provide personal care for people over 65 and has specialist registration for dementia care. The accommodation includes single bedrooms and one shared bedroom. Twenty of these rooms have en suite facilities. The home is designed for group living in four self contained units. Each unit has its own lounge/dining area and kitchenette facilities. Griff House is a specialist dementia care unit for eleven service users. In addition to long/short stay accommodation; the home also provides day care services for up to eight clients. Day care service has its own facilities and staff. The home has mature gardens and patio areas, which are accessible to the homes service users. These have been designed to meet the needs of the service user groups catered for at Attleborough Grange. Further developments are planned for the garden areas. Weekly fees are agreed depending on the assessed needs of an individual and on whether the accommodation has an ensuite facility. Additional costs are; hairdressing, chiropody, toiletries, outings and newspapers are variable in costs dependent on the individuals wishes. The home purchase four daily newspapers (one for each unit). There may be additional costs for opticians and dentists etc. depending on an individuals health care arrangements. People should contact the service for up to date information on fees payable. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at the information that we have received since the last Annual Service Review. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service within the requested time. The AQAA is a self assessment that focuses on how well outcomes are being met for the people using the service. The AQAA is a legal requirement; it also gives us some numerical information about the service. The previous inspection report of 13 September 2007. The previous annual service review of 02 September 2008. What the service has told us about the things that have occurred in the service these are notifications and are a legal requirement. Information we have on how the service has managed any complaints. What other people have told us through their surveys. We received completed surveys from two people living in the home, three from relatives and four from staff. What has this told us about the service? The home sent us their annual quality assurance assessment within the required timescales; the home manager completed this. The information in the AQAA was clear and provided us with all of the information we asked for. We were told how the home ensures that people who use the service are consulted on things that matter to them. For example, The AQAA tells us that; - Service users views are obtained via questionnaires, comments, complaints, suggestions and comment books, - They hold monthly review meeting with the residents focusing on the care needs and how they are currently meeting these needs. These are then agreed with the resident and their representative. - The residents have an opportunity on a daily basis to speak to the manager and care manager or responsible person to discuss any aspect of their care. They told us of changes they have made as a result of listening to people. - The residents have more organised activities enabling them to access the local community and have a more stimulated life style. Annual Service Review Page 4 of 8 - The home now has care stations to enable the residents information to be kept more securely and an opportunity for relatives to have a more speedy response to queries. - Snacks are always made available to all the residents on the units. - Focus has been on the communal areas, the home has liaised with local businesses to enable them to create more inviting garden areas. - The home has recruited two new senior leads that monitor the care provision and monitor the standards of care at the home. The service tells they have received four complaints in the last twelve months. These were investigated under the homes complaints procedure. This demonstrates that people know their concerns will be taken seriously by the service and investigated in a timely manner. People told us in the surveys that they know who to speak to if they have any concerns. No complaints have been made to us about the service. The service told us that they follow their recruitment procedures in seeking references and completing safety checks to make sure that suitable staff are employed. Over 89 of staff have achieved a minimum of level two in the National Vocational Qualification (NVQ) in care. This should mean that staff should have the necessary skills and knowledge to provide a good standard of support to the people who live there. They told us how they had met Equality and Diversity. This includes: - Continuation of a more individualised approach to the understanding of the needs of the residents in relation to equality. - Staff attend training sessions on equality and diversity as part of the induction process. - Residents are aware, under the contract, of their rights whilst living at the home. - Residents are encouraged to have an active role in the running of the home. - Ensured that the staff team at the home have been given information about equality and diversity and training courses have been made available. - Individual care plans reflect the persons identity and life choices. Care plans highlight preferred routines of daily living. - Opportunities for training in Person Centred Care and Prevention of Abuse have been provided to all staff. All staff have completed their person centred care training. We received four completed surveys from staff members, they told us in their surveys that they are always given up to date information about the needs of the people they care for. This is important to ensure that people get the support they need in the ways that suit them best. Staff said they were given a proper induction and receive regular training and supervision. This means that they have the knowledge and skills and get Annual Service Review Page 5 of 8 the support they need, to do their jobs well. Two people said there are usually enough staff on duty to meet peoples needs, while two staff members said there are sometimes enough staff on duty. Comments received included: Cleanliness has gone down and staff morale has gone down I have always enjoyed working at Attleborough Grange. It is a homely place to work and I hope it always remains the same. I feel the home does well in caring for the residents. We should get more staff, as not all the residents needs are met. They could also do better in the cleaning by getting more domestic staff. The home does well in trying to meet the needs of all the residents. They should make sure there are enough staff to meet all the residents needs. We received two surveys from people who live at Attleborough Grange. They told us there are usually staff available to support them when they need them. They always get the medical attention they need and there are always suitable activities they can participate in. No additional comments were made. We received three surveys from relatives of people who live at the home. Comments included: It would be nice if the room my relative is in could be redecorated. They have been at the home for a long number of years and it has yet to be done. Rooms could be cleaned more often. I have concerns about my relatives clothes going missing. Clothes returned from the laundry sometimes are ruined and come back a dingy colour - not very nice to wear. The staff are caring and understanding. There is good approachable management. More staff would be nice. The new building will ruin the view and steal car parking facilities. Staff regularly update me on my relatives condition by word of mouth or by phone. The manager has confirmed in the AQAA that changes to the laundry provision in the home ensures it has improved. We were told that: Annual Service Review Page 6 of 8 - By implementing laundry hours this has improved the laundry service being provided to residents. The implementation of the laundry system has made a positive impact on the home this has reduced the lost property and also damage to clothing. The AQAA also told us that the redecoration and refurbishment of the home is ongoing. They said; - We have invested money in the home so that it could have all new furniture and the home could have a re decoration programme with five bedrooms being left to do in the home. They told us how they ensure the home is kept clean. - The homes environment is checked on a weekly basis to ensure that all jobs allocated have been achieved by all staff members at the home. - The housekeeping assistants all have books where the home manager and housekeeper state what cleaning needs to be done in each bedroom and in the communal areas of the home. We have looked at all the information available to us and in our judgement the service continues to provide a good service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and we will undertake an inspection visit by 13 September 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 7 of 8 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. 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