This inspection was carried out on 2nd 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 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: Wellburn House 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: Jacqueline Herring Date of this annual service review: 0 2 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Wellburn Road Fairfield Stockton-on-Tees TS19 7PP 01642647400 01642647411 wellburn@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross BC OpCo Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 90 0 0 90 The maximum number of service users who can be accommodated is: 90 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: Old Age, not falling within any other category, Code OP - maximum number of places 90 Dementia Code DE, maximum number of places 90 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: No changes to registration in the last 12 months Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Wellburn House is a modern, purpose built facility that is registered to provide personal care to ninety older people. The home does not provide intermediate care. The first floor of the home has accommodation for forty-five older people with
Annual Service Review Page 2 of 6 dementia and the ground floor has accommodation for forty-five older people receiving general personal care. All bedrooms on the first floor of the home are single in nature. There are forty-three single bedrooms and one large bedroom that can be used as a shared bedroom on the ground floor of the home. Bedrooms have en-suites facilities with a toilet and washbasin. The home is divided into three units; each has a Unit Manager and a dedicated staff team. The Unit Managers are responsible to the Registered Manager. All rooms are comfortably furnished and residents may personalise their rooms. Bedrooms in the home environment meet space requirements of National Minimum Standards. There is an enclosed rear garden that has seating areas. Annual Service Review Page 3 of 6 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. 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 report dated 9/6/09 when a 2 star, good quality rating was made. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It had been completed by the registered manager and was very well completed and informative. We have not received any information about this service that gives cause for concern and would make us think that the current quality rating is not accurate. The information in the AQAA along with other information looked at, confirmed our judgement, that Wellburn House is still providing a good service to people living at there. Throughout the AQAA there are details of areas of further development, including improvements to the garden area, care documentation and further staff training along with improvement to the dementia unit with themed areas. There were no surveys available for this annual service review. The AQAA detailed that there had been 15 complaints in the past twelve months. A breakdown of the nature of complaints was requested and provided. In the main a number of complaints related to housekeeping issues, along with concerns about maintenance of the home. CQC are satisfied with the information provided and that complaints are dealt with diligently. The AQAA detailed the following information about complaints, Service users, relatives and staff do feel able to bring matters of concern to the attention of senior members of staff, manager or operations manager without reprisal. We ensue that other interested parties in a complaint are aware, such as CQC and Contracts. Notifications have been received from the home, a number of which detail accidents and subsequent injuries to people living at the home. The accidents should continue to be monitored and audited to ensure where possible, they can be minimised. 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 4 of 6 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 8 June 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 6 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:
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