Care Home: Alexandra Care Home

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Annual service review Name of Service: Alexandra Care Home The quality rating for this care home is: The rating was made on: two star good service 1 4 0 1 2 0 0 9 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: Eileen Engelmann Date of this annual service review: 2 6 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Doncaster Road Thrybergh Rotherham South Yorkshire S65 4AD 01709850844 01709854823 alexandranh@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Jillian Kilgallen Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 1 47 0 Category OP includes persons from 55 years of age One PD is to be used for respite purposes only 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: There was a new responsible individual appointed for the home, with a new registration certificate issued in November 2009. 1 4 0 1 2 0 0 9 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 7 Alexandra Care Home provides Nursing and Residential care and accommodation for up to 47 people in the category of older adults from 55 years upwards. The home is situated in Thrybergh, which is close to Rotherham town centre. It is within reach of a range of community facilities and is accessible by public transport. Accommodation is provided on three floors; the lower ground floor, ground and first floors. Access between the floors is by passenger lift and stairs. There are 41 single bedrooms one of which has an en-suite facility, and three double bedrooms. Some bedrooms on the lower floor have access to the garden. There is a car parking area to the front of the home. The garden is fenced off and is provided with some garden furniture. The registered person makes information about the service available by the homes Statement of Purpose and the Service User Guide. A copy of the inspection report is made available at the home. Further information can be obtained from the home. 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 last visited the home for its Key Inspection on 14 January 2009 when we rated it as a 2* or good service. 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. 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. Information we have 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 has this told us about the service? The home sent us their AQAA when we asked for it. It was clear and gave us all the information that we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. The AQAA tells us that in the last 12 months staff have received training in person centred care and the home has tried hard to encourage people using the service and relatives to take an active part in shaping the care plans to become more person centred. The service has registered to be part of the Gold Standards Framework. This is a training programme for end of life care, based on the individualised needs and wishes of people who are dying, and focusing on promoting and protecting their dignity, respect and rights. The home seeks out the views of people who use their service through meetings, reviews, surveys, letters and 1-1 talks. In response to feedback from people living in the home, the service is planning to convert two back dining rooms into lounges and use one downstairs lounge as a games room. The AQAA tells us that the service has increased the amount of activity hours available within the the home and plans to introduce activities into one weekend day a month, in addition to the weekly Annual Service Review Page 4 of 7 programme of events. We sent surveys out to people using the service, relatives and advocates, health and social care professionals and staff. The response to these was good, we got 10 back from people in the home, 2 from relatives, 1 from the health and social care professionals and 8 from staff. People using the service told us that they are happy there. People commented that they got the care and support they require and are able to make choices about their daily lifes. People particularly liked the meals in the home and everyone who responded said there are always activities to take part in. Relatives told us that the home is very good at keeping them in touch with how their loved ones are doing, and informing them of any events and activities going on in the home. One individual told us my husband is very happy in the home. The staff are always pleasant and helpful and the manager is very approachable if ever I have to speak to her. Another relative said my wife has been at the home for eight years, she remains in bed and cannot speak. In all this time she has never suffered a bed sore and I feel this is due to the good care and attention she has received from the staff at all times. Information from the health and social care professional who completed our survey is that they are satisfied the needs of the people using the service are being met and commented that staff communicate with others very well. There were a few suggestions for improvements from our surveys: one individual asked if people who remain in their rooms or like a rest in an afternoon could have regular hot drinks, as sometimes these are being missed. Also the health care professional would like the qualified staff working in the home to have more clinical skills such as venepuncture and syringe driver training. Information from our surveys indicates that staff are happy with the training, support and supervision they receive, and feel they have the skills and knowledge to meet the different needs of the people using the service. Staff told us they work well as a team, communciate well with each other and that the home is a very happy place. Individuals told us the service cares about its staff and the people living in the home. People are given choices and respect and it is run efficiently and the activities are excellent, people go on lots of outings, have entertainers visit the home and enjoy life. The home has a robust complaints system and encourages people, relatives and visitors to voice their thoughts and opinions about the service. In the last 12 months the manager has sucessfully investigated and resolved four complaints. People using the service tell us that they are confident of raising any issues with the manager or staff and that they always get a quick response. We have been notified of two safeguarding of vulnerable adults from abuse allegations. Both were around falls in the home, and were referred to the local authority safeguarding team by the home. Investigation into one allegation has been completed and the home has worked with the team to ensure any necessary actions have been Annual Service Review Page 5 of 7 implemented to keep people safe. One investigation is ongoing. Staff have received safeguarding of adults from abuse training and feel confident in using the systems in place within the service. The home continues to let us know about things that have happened since our last Key Inspection, and they have shown us that they have managed issues well. They work with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? It is our statutory responsibility to inspect all care services at least once every 3 years. The completion of this Annual Service Review has not changed our view of the quality rating for this service, therefore we are not planning to inspect this service before 13 January 2012. 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. 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