Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd March 2010. CQC found this care home to be providing an Good service.
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.
For extracts, read the latest CQC inspection for Anglesea Heights Nursing Home.
What the care home does well Residents and relatives describe the staff as being friendly and approachable, which reflected our findings as we visited all four houses, with their relaxed, friendly atmosphere. Residents tell us that their physical and medical health needs are being monitored and met.The privacy and health and safety issues we raised during our last inspection, were quickly acted on, and the home wrote to us confirming what action they had taken to address them. This include ensuring all bathrooms and toilets had working locks, and new systems introduced for staff to report any hazards or equipment broken, which enables the manager to monitor what work is being carried out. With the major refurbishment going on at the home, the standard of the environment has greatly improved, and when completed will address all the environmental shortfalls identified in the residents surveys. What the care home could do better: Further work still needs to be undertaken to ensure people with dementia living at the home, have access to a more stimulating environment, especially for people who spend a lot of time walking along the corridors. Work still needs to be undertaken to ensure all the people living at the home, have access to a range of activities and stimulation, which meets their preferences, and their individual physical and mental health needs. The manager is confidant that the introduction of the `Champions in Dementia`, will support staff to address these areas we have identified. Random inspection report
Care homes for older people
Name: Address: Anglesea Heights Nursing Home Anglesea Road Ipswich Suffolk IP1 3NG two star good service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jill Clarke Date: 0 3 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Anglesea Heights Nursing Home Anglesea Road Ipswich Suffolk IP1 3NG 01473289810 Telephone number: Fax number: Email address: Provider web address: www.bupa.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Tina Ellen Rose Askew Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (CFHCare) Ltd care home 120 Number of places (if applicable): Under 65 Over 65 0 30 dementia old age, not falling within any other category Conditions of registration: 90 0 The maximum number of service users who can be accommodated is: 120. 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 needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. Dementia - Code DE. Date of last inspection Brief description of the care home Anglesea Heights is owned by BUPA Care Homes and is registered as a care home with nursing, providing care and accommodation to a maximum of 120 service users in the
Care Homes for Older People Page 2 of 10 0 8 0 6 2 0 0 9 Brief description of the care home categories of old age and dementia. Situated in a residential area of Ipswich it is close to the town centre. Local shops are within walking distance and the Home is on a local bus route. The building is a local landmark in Ipswich, with the listed Victorian administration block originally forming part of the old Ipswich Hospital. Service user accommodation is, by comparison, modern, purpose built, single story, ground floor accommodation comprising of 4 separate, 30 bedded bungalows, named after parks in the town, Alexander, Bourne, Gippeswyk and Christchurch. All bedrooms are of single occupancy and although not en-suite, each has a wash hand basin, and there are communal toilets, and bathrooms located close by. Each bungalow also has a lounge/dining room and access to the gardens. Fees range from GBP820 to GBP950 per week depending on the level of care and support required. Care Homes for Older People Page 3 of 10 What we found:
We (The Commission) visited the home unannounced to undertake a focused inspection, looking at the standard of the environment, quality of meals being provided, and social activities and interaction, to ensure they are meeting individual peoples needs. All three areas of the service had been identified in our service user and staff feedback surveys, as areas the home could do better in. Survey feedback received from people living at the home in October 2009, confirmed that they are receiving the care and support they need. People spoke positively of the hard working staff. Comments included The staff are very caring and friendly, always ready to help and always got a smile on their faces and staff care for its patients with kindness being respectful of their dignity, making family feel very welcome. When we asked (survey) people living at the home, what they felt the service could do better in, ten people mentioned the environment. Comments included could do with refurbishment, provide better facilities for the residents to use like armchairs, recliner chairs, cleaner environment for Bourne house - get rid of the smell as you enter the unit. Since our surveys went out, there has been a major refurbishment going on at the home, which has not jet finished. Contractors were on-site when we visited, and as we walked around the four houses (Alexander, Bourne, Gippeswyk and Christchurch) with the manager, they pointed out the work still to be undertaken. From our own observations and feedback from the manager, we could see that the environmental improvements wanted by people living at the home, have already been, or will be addressed, by the time the refurbishment is completed. This includes internal and external pain work, new lighting, carpets, curtains and furniture (including armchairs) providing a clean, fresh environment for residents. However, on entering Bourne house we could also smell an unpleasant odour referred to in the survey feedback. The manager told us that the situation will be addressed when the new carpets are laid. As we visited the four houses, three of which now specialises in caring for people with dementia, we observed although there are themed pictures on the walls, there was nothing to stimulate residents senses, and offer points of interest as they walk around. For example tactile pictures and objects which people can touch and interact with. Instead residents were observed walking along the corridors, with one resident opening doors and another resident, seen as having challenging behaviour grabbing another resident as they walked by. On seeing the situation staff quickly intervened to support the residents concerned, and ensure their safety. In one lounge we saw residents chairs had been arranged in a double lined horse shoe shape, with the large flat screen television on the wall as the focus point, although many of the residents did not appear to be watching it. In another lounge the armchairs were arranged around the walls, but unlike the dining area where staff had musical instruments out and were assisting residents to play them, there was no items of stimulation or interest. The manager told us that they do have rummage boxes which contain objects of interest for residents to handle, however they tended to be used by
Care Homes for Older People Page 4 of 10 staff for set activities sessions, rather than have the objects as part of the everyday environment. We looked at a residents care plan where staff had written comments about their aggressive behaviour, to see if staff had identified what interaction worked best with that person to promote their well-being, and occupy their time. In the area of the care plan where we would expect to find the information, we found comments such as lack of interest, but no information on what interaction staff had tried which resulted in this lack of interest. In our survey when we asked residents does the home arrange activities that you can take part in if you want, eight people had answered with either always or usually, seven sometimes, one never and one person answered I dont know. Two residents commented that the home needs to appoint an effective organiser I hardly see one. Feedback from staff working at the home, also saw activities as an area for improvement, more days out for residents with staff, encourage residents to do more day to day tasks - do simple jobs to help care staff, residents are bored, more entertainment in afternoons. Visiting one of the houses, we saw a resident laying the table ready for tea, which we were told was normal practice for that person. The manager informed us that a new activities organiser had started last September. However, they currently have one person off on extended leave, which leaves one full-time and two part-time activity organisers covering the four houses. We spent time talking with one of the Activities Organisers, and looking at the completed daily activity programme sheets for two of the houses. This identified in the mornings two hours of their time was used in preparing and providing breakfast. Activity organisers had also spent time with individual residents providing nail care, reading newspapers and completing jigsaw puzzles. Discussion with the member of staff identified that they had no monitoring sheets to identify during a month, how much group and individual activities each resident was having, linked to their physical, mental and social needs. We looked at two residents map of life which gives information on their hobbies and interests, along with activities, and outings they would be interested in taking part in. However, we could see no information in the care plans on how staff are using this information to develop the persons individual planned activities. Discussion with a relative of a resident, who had informed us that they are bored, identified that the relative had seen group activities going on, such as dancing and skittles. Staff also told us yesterday they took a couple of residents out into the grounds and that staff will get games out. Discussions with the manager identified that they accept they have work to do, and went on to tell us how they are going to do it. At the current time they have two senior nurses undertaking the Alzheimers Society Champions in Dementia course. The course comprises of six days of workshops spanning approximately five months, allowing time between sessions for learners to carry out and submit practice-based projects for assessment. The February 2010 Bupa Care Homes Newsletter for residents and relatives, available at the home, gives further information on what Bupa hope to achieve from staff undertaking this course. Which is to provide truly person-centred care, that recognises the importance of every interaction with residents. The manager showed us the supervision notes for one of the staff undertaking the
Care Homes for Older People Page 5 of 10 course, which sets out the first projects they will be undertaking. This is to observe staff interaction with residents on two of the dementia care houses during lunch time, using an observational tool. The manager said it is important for staff to focus on one area in order to encourage staff motivation for change. By having their own trained Champions in Dementia, they will be able to cascade their knowledge to colleagues and support them in having a greater understanding of dementia care. When we asked residents surveyed do they like the meals provided by the home, twelve people answered always, seven usually four sometimes and one person said never. Comments included choices are poor, patients are all well fed, and overhaul the menu, offer variety and cater to the needs of residents i.e. vegetarian. The food is monotonous and poor quality. When we fed back these comments to the manager they were surprised, as they said they get loads of compliments for the chef. They showed us a letter they had received complementing the chef on the recent Valentines meal. We also looked at the homes 2009 quality feedback analysis, which is an independent survey undertaken for Bupa care homes. We looked at the quality of meals section, and the response they received when they asked people about the tastiness of the food. The results showed the good responses had gone up by 48 percent from the previous year. The manager informed us that residents are able to invite their relatives to eat with them at no extra cost. They felt some people may find the food bland to their tastes, as part of their health eating they add little or no seasoning. However, the manager said seasoning is available for people to add more if they wish. We asked a new resident what they thought of the meals being provided, and they replied very good - best I have been served in hospital. Their visiting relative supported the comments made. Another resident close by, when we asked if they had enjoyed the food they had just eaten, gave us a big smile, indicating that they had. When we visited another of the four houses, we asked a member of staff what they thought about the quality of food being provided. They told us the choice is quite good, as residents are given two choices of main course and dessert for lunch each day. When we asked how they are giving people a choice, they told us where residents may not remember what the different foods are called, they will take one of each of the choices available and show them both. When residents first move into the home, staff keep a food diary to support them in monitoring their nutritional intake. The one we looked at, although it had not been fully completed during the two week period, it did show the person had been eating a variety of foods, which included Roast Pork, Fish and Chips, Chicken Stew, Fish Pie and Spaghetti bolognaise. As the home currently had no residents who are vegetarians, we could not ask their views, to see if they are being provided with enough variety. Staff confirmed that any residents who require specialist diets to meet their needs and culture, they would contact the Chef who would visit them. The manager confirmed that the Chef continues to visit the lounges on a daily basis to gain direct feedback on the quality of the meals. What the care home does well:
Residents and relatives describe the staff as being friendly and approachable, which reflected our findings as we visited all four houses, with their relaxed, friendly atmosphere. Residents tell us that their physical and medical health needs are being monitored and met.
Care Homes for Older People Page 6 of 10 The privacy and health and safety issues we raised during our last inspection, were quickly acted on, and the home wrote to us confirming what action they had taken to address them. This include ensuring all bathrooms and toilets had working locks, and new systems introduced for staff to report any hazards or equipment broken, which enables the manager to monitor what work is being carried out. With the major refurbishment going on at the home, the standard of the environment has greatly improved, and when completed will address all the environmental shortfalls identified in the residents surveys. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!
