Care Home: Ardenlea Grove

Annual service review Name of Service: Ardenlea Grove The quality rating for this care home is: The rating was made on: two star good service 1 3 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?   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: Deborah Shelton Date of this annual service review: 0 6 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 19-21 Lode Lane Solihull West Midlands B91 2AB 01217059222 01217059333 Telephone number: Fax number: Email address: Provider web address:   www.bupa.com BUPA Care Homes (AKW) Ltd Name of registered provider(s): 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 60 60 0 The maximum number of service users who can be accommodated is: 60 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 (OP) 60 Physical disability (PD) 60 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 Ardenlea Grove is a purpose built care home, which can provide general nursing care for 60 older people who may also have physical disabilities. Ten beds are designated for a continuing care contract with Solihull Primary Care Trust. Built in 1996/7, the premises are located within a development of retirement homes and flats. The home stands in its own grounds and is situated opposite Solihull Hospital on the main thoroughfare from Solihull to the Coventry Road. It is in close proximity to local shops, Annual Service Review Page 2 of 7 1 3 1 0 2 0 0 8 local transport services and other community amenities. The building has three floors and a basement, the latter being used for utility services and staff rooms. The main part of the home is accessed from the reception area on the ground floor and has a passenger lift. All bedrooms offer single accommodation and have an en suite facility including an assisted shower or bath. The home is a nonsmoking environment but should people wish to smoke a garden area is available and easily accessible. The home has hoists and pressure relieving equipment to meet the assessed needs of the people living there. There are assisted toilets and bathrooms available and corridors are wide and spacious and enable residents to move around the home freely with any aids they require. Each floor has a dining room and spacious lounge. The home has a Loop hearing system fitted into the reception area, which can assist people who have hearing impairments. Previous inspection reports of the home are available from the manager should anyone wish to read them. Current fee rates are included in the homes brochure which can be obtained from the manager. Additional charges include chiropody, visitors meals, hairdressing and toiletries. 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. 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. 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. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent their annual quality assurance assessment (AQAA) when we asked for it. We looked at the information in the AQAA and our judgement is that the home is still providing a Good service. The manager is aware of how the home is to progress over the next 12 months which is reflected in the AQAA. This includes improving systems to ensure that all staff have at least six supervision sessions per year. Formulate a more structured training program and appoint a training champion and to appoint two cleanliness guardians in order to promote good infection control practice within the home. Examples of areas highlighted by the manager as having improved in the last twelve months include Introduction of the EWAT 2 audit tool, introduction of further key operating guides, monthly medication audits, monthly QUEST audit tool, improvement in percentage of staff with NVQ qualification. The AQAA states that three complaints have been received by the home in the last twelve months. We have received no complaints since the last inspection. They told us that their current policy has agreed timescales for managing complaints. The information that accompanies the policy is prominently displayed in the Home. The complaints policy is currently under review. They told us about their pre-admission processes and the information that they give to people before they decide to move in. They said that our inspection reports, the Annual Service Review Page 4 of 7 Service User Guide and Statement of Purpose are made available in reception and people are given the option of a trial stay in the home, to ensure their happiness and wellbeing. This helps people know what to expect whilst living in the Home. The Annual Quality Assurance Assessment records how they manage peoples health and personal care. Everyone has comprehensive personal plans which are reviewed monthly and updated as needed. Care is focused on being person centred and meeting individual needs and people are involved in the care planning process. They told us how they manage daily life and social activities. They said that they have developed menus to allow for resident choice and preferences and encourage staff and residents involvement in the development of menus. Their Nite Bite menu allows residents to choose what to eat when they feel like it, providing healthy choices at any time through the night. They said that they have a structured activities programme, with a dedicated activities organiser and encourage a weekend and bank holiday activities programme. People living in the service completed questionnaires. We asked people in our survey a range of questions such as: Did you receive enough information to help you decide if this home was the right place for you before you moved in? Do you get the care and support you need? Are the staff available when you need them? Do the staff listen to you and act on what you say? Does the home make sure you get the medical care you need? Does the home arrange activities that you can take part in if you want? Do you like the meals at the Home? Do you know how to make a formal complaint? Is the home fresh and clean? Two people who live at the Home responded. People were positive with usually or always responses. One person further commented there needs to be more people in the residents lounge during the day so that more social interaction can occur - a DVD player would be a benefit. Two surveys were completed by the families of people living at the Home. Some comments were noted under the what could the service do better section as follows provide more carers on duty at any one time, the level of care is often poor as there are not enough people around when several people in the home are very poorly. Five surveys were received from staff. Under the section what does the Home do well? some of the comments made by staff were treat residents like individuals, very welcoming and the activities are extremely good, warm, friendly and offer an excellent standard of care offers a warm, friendly and professional environment, staff work as a team and give the care that is needed to the resident the best they can. Staff also made comments under the section entitled what could the Home do better? as follows staffing levels, the out of hours customer service with regards to enquiry handling, stock levels, at least one more carer on each floor, sometimes the girls are worn-out. The AQAA records that no care shifts have been covered by agency staff within the last twelve months. It also states that 84 of staff have achieved a National Vocational Qualification in Care at level 2 or above and all mandatory training is up-to-date. There is a training matrix specific to the home that identifies the training requirements of staff. This helps to ensure that staff have the appropriate training to enable them to provide care for those at the Home. They also say in the AQAA that they endeavour to Annual Service Review Page 5 of 7 maintain agreed staffing levels at all times, have an improved skill mix and they have a good level of staff retention. The home continues to let us know about things that have happened concerning the people who live there since our last key inspection. This shows us that they have managed the issues well. They work well 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? We are not going to change our inspection plan and will do a key inspection by 13 October 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 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - 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!