Care Home: Aspray House

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Annual service review Name of Service: Aspray 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: Peter Illes Date of this annual service review: 0 9 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 481 Leabridge Road Leyton London E10 7EB 02085589579 02085589052 burtonj@asprayhouse.co.uk 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: Twinglobe Care Homes Ltd Number of places (if applicable): Under 65 Over 65 44 0 0 44 The maximum number of service users who can be accommodated is: 64 The registered person may provide the following category of service only: Care home with nursing (CRH - 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 - Code OP (maximum number of places: 40) Dementia Code DE (maximum number of places: 44) 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 Aspray House was purpose built in 2004 and is registered to provide dementia care for 44 older people and nursing care for 20 older people, including care for people with physical disabilities. The home is privately owned and is part of Twinglobe Care Homes Limited. The home has five floors. All 64 bedrooms are for single occupancy and have en-suite facilities. The ground floor, Emerald Suite, has twenty places for nursing care Annual Service Review Page 2 of 6 for older people; The first floor, Opal Suite, has twenty places for nursing care for older people with a diagnosis of dementia; The second and third floors, Sapphire Suite and Topaz Suite respectively, each have twelve places for residential care for older people with a diagnosis of dementia. The fourth floor consists of the managers office, staff facilities including a training room, the homes main kitchen, laundry facilities and a hairdressing salon for people living at the home. All floors are linked by two flights of stairs and a passenger lift. The home has a pleasant garden and patio area at the rear and a paved car parking area at the front. CCTV is used as a security measure at the entrance to the home and does not infringe on the privacy of people living in the home. The home is situated in the centre of Leyton in the London Borough of Waltham Forest and is within easy access to public transport, shops and other community amenities. A stated aim of the home is to provide its customers and clients with the highest quality care services. The stated aim continues that the service will use its health and care knowledge, specialist skills and values to deliver as individual a service as possible to its residents. The provider organisation must make information about the service, including the Commissions inspection reports, available to people living at the home and other stakeholders. The current weekly charge is from £600 per week depending on the persons assessed need. 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. 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 report. What has this told us about the service? At the last key inspection on 10/12/2007 the service was assessed as being a good service and this was still our judgement when we completed the last annual service review on 30/10/2008. Since that time there have been 2 safeguarding alerts that have been properly investigated under to L.B. of Waltham Forests safeguarding adults procedures and which the home has dealt with satisfactorily. No complaints about the service have been reported to the Commission since the last key inspection. The service sent us their annual quality assurance assessment (AQAA) when we asked for it. The AQAA contained a range of detailed information and indicated that the home continues to provide a good service. The AQAA told us of the improvements the service had made in the previous twelve months. These have included: improving the way that prospective residents are shown round the home to allow for their questions to be addressed more effectively; reinforcing the homes links with the End of Life Team and for nurses to be encouraged to take part in training in this area as well as staff receiving update training in palliative care; reviewed menus to reflect demand from residents, including cultural preference regarding food; improving further the way that complaints are reported and responded to; the purchase of additional equipment to improve the homes ability to respond to residents needs; improvements in staff training and the way it is delivered and improvements to the resources the homes managers have available to analyse and respond to issues, including health and safety and human resources. The AQAA told us that planned improvements to the home over the next twelve months would include: further monitoring, and review were necessary, of the homes pre-admission process; further review of the homes care planning processes, including considering whether electronic recording of documents would provide a better way of Annual Service Review Page 4 of 6 retrieving information more easily; to investigate how to make advocacy services more easy to access for residents; to further review how complaints and concerns are responded to; to continue with the homes ongoing refurbishment programme, including to purchase additional bedlinen and other bedding stocks; to try to streamline the homes staff recruitment procedures and to continue to develop management processes in the home. The AQAA also told us that the home listens to the views of residents through twice yearly customer satisfaction surveys, regular residents meetings and sharing information on any planned changes through residents meetings and written information being available within the home. We received survey forms from sixteen residents, which were generally positive about the home. Comments included: Staff are very good, always willing to help. Nice and clean, (the home). Take me into the garden for fresh air activity. Activities department is beneficial to me. However, three residents indicated that they only sometimes liked the meals at the home. One person commented, Meals could be better. Breakfast needs more variety. We received survey forms from twelve relatives, which indicated they were happy with the care the home provides their loved one. Comments included: Staff are friendly, informative and professional. My (relatives) mental condition causes her to be very demanding at times but Aspray House staff have developed a good understanding of her needs and cope exceedingly well. However, one person commented that the home should provide more stimulation for people with dementia. We received survey forms from seventeen staff that indicated they felt well supported. Comments included: I can always go to my manager for support when I need it; and, The home provides an excellent facility and care service for the service users. We received survey forms from three health and social care professionals, which indicated they were satisfied with the service the home provides. Comments included: Effective leadership from the manager of the home; and, The service provides high quality care ensuring they meet residents needs. 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. 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 01/12/2010. 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: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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