Care Home: Berehill House Nursing Home

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Annual service review Name of Service: Berehill House Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service 2 6 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: Tracey Horne Date of this annual service review: 1 7 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Jobsons Close Newbury Road Whitchurch Hampshire RG28 7DX 01256893087 01256896795 berehill@hesclacare.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Margaret Paine Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Hestia Care Limited Number of places (if applicable): Under 65 Over 65 0 30 The maximum number of service users to be accommodated is 30 The registered person may provide the following category of service : Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Old age, not falling within any other category (OP) 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Berehill House Nursing Home is a home for service users in the category of older persons. The home is located close to a small village. The building is a large old Annual Service Review Page 2 of 7 None 2 6 0 1 2 0 0 9 detached property, which was totally refurbished in 2006. The accommodation consists of twenty five bedrooms. Thirteen of which are single bedrooms, eight single rooms have en-suite facilities, one double bedroom and three double rooms with en-suite facilities. The service has five beds dedicated to respite care and also admits some people for up to six weeks who have been discharged from hospital.home has a passenger lift for access to all floors and there are also suitable call facilities in all rooms, bathrooms, WCs and communal areas. There are aids, hoists and assisted toilet and bathing facilities and handrails are situated around 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 looked at all the information that we have received, or asked for, since the last Key Inspection (KI) 26/01/09. 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. We sent surveys to ten service users, ten relatives, ten staff, ten health and social care professionals and five care managers. The following were returned, three service users (one was supported to complete theirs by a relative), five staff, two relative/advocate and five health and social care professionals. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We considered the previous Key Inspection. What has this told us about the service? The service sent us their AQAA when we asked for it. It had been completed fully and was very informative. The AQAA states that seventeen service users have been admitted since the last KI, bringing the total number of service users to twenty seven. Fourteen people have been admitted on a short term basis for intermediate care and three service users were discharged. The service hasnt received any complaints. One safeguarding referral has been made which resulted in a safeguarding investigation. The allegation could not be substantiated and it was agreed the case be closed. All policies and procedures are up to date.Ten out of twenty staff have achieved, or are undertaking National Vocational Qualification (NVQ) 2 or above. The service has identified in their AQAA the following areas that have improved; care plans continue to evolve and be more person centered. A wider range of activities, including trips out. Further patio area for seating in the garden completed. Increased number of staff achieving and commencing NVQ training qualifications. The service has identified in their AQAA the following areas for improvement; continue further improvements in the outdoor area, review and improve documentation with advice from external consultant continue to expand the range of quality assurance assessment material and spending time getting to know new legislation and preparing for registration in 2010. Three service users ticked yes to receiving a contract and they received enough information about the home before moving in which enabled them to decide if it was the right place for them. Each relative who responded to our survey agreed the service provided enough information about the home before their relative moved in, which enabled them to decide if it was the right place for them. Five health and social care Annual Service Review Page 4 of 7 professionals who responded to our survey agreed the service usually, and one always gathers accurate information to ensure the right service is planned for people. One service user who responded to our survey agreed that they always and two usually received care, support and medical support as they need. Most relatives who responded to our survey agreed that the service meets their relatives needs and responds to the different needs of individuals living there. All health and social care professionals also agreed and stated that the service seeks advice and acts upon the advice given to improve individuals well being. All service users agreed the home arranges activities. Everyone surveyed agreed the service respects peoples dignity. Service users opinions differed when answering if they like the meals, two usually and one sometimes. All relatives who responded to our survey agreed that the service meets their relatives needs and responds to the different needs of individuals living there. But one stated that their relative sometimes has to wait to be supported as they need two staff, who are not always readily available. All health and social care professionals agreed and stated that the service seeks advice and acts upon the advice given to improve individuals well being. All staff who responded to our survey agreed to a CRB and references being carried out before they started work. Relatives agreed the service keeps the up to date with important issues effecting their relative and they all agreed to knowing what to do if someone has concerns about the home, and the service has responded appropriately when concerns have been raised. All health and social care professionals agreed and stated that the manager and staff have the right skills and experience to support peoples social and healthcare needs. All service users and relatives who responded to our survey stated the home is always clean and fresh. When asked if there are enough staff to meet individuals needs, one staff ticked always and four usually. All ticked always to feeling they have the right support, experience and knowledge to meeting the different needs of people. Each relative agreed. All staff ticked very well to induction covering everything they needed to know, and all agreed they have been given enough training that is relevant to their role and helps them to understand individuals needs, and keeps them up to date with new ways of working. The majority of staff surveyed stated that the manager meets with them regularly to discuss how they are working. The following comments were made when asked what the home does well:Friendly atmosphere, clean, staff seem caring in nature. Good medical care and relationship with local surgery. Excellent rappor with service users and relatives, excellent team work. Listen to and deal with any problems. Excellent food and entertainment. I am happier living here than i was at home on my own, they cannot do enough for me. My relative is always clean and presentable, her clothes are spotless, her room clean and tidy. The staff are very patient and attentive. No comments were made when asked what the home could do better? The service continues to notify us of things that have happened since our last key Annual Service Review Page 5 of 7 inspection. The last key inspection stated people using this service experience excellent quality outcomes. 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 26 January 2011. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. 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