Care Home: Betsy Clara House Nursing Home

Annual service review Name of Service: Betsy Clara House Nursing Home The quality rating for this care home is: The rating was made on: two star good service 2 5 0 9 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: Susan Hall Date of this annual service review: 0 9 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Courtney Road Tovil Maidstone Kent ME15 6UN 01622687523 01622751233 betsy.clara@btconnect.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Paydens (Nursing Homes) Limited Conditions of registration: Category(ies) : dementia Conditions of registration: The maximum number of service users who can be accommodated is: 50 The registered person may provide the following category/ies of service only: 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 categories: Dementia DE 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 Betsy Clara House is a modern purpose built care home situated in Tovil, close to the town centre of Maidstone, which has all the usual amenities. It is owned and operated by Paydens (Nursing Homes Ltd.) The company have another care home at St.Leonards on the South coast, and one other care service. Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 50 0 2 5 0 9 2 0 0 8 Accommodation is provided on two floors, with access via stairs and a passenger lift. All bedrooms have en-suite toilet facilities; and some also have en-suite shower facilities. There is a large lounge with dining area on the ground floor, and two smaller lounge/dining rooms on the ground and first floors. The home also offers a designated hairdressing salon. A separate staff training room is situated on the ground floor, which can also be used for visitors. There is ample space for car parking at the front of the home. The home provides nursing care for older people with dementia, and has trained nurses on duty twenty-four hours per day. Current fees can be obtained from the manager. 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? The Inspector reviewed all the information that the Commission has received, or asked for, since the last Key Inspection in September 2008. This includes: Formal notifications about things which have happened in the service, which the care home is legally required to send to CQC. The Annual Quality Assurance Assessment (AQAA), which was sent in by the service. AQAA is a self assessment that focuses on how well the home is meeting outcomes for people who live there. It also provides detailed information about how the home is running. Information about any concerns or complaints; or referrals to the Social Services Safeguarding Adults department. Details from the last key inspection and report. Relevant information obtained from other organisations. Information obtained from phone calls and letters received since the last inspection. What has this told us about the service? The last inspection visit to the home found that residents are cared for by a good staff team, who interact well with them, and who are committed to providing high standards of care. Relatives and health professionals provided positive comments about the care given in the home. The Annual Quality Assurance Assessment (AQAA) was completed by the acting manager, who was formerly the deputy manager. The AQAA provides some basic information and updates about how the home is progressing, but needs additional information in each section to provide a comprehensive picture about how standards are being met. However, the information provided is up to date and relevant, and the AQAA was returned to CQC within the required timescale. The AQAA states that the management continue to receive positive feedback from families and health professionals about the care and support given to residents. During the last year, the manager has left employment due to ill health, and the home continues to be run by the acting manager, with support from the companys area manager on a weekly basis. A new deputy has also been appointed. While CQC are confident that the day to day running of the home is being adequately managed, it is an offence under the Care Standards Act to manage a home without being registered with the Commission, and it is of the highest importance that the acting manager makes an application to CQC for registration as soon as possible. The home provides comprehensive information for prospective residents and their representatives, and the acting manager states that they intend to add more Annual Service Review Page 4 of 7 information to the residents guide in regards to activities available and the food management. There is a policy of not arranging appointments for people to view the home, but to allow people to view the home at any time. All residents have a detailed pre-admission assessment to ensure that the home will be able to meet their individual needs. Care plans are implemented with input from the resident and their family members as appropriate, and reviews are held to discuss any changes. Care planning documentation has been developed during the last year to incorporate information about the residents mental capacity, and this shows a good response to a recommendation given at the last inspection. The staff contact other health professionals as needed to provide additional advice and support. The admission process includes recording a comprehensive life history, and likes and dislikes of the new resident, so that staff can quickly become familiar with their preferences. The staff then develop a programme for preferred social activities from this information. The home has good links with the local community, and invites visits from nearby sources such as church choirs and schools, to provide residents with increased community links. This is especially important for residents who are unable to leave the home for reasons connected with their mental state or safety. The manager states in the AQAA that the home is hoping to develop more outings for residents who are able to go out of the home; and to develop an increased activity programme. The home has an open management style, enabling residents to voice any concerns, as far as they are able to do so. These are documented and followed up, so that action is taken to address any issues raised. Staff are all trained in the protection of vulnerable adults, and aware of the importance of assisting residents with dementia to express their feelings as well as their needs. The acting manager visits the home out of normal office hours, so as to enable visiting relatives to speak with her at different times. The premises are maintained to a good standard, and there are weekly audits to ensure that the environment is kept in good condition. An infection control audit was recently carried out by the Kent Environmental Health Agency, and this demonstrated that there are excellent infection control procedures in place. There are plans to redecorate the communal lounges, and bathrooms and toilets, to improve the decor in the coming year. The gardens provide a safe and attractive area for residents, and are being further developed with raised beds and a water feature. The raised beds will enable residents to take part in gardening if they wish to do so. As this is a nursing home, there are always nurses on duty throughout the twenty-four hour period. The home has a care team manager and deputy as well as nursing staff, and their role is to take additional responsibility for other care staff. This includes taking part in the induction of new staff, managing care teams on a day to day basis, auditing care practices, and providing a support network for other care staff. There are regular meetings to promote good communication between nursing and care staff, and one to one supervision to support the staff and oversee their personal development and training. The AQAA contains some staffing details, and these show that the home keeps staffing levels to a good standard. There are usually two nurses on duty throughout the whole twenty-four hours (one per floor) as well as care staff and ancillary staff. The company expect care staff to train to NVQ level 2, and encourage staff to progress to level 3 as well. Annual Service Review Page 5 of 7 Information in the AQAA confirms that servicing and equipment maintenance is kept up to date (e.g. lift and hoist servicing); and policies and procedures are updated and reviewed as appropriate. What are we going to do as a result of this annual service review? The Commission is confident that this home is continuing to operate to a good standard, and we will continue to monitor the home through ongoing processes. A key inspection will be carried out by 25th September 2010. However, we can inspect the service at any time, if we have concerns about the quality of the service, or the safety of 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!