Care Home: Birdscroft Nursing Home

Annual service review Name of Service: Birdscroft Nursing Home The quality rating for this care home is: The rating was made on: two star good service 2 3 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: Mary Williamson Date of this annual service review: 1 6 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 16 Highfields Ashtead Surrey KT21 2NL 01372274499 01372276006 murielsandy@asterhealthcare.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: St Dominic`s Ltd Number of places (if applicable): Under 65 Over 65 0 28 The maximum number of service users to be accommodated is 28. 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: Old age, not falling within any other category (OP). 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 Birdscroft Nursing Home is a registered home, providing nursing care for up to twentyeight elderly residents. The home is situated in a residential avenue located within the village of Ashtead. Accommodation is provided in both single and double rooms, some of which have ensuite facilities. The rooms are arranged over two floors and there is a shaft lift in place Annual Service Review Page 2 of 6 2 3 0 9 2 0 0 8 to access the first floor. There is a small garden to the rear of the property, which is accessible by a ramp. A limited amount of parking space is available at the front of the home. The fees charged in this home range from £550 to £735 per week. Information provided on 23/09/2008. 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 the information that we 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 he service. Information we have about how the service has managed complaints, or allegations. What the service has told us about things that have happened in the home. These are called notifications and are a legal requirement. The previous key inspection report. The service history. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment when we asked for it. It was clear and gave us the information we asked for. We looked at the information in the AQAA, the service history, and additional information received since the previous inspection and it is our judgement that the home is still providing a good service and that they know what further improvements they have to make. The home continues to operate a structured admission procedure and only people whose needs can be met are admitted to the home. The AQAA indicates that needs assessments, care plans, and risk assessments are in place and reviewed regularly. The home has a complaints procedure and safeguarding procedure in place. There have been no formal complaints investigated since the last inspection. Leisure activities are arranged within the home and the AQAA stated that external funding is going to be accessed to provide more activities and outings for service users. Quality assurance is monitored and addressed on the comments received from consumer questionnaires. Regular service user meetings and suggestion also contribute to the quality assurance process. The AQAA states that renovation and refurbishment of the premises are currently being undertaken to enhance the facilities of the home and meet the requirements from the last inspection. Staff are employed with the appropriate skills to meet the needs of the service users. Recruitment procedures are in place to protect the service users living in the home. The AQAA indicates that the home promotes the health, safety and welfare of the service users and the staff. The service continues to inform the CQC of any relevant events that have occurred since the last inspection and they have shown that they have managed issues well. Annual Service Review Page 4 of 6 They work well with The Care Quality Commission and have shown their service continues to [provide good outcomes for 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 16th 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 the people using it. 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. 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 6 of 6 - 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!