Care Home: Bole Hill View

Annual service review Name of Service: Bole Hill View The quality rating for this care home is: The rating was made on: two star good service 2 0 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: Sue Turner Date of this annual service review: 1 6 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 2 Eastfield Road Crookes Sheffield S10 1QL 01142683960 01142683960 jane.myers@sct.nhs.uk None Sheffield Care Trust Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 20 0 The maximum number of service users who can be accommodated is: 20 The registered person may provide the following category of service only: Care Home only - Code PC, To service users of the following gender: Either, Whose primary care needs on admission to the home are within the following category: Dementia - Code DE, maximum number of places 20 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 Bole Hill View is situated in the Crookes area of Sheffield. Local amenities are accessible and there is a regular bus service. The building is single storey and the majority of bedrooms are single. Bole Hill View has two double rooms that can accommodate married couples or be used for single individuals. Bathrooms and toilets are close to bedrooms and there are a number of comfortable Annual Service Review Page 2 of 8 None 2 0 1 0 2 0 0 8 sitting areas and a comfortable dining area. The home provides respite care to people living with dementia. The current range of fees can be obtained from the manager. There are additional charges for hairdressing, chiropody, newspapers, toiletries and outings. The home has a Statement of Purpose and a Service User Guide which is displayed in the home and available to people and their relatives. Information about how to raise any issues of concern or make a complaint is also on display. Annual Service Review Page 3 of 8 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 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The AQAA was received on time and gave very detailed information about the service. This shows that the service works in a co-operative manner with us. In the AQAA examples were given of changes made following comments from people who use the service. These included, Menus have been reviewed. A Potato rumbler has been purchased and people now have fresh potatoes. A carers monthly group was set up in August 2007 and this has been received well. Each month a different speaker attends in order to give people and their carers relevant information. Bole Hill View has tried to be more creative in the type of outings offered. Activities take place daily and an outreach worker has been given the role of activity coordinator. Sheffield Star newspaper is delivered daily. The AQAA shows that there are many other further changes planned as a result of listening to people. The service was able to identify what it did well which included, The staff team are committed to working within the core principles of care which Annual Service Review Page 4 of 8 promote equality and diversity in individuals. Those principles being: privacy, dignity, rights and choices, independence, empowerment, fulfilment and safety. The home meets the needs of people with a diagnosis of dementia and ensure that the staff have the necessary skills to do so. Trial visits are promoted so that people can check out the service before they make a decision to stay there. Each person has a care plan with actions to meet the individuals needs. This is drawn up with the person and their family, where appropriate. The care plan is based on a comprehensive assessment and forms the basis of care to be delivered. The action plan is detailed and includes health, personal and social needs. The plan of care also meets clinical guidelines including prevention of falls and risk assessments. The care plans are reviewed regularly. Best interest meetings are arranged as and when needed in line with the Mental Capacity Act. People are able to choose their own daily routines and are encouraged to remain as independent as possible. Activities are on offer both inside and outside the unit. Wherever possible staff support people to retain community contacts and routines. Three main meals are provided offering a choice. Menus are varied and seasonal, offering choice and catering for people with special dietary needs.Tables are set appropriately and encourage independence at meal times. People are encouraged to eat healthily and the menu is displayed daily. Complaints are viewed positively so that improvements to the service can be made. There are effective systems in place to safeguard people from abuse. All staff are aware of how to pick up evidence of suspected abuse and are very observant. The building is spacious which allows people to walk around freely and safely. Staff are properly vetted and trained to ensure the support and care people need is received. The home is managed in such a way that promotes the best interests of people. Quality assurance surveys are sent out annually which seeks the views of stakeholders, people and their carers. The purpose being to measure the services success in reaching their aims and objectives. The service was able to identify the developments they were aiming to achieve over the next 12 months. These included, To introduce a pen picture for each person to give some insight into the individuals history. Annual Service Review Page 5 of 8 To improve recordings. To create a family room which would also enable relatives/carers to stay in the event of their loved ones being ill. To provide more quiet areas for people. To make the environment more comfortable and homely. To set up a library and music room. To devise a daily and annual activity/entertainment programme. Working alongside a dedicated activity co ordinator. A proposal will be presented to the service providers to request a 35.5 hour activity co ordinator. To continue the drive to push through more staff places for the NVQ level 2 award. We sent out surveys to 10 people that live in the home, five staff and five professionals. We received back eight surveys that were completed by relatives on behalf of people that stayed at the home, one staff survey and four professionals surveys. Relatives and friends told us, The home has good food, caring and friendly staff and is very clean. We are very happy with the layout of the home. The staff are cheerful and compassionate. Nothing is too much trouble. We only have one issue, that staff waited until medication had run out before telling the family, which delayed continuity of drugs. I cant think of anything that could be done to improve the service. The home always smells fresh and they always find time to wash my husbands clothes and bring them back to me. Everyone has a caring attitude towards me. Please ask them to turn the volume down on the television in the lounge. Professionals told us, The staff respond quickly to changes in peoples care needs. They support relatives by being flexible on dates and times of respite care, however they should keep up to date with rolling respite dates without having to be reminded. The home keep the families informed of any untoward events that have happened during the persons stay. I believe there could be better communication within the home. We always receive positive feedback from people and families that access the service. They should complete a discharge summary after each respite stay to inform families and social workers how the stay went and highlight any concerns. We spoke to Sheffield Social Services, Contracting and Commissioning Department. They told us, Annual Service Review Page 6 of 8 We have had no recorded incidents at Bole Hill View since April 2008. Sheffield Adult Safeguarding told us, The service has referred three incidents to us. Two of these were not put into adult safeguarding procedures. The third incident is now resolved. We had been informed of the safeguarding referrals. We have also been sent in notifications regarding people who have used the service. The AQAA told us that the service had received one complaint since the last inspection. We have not received any complaints about the service. From notifications we are aware that there have been five incidents of people being mis administered their medications. Four of these incidents were staff error and one one a pharmacy error. All incidents were quickly found and no ill effects were suffered by people. We asked the manager of the home to provide us with an action plan showing what precautions had been put in place to prevent further errors being made. What are we going to do as a result of this annual service review? We are not going to change the inspection plan and will carry out a key inspection by 19th October 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 7 of 8 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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