Latest Inspection
This is the latest available inspection report for this service, carried out on 17th December 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Braemar Lodge.
Annual service review
Name of Service: Braemar Lodge The quality rating for this care home is: The rating was made on: two star good service 1 1 1 1 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: Susie Stratton Date of this annual service review: 1 6 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Stratford Road Salisbury Wiltshire SP1 3JH 01722439700 Telephone number: Fax number: Email address: Provider web address:
braemarlodge@coltencare.co.uk www.coltencare.co.uk Colten Care Limited Name of registered provider(s): Name of registered manager (if applicable) Mrs Alison Mary Bremner Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 55 The maximum number of service users who can be accommodate is 55. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code 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 Braemar Lodge is a purpose built 55 bed care home with nursing for older people. The home was first registered in June 2007. Accommodation is to a high standard with a wide variety of different communal areas. The home is built into the side of the hill. The entrance area is on the ground floor, with a first floor above and a lower ground
Annual Service Review Page 2 of 6 1 1 1 1 2 0 0 8 floor, which has access to an enclosed patio garden area. This is fully wheelchair accessible. There is a passenger lift between floors. All utility areas such as kitchen and laundry have separate entrances, so that supplies and items for disposal do not need to be brought through the entrance area. The home is owned by Colten Care, who own a group of care homes, mainly in the south and south west. The managers post is currently vacant and a person is acting into the role. This manager is supported by registered nurses, care assistants, ancillary, catering, administrative and activities staff. The home is visited regularly by a senior manager from Colten Care. The home is situated on a road leading into the city of Salisbury. At the back the home looks over playing fields. There is car parking on site and several bus stops close by. Salisbury has a railway station, which is about 5 to 10 minutes from the home. 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 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. - Relevant information from other organisations. - What other people have told us about the service. What has this told us about the service? The home sent us their AQAA when we asked for it. It was clear and completed in full. They report that they provide a high quality service to people, striving to ensure that individual needs are met and wishes fulfilled. They state that their aim is that all their residents lead a full and happy life, in a relaxed home environment. They also report that they continue to invest in and develop their staff teams and that they actively seek and welcome feedback from all users of their service. They reported that during the past year, they have appointed a new manager for the service. They have been successful in recruitment of staff, thereby reducing agency usage and have improved and developed their induction and training programmes. During the past year, among other areas, they report they have established a residents food committee, with meetings held quarterly with the chef and regional chef manager. They report that following comments from people, they have developed and implemented an action plan to improve the efficiency of the laundry and broadened the range of activities on the activities programme. They have introduced two senior health care assistants to work on each floor to improve, maintain and promote continuity of resident care and relative contact. They also report that during the next year, among other areas, they plan to undertake a full review of dependency levels of residents, to ensure appropriate numbers and skill mix of staff. They plan to continue to improve staff skills and raise the level of resident satisfaction through implementing the homes improvement plans arising out of the most recent resident satisfaction survey. Other plans include the creation of a sensory garden. Annual Service Review Page 4 of 6 We received 26 questionnaires about the home. Responses in questionnaires indicated that people knew how to raise issues of concern, that they felt that the home managed their medical needs well, that they always or usually provided activities to meet their needs and people felt that the home was fresh and clean. Staff reported that the home had performed full employment checks on them before they started work and that their induction had fully or mostly covered areas that they needed to know about the job. Comments included food is very good, the staff are friendly, helpful, approachable and cheerful, personal hygiene is well taken care of and the Matron is very actively involved and knows all the residents well. Staff comments included, that the home has all the latest equipment etc, a good team that I am pleased to be part of and very caring environment to be working in. However some people felt that improvements were indicated. Of the 16 people who responded to the questionnaire, only three felt that they always received the care an support that they needed, only three felt that staff were always available when they needed them and five that staff always listened and acted upon what they said. Of the nine staff who responded to the questionnaire, none felt that the ways they shared information always worked well and only one person felt there were always enough staff on duty to meet individual residents needs. Comments included bank staff - too many and not enough permanent staff, tuition in CARING, have more carers and that the home needed more equipment, including hoist slings as residents who are hoisted all use same slings. The homes AQAA indicated that many of these areas had already been identified, with plans in place for them to be addressed. The home continues to let us know about things that have happened since our last key inspection, including the matters detailed in the AQAA. The home works well with us and in an open manner. They have informed us of two medication errors, including investigation into the errors and actions to be taken to prevent re-occurrence. They have also informed us of any residents who have been admitted with or have sustained pressure ulceration in the home and actions taken to support the resident and heal the ulceration. Their reports indicate that they are complying with local and national guidelines relation to prevention of pressure ulceration. We have received one complaint about the service during the past year. This was referred back to the provider for investigation. They copied us in on their investigation and response. This showed that the home had fully investigated the complaint in a thorough and impartial manner and had developed action plans to address any service deficits. The home has referred residents via local safeguarding procedures where relevant and worked closely with multi-agency teams, to ensure that vulnerable people are safeguarded. Our judgement is that the home currently continues to provide a good service and that they know what they need to do to improve and develop their service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and Braemar Lodges next key inspection will be by 10th November 2010. However we may also 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
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