Care Home: Brambling Lodge

Annual service review Name of Service: Brambling Lodge The quality rating for this care home is: The rating was made on: two star good service 2 8 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: Penny McMullan Date of this annual service review: 0 2 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 48 Eythorne Road Shepherdswell Dover Kent CT15 7PG 01304830775 01304832791 blodge@1stchoicecarehomes.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mr Kanagaratnam Rajaseelan,Mr Kanagaratnam Rajamenon Conditions of registration: Category(ies) : dementia Conditions of registration: The maximum number of service users who can be accommodated is: 27 The registered person may provide the following category/ies of service only: Care home only - PC 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 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 Brambling Lodge is an extended detached property, located on the main road running through the village of Shepherdswell. The Home is set back from the road and accessed by an ascending drive, this levels out into a car parking area to the side of Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 0 27 The Registered Manager has resigned. 2 8 1 1 2 0 0 8 the property. The local area is served by a limited public bus service, but the village has a train station with direct mainline access. The Home provides residential care for up to 27 older people with dementia. Accommodation is arranged over two floors accessed by two staircases and a shaft lift. There are 25 single rooms, 11 of which are en-suite and 1 shared room with an ensuite. Each bedroom has a private wash-hand basin and call bell, many of the rooms also have televisions in-situ for residents use. Coin box telephones are available for use on both floors. The Home benefits from a large conservatory to the side of the house next to the entrance. The garden to the rear of the property has been landscaped and leveled off to provide a secure and safe area comprising patio with tables and chairs, and a large expanse of lawn, for residents to use in good weather. 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 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 home returned the Annual Quality Assurance Assessment (AQAA) when we asked for it. This was clear and comprehensive. It identified areas that have improved in the last year and others where further developments are either planned or would benefit service users. This included evidence that the service seeks the views of residents and other stakeholders. The last inspection was carried out on 28 November 2008 when the judgement rating for the home was two star, good. This means that the people who live in the home receive good care outcomes. There were no requirements made and three recommendations. The AQAA indicates that these recommendations have been met. Since the previous inspection the Registered Manager resigned and a new manager has been appointed. The new manager was previously registered with the Commission in another home owned by the organisation and will be applying to the CQC to become the Registered Manager at Brambling Lodge. The new manager commenced her duties in the home on 2nd November 2009. There is evidence from the AQAA that the home is continuing to look at ways of improving what it does to ensure good outcomes for those receiving a service. For Annual Service Review Page 4 of 7 example as a result of listening to the people who live in the home bedroom carpets have been renewed. More shaded areas have been created in the garden for clients and families to sit. The home has improved the pre admission assessment document by including behavioural assessments to ensure that all aspects of equality and diversity are included. Quality audits on the care being provided in the home are carried out by the Area Manager to make sure that a good standard of care is being provided. An additional medication trolley has been purchased to make sure that people receive their medication on time. There is an ongoing training programme to make sure staff have the skills to do their jobs well. Staff continue to achieve their NVQ and all domestic staff have also achieved their NVQ. The residents in the home are being supported with activities such as growing vegetables and herbs and a raised flower bed is now in place for easier access for the less able residents. The flooring in the conservatory and dining room has been replaced. The outside of the home and hallway has been redecorated. The lounge areas have been reorganised to make more space for the residents and the dining room is also more widely used by the residents. The home has implemented a new computer system which links the home to the Internet and their head office. Email has become more reliable and this is used to communicate with the relatives of the residents who live around the world. Postal surveys were sent to ten people using the service, ten members of staff and five to health care professionals. No surveys from people using the service were returned, two came back from health care professionals and one from a member of staff. Feedback from the surveys is positive and further comments have been included in this report. When asked what the service does well health care professional comments: Staff communicate well with the District Nurses Team. Staff comments: They look after the residents well. The service does well in everything it does. When asked what the service could do better, comments are as follows: A Health care professional comment: Improve the tidiness of the clinical room. One member of staff comments: Have more staff on duty from 4pm to 5pm. The AQAA states that the service employs staff in sufficient numbers and with the relevant mix of skill and qualifications to meet the needs of those who use the service. The Registered Manager told us that she is in the process of reviewing staffing levels during the evening to make sure there is en cough staff on duty during busy times. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well Annual Service Review Page 5 of 7 with us and have shown us that their service continues to provide good outcomes for the people who use it. There have been no complaints since the last inspection and no issues or concerns have been forwarded to the Commission. 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 28 November 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 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). 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