Latest Inspection
This is the latest available inspection report for this service, carried out on 29th 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 Brewster House.
Annual service review
Name of Service: Brewster House The quality rating for this care home is: The rating was made on: two star good service 0 5 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: Alan Thompson Date of this annual service review: 0 3 1 1 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: Oak Road Heybridge Maldon Essex CM9 4AX 01621853960 01621857847 manager.brewster@runwoodhomes.co.uk www.runwoodhomecare.com Runwood Homes Plc Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 0 25 64 Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 25 persons) Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 64 persons) The registered person must not admit persons subject to the Mental Health Act 1983 or the Patients in the Community (Amendment) Act 1995 The total number of service users accommodated in the home must not exceed 64 persons 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 0 5 1 1 2 0 0 8 Annual Service Review Page 2 of 8 Brewster House is a large purpose built unit in Heybridge, which is on the outskirts of Maldon in Essex. The home accommodates 64 service users who are over the age of 65 years. All of the accommodation provided is on a single room basis spread over two floors with the exception of one shared or premium room. A large majority of the rooms have en suite facilities. There are four communal lounges throughout the home including a pleasant conservatory off the main dining room. Small seating areas can be found around the home for private and quiet visits. There is a choice of seven bathrooms and a shower room. The bathrooms are equipped with a variety of assisted baths and hoists. Outdoor space comprises an enclosed central courtyard with small pond and plant areas. There is a car park to the front of the property with ample spaces. The home is situated near to local shops and is on a public transport route to Maldon, Witham and Colchester. Fees for the home range between £389.83 and £700.00 weekly (this information was provided to the Commission at the time of our last inspection in November 2008). They do not include the purchase of newspapers, toiletries, hairdressing and chiropody service. Inspection reports can be obtained from the home, or via the CQC internet website www.cqc.org.uk. 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. Any surveys that were returned to us by people using the service, their families and from other people with an interest in the home. 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 and the results of any other visits that we have made to the home in the last 12 months. What has this told us about the service? Inspection Report: The last key inspection of this service was undertaken on 5th November 2008 and found that of the twenty three standards looked at twenty one were judged as met with two almost met. The inspectors summary included the following: The service offers a relaxed and friendly home environment for service users taking account of a wide range of abilities and physical needs. The private and communal accommodation in the home is spacious and bright. The information collated about each service user is full and relevant, helping staff understand how they would like to be supported. Care plans reflect individual needs and are regularly reviewed. Consultation with service users and other stakeholders is undertaken frequently, minutes of meetings are made available and action taken to address concerns raised is documented. Recruitment checks on prospective staff are thorough and evidence is retained correctly. A comprehensive induction programme is followed by each new staff member and ongoing training identified during supervision sessions. This told us that overall the home was achieving good outcomes for the people using the service with no statutory shortfalls identified. AQAA: This was sent to us when we asked for it and provided us information to confirm that the manager had a good understanding of the service, could identify what they did well and evidence this, and were also able to highlight areas for improvement. Annual Service Review Page 4 of 8 A brief summary of the managers comments in the AQAA included: Under What our service does well: We carry out a full comprehensive pre-admission assessment and offer a trial visit. We assess to see if we are able to meet the service users individual needs. We set up a person centred care plan, encouraging the service user and families to have imput. All service users are treated as individuals and their wishes and views are respected. Service users are encouraged to make their own choices and judgements as far as able. We have a new activities coordinator who will be working 35 hours a week. Our activities staff are trained to deliver Sonas (a therapeutic approach focusing on the senses and on exercise), and are currently learning Ti Chi. We have a lot of new equipment to enhance the lives of our residents which includes a computer for e-mails and a webcam for talking to friends and families. We have a WII and WII fit, and have outside entertainers who provide music therapy. We have a robust recruitment procedure with an induction process that involves a buddy system. Staff rotas are covered with a skill mix of staff. The manager is very experienced and qualified and has an open door style. There is an annual quality assurance inspection and an annual development plan for the home. Under How we have improved in the last 12 months: More staff are trained to carry out pre-admission assessments. Improvements have been made to care planning process. We involve district nursing teams with admission process where needed. More regular monitoring of care files, staff making more comprehensive notes. Nutrition records are improved. Work is being done around person centred care planning and development of care plans which include risk assessing of illness and medications. Activities staff have better understanding of service users needs through attending regular training and we have more modern equipment in place. Many more staff are trained to NVQ 2 or above and more staff are working towards this award. Recrutiment training provided by head office to key people. Risk assessments in place for client based and environmental issues. Risk assessments in place for illnesses and conditions. Senior carer team are developing in care planning and supervision procedures. The data set provided with the AQAA shows that twelve complaints had been received by the service in the 12 months leading up to 2nd October 2009, and that these were investigated with seven upheld. The AQAA also shows that two safeguarding referrals were raised. These were properly dealt with and we are not aware of any ongoing concerns about the welfare of service users.
Annual Service Review Page 5 of 8 Information in the AQAA also confirms that all the required recruitment checks had been satisfactorily carried out on new staff, and that twenty three out of thirty eight permanent care workers had achieved their NVQ level 2, or above, awards. This means the service exceeds the recommended level of 50 of staff obtaining this qualification. The AQAA also shows how the service plans to introduce further changes to bring about improvements to benefit service users. Surveys: At the time of writing this service review we had received ten completed surveys from those we sent out for people using the service (some of these had been completed with staff help), and stakeholders. These gave us views about the care provided. Responses confirmed that most people knew who to speak to if they were unhappy. They confirmed that the home is always fresh and clean and all thought that carers always listened and acted on what they said. Most also thought that they always received the care and support they needed, and all thought that staff were always or usually available when they needed them. Actual comment made in surveys included: the home is always clean, they do their best all round, activities are provided for everyone in mind, they do everything well, look after me well, I am very happy here the staff are very kind and caring, its like home from home, they provide individal care for each resident, have had to take increasingly frail residents and Brewster House has met this challege. Other comments included: there could be more staff, and ensure a member of staff is in my lounge at all times. We also received six completed surveys from staff, all thought that their induction very well or mostly covered what they needed to know when they started their jobs at the home. All thought that they are given training relevant to their roles, and that this helped them to understand and meet the needs of service users. All thought that they were supported regularly or often by the manager and that there were usually enough staff to meet service users needs. We asked staff if they knew what to do if someone had concerns about the home, all confirmed that they did. Information received since last inspection: As required by regulations, the home has when necessary notified us of any relevant incidents/information that we are aware of since the last inspection. Based upon the information available at the time of completing this ASR we think that the quality of the service has not changed since out last inspection. Annual Service Review Page 6 of 8 What are we going to do as a result of this annual service review? At the present time we are not going to change our inspection plan, and will do a key inspection by 5th 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 7 of 8 Reader Information
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