Care Home: Bryher Court Nursing Home

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Annual service review Name of Service: Bryher Court Nursing Home The quality rating for this care home is: The rating was made on: two star good service 0 4 0 2 2 0 0 9 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: Melanie Freeman Date of this annual service review: 1 1 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 85 Filsham Road St Leonards On Sea East Sussex TN38 0PE 01424-444400 01424440011 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Imelda Mary Rea Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: Barron Kirk Quality Care Limited Number of places (if applicable): Under 65 Over 65 0 45 45 0 The maximum service users to be accommodated at any one time is 45 The registered person may provide the following category of service: 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 category ; Physical disability (PD) 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 Bryher Court is a large detached building, set in its own grounds in a residential area of St. Leonards-on-Sea. The Home provides nursing and personal care for up to 45 Annual Service Review Page 2 of 6 0 4 0 2 2 0 0 9 patients of an older age. Administrative, catering, cleaning and maintenance staff support registered nurses and care staff, in fulfilling the patients needs. The accommodation is arranged over three floors: two internal passenger lifts enable access to all parts of the building and all areas are therefore accessible for those with limited mobility. There are hoists and bath hoists as well as grab rails and disability aids in the bathrooms and toilets. A lounge and large conservatory, which is used as a dining area, provide communal space and a large garden area to the rear also provides a relaxation area in the warmer weather. At the front of the building there is a large parking area. The home welcomes prospective residents or their representatives to view the premises, discuss their needs with the appointed manager and spend time with the staff and residents. Weekly fees range from the funding supplied from the placing authority to £775 a week, for full nursing care at the time of this report. The fees depend on the room occupied and do not include hairdressing, chiropody or any sundries, such as newspapers, toiletries or taxis: these are charged as extras. Information about the service is available from the homes manager. 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, that was completed on the 4 February 2009. This included; The Annual Quality Assurance Assessment (AQAA) that is completed by the service and focuses on how well outcomes are being met for people using the service, this was completed by the registered manager and was provided when requested. 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 including Social Services and visiting health care professionals. The registered manager was also contacted by telephone on the day of the Annual Service Review for up to date information on the service, and confirmation on how the home has addressed the requirements made at the last inspection. Visiting health and social care professionals were also contacted and spoken to directly for feedback on the service, just prior to the Review. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. This provided information on the service that included numerical information that was requested. The AQAA was completed by the registered manager and identified areas that have improved in the last year, and others where further developments are either planned or would benefit residents. The last key inspection was completed in February 2009 and was positive with regard to resident care with outcomes being judged as good, apart from those related to the environment. Five requirements were made following this inspection. Contact with the manager confirmed that all these requirements have been addressed. The admission procedure ensures that prospective residents or their representatives, are advised in writing, that the home can meet their needs before they are admitted. Each resident who is prescribed medicines on an as required basis, now has individual guidelines with regard to appropriate and consistent administration. Infection control measures in the home have been reviewed, and two staff members have been allocated as infection control champions. Monthly infection control audits are completed along with cleaning schedules, and equipment found to be difficult to clean has been replaced. Staff training is being developed with the use of an outside training company, and the AQAA acknowledged that there is a need for ongoing improvement in this area. New environmental risk assessments have been completed by the manager throughout the home. The contents of the AQAA recorded that the required safety checks and servicing is completed on all the homes equipment and services, and that the policies and Annual Service Review Page 4 of 6 procedures in place and are regularly reviewed and updated. Contact with the manager confirmed that she is currently reviewing the provision of relevant policies and procedures, ensuring appropriate provision in the future. The AQAA recorded that 5 complaints had been received over the last year and discussion with the manager confirmed that this was in fact 4, with all being fully investigated and resolved. The home accepted when there was any shortfall and addressed the matter accordingly, this demonstrated a willingness to listen and respond to any criticism in a positive way. The AQAA also recorded that a safeguarding matter had been raised. Although the manager had reported this to the police who dealt with the matter, social services were not notified or involved with the subsequent investigation and findings. This shortfall was discussed with the manager to ensure the appropriate reporting procedures are followed at all times in the future. The manager confirmed that one of the main strengths of the home was the staff team. The ratio of trained nursing staff is high, and the number of care staff obtaining a National Vocational Qualification in care has increased. Communication between all staff is well established, and staff morale is high. Discussion with the manger also indicated that the level of consultation with residents and relatives has been developed. Monthly forums are held and the home are responding to views raised within these meetings, with a real Christmas tree being purchased this year, and the idea of rewarding a staff member with a yearly award being agreed. The AQAA also recorded that residents views had been responded to, with reviewed menus and two sittings for lunch being implemented to relieve congestion in the dining room. The information provided by the home confirmed our judgment, that the home continues to provide a good service. What are we going to do as a result of this annual service review? There will be no change to the inspection schedule, and the Care Quality Commission will do a key inspection by 4 February 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 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). 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