Care Home: Carlton Manor Care Home

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Annual service review Name of Service: Carlton Manor Care Home The quality rating for this care home is: The rating was made on: two star good service 2 5 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: Mary Bentley Date of this annual service review: 1 5 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Parkfield House 23 Parkfield Road Bradford West Yorkshire BD8 7AB 01274544374 01274491985 carltonmanor@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: Carlton Nursing Homes Ltd Number of places (if applicable): Under 65 Over 65 0 30 30 0 The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 30 Physical Disability, Code PD, maximum number of places 30 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: A new certificate was issued in May 2009 to reflect a change in the registration categories. 2 5 0 2 2 0 0 9 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Carlton Manor was originally built as a private residence and later used as a Convent before being converted to a care home. It is situated in secluded grounds, ideally located for easy access to Bradford City centre. There are regular bus services to many Annual Service Review Page 2 of 7 local amenities and there is ample parking for visitors. The home provides personal and nursing care for 30 people. There is a mixture of single and double rooms mostly with en-suite facilities. There is a passenger lift giving access to all parts of the home. There is a ramp at the side entrance which provides access for wheelchair users. The communal rooms are on the ground floor and consist of three lounges and a large dining room. One of the lounges in the designated smoking area. In March 2010 the fees ranged from 400.00 to 1500.00 pounds per week and depend the level of care people are assessed as needing. Items such as hairdressing and holidays which are not included in the fees. Please contact the home for more detailed information about the fee structure. 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 we have received or asked for since the last key inspection which was carried out on 25 February 2009. We sent the annual quality assurance assessment (AQAA) to the home at the beginning of March 2010 therefore it was not available at the time of writing. However, the home provided us with information we asked for to complete this review. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives 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 is still in the process of completing their annual quality assurance assessment (AQAA). When we receive it we will review it to make sure we have received all the information we asked for. We sent surveys to people using the service but none had been returned at the time of writing. We looked at the information we have about the service and our judgement is that the home is still providing a good service and they know what further improvements they need to make. At the last key inspection our judgement was that people were experiencing good quality outcomes in all areas of the service. We have not received any information which would change this judgement. We have not had any complaints about the service in the last 12 months. The home told us they have had two complaints and these have been dealt with. There have been no changes to the management of the home in the past 12 months. The registered manager has been in post for approximately 9 years. She has the knowledge and experience necessary for her role and attends training to keep up to Annual Service Review Page 4 of 7 date with new ways of working. For example, she has attended the two day training course on safeguarding for service managers which is organised by the local authority. The home told us they send surveys to people using the service and their representatives every year. These are some of the comments they received from people using the service in the last year. People said they would like staff to spend more time chatting to them, they said the staff are very friendly and really care about them and they said the food is good with plenty of choice. Relatives said they would like to see people sitting outside more when the weather is good. Most relatives said they felt they were well informed about peoples care, one person said they were not always contacted quickly enough about changes in their relatives care. They also said the environment and grounds are lovely. One relative said the staff are excellent and another said they are fantastic. The home has put an action plan in place to deal with areas where people identified improvements could be made. There are policies and procedures in place to make sure people are protected and all the staff are trained in the protection of vulnerable adults (safeguarding). The manager has demonstrated that she is familiar with the local safeguarding procedures by making appropriate referrals over the past 12 months. The home told us that they continue to make changes to improve the service in response to feedback from people. For example, they have made changes to the menus and are providing more healthy options for people. They also arrange more outings for people, which include shopping trips, going out for meals and going to the pub. Several people are making use of the computer and using social networking sites to keep in touch with family and friends and renew acquaintances with people they had lost contact with. The home has good recruitment procedures and new staff do not start work until all the required checks have been completed. This helps to make sure people are protected. All new staff receive induction training in line with the Skills for Care Common Induction Standards. These are nationally agreed standards designed to help new staff get the skills and knowledge they need to care for people. Following induction there is an expectation that care staff will study for an NVQ (National Vocational Qualification) at level 2 or above depending on their role. The home told us that 68 of staff now have an NVQ at level 2. The company has a training manager and there is an ongoing programme of staff training. This shows that the home is committed to making sure staff have the knowledge and skills they need to meet peoples needs. Over the past year training has been provided on a variety of subjects including Equality and Diversity, the Mental Capacity Act and the Deprivation of Liberty safeguards. All the nursing staff have completed an update on medication training. There are policies and procedures are in place to make sure staff follow safe working practices and all equipment is serviced in line with manufacturers guidelines. People can therefore be sure that their health and safety is not being compromised. There is an ongoing programme of refurbishment to make sure the home continues to Annual Service Review Page 5 of 7 provide a pleasant and comfortable place for people to live. The home has achieved a 5 star (the highest) rating from Environmental Health for its standards of food hygiene and safety. 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 with us and have shown us that the service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We have a Statutory duty to inspect all care services at least once every three years. This Annual Service Review has not changed our view of the quality rating of the service therefore we are not planning to inspect this service before 24 February 2012. However, we can inspect the service at any time if we have concerns about the quality of the service or 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. 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