Care Home: Carnalea Residential Home

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Annual service review Name of Service: Carnalea Residential Home The quality rating for this care home is: The rating was made on: two star good service 0 2 0 3 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: Anne Butts Date of this annual service review: 1 6 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 5-9 London Road Faversham Kent ME13 8TA 01795532629 Telephone number: Fax number: Email address: Provider web address:   eldercare@carnalea.com Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mrs Betty Florence Wake Number of places (if applicable): Under 65 Over 65 0 43 The maximum number of service users to be accommodated is 43 The maximum number of service users who can be accommodated is: 43 The registered person may provide the following category of service: 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 category; Old age, not falling within any other category (OP) 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: 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 Carnalea is a privately owned 43-bedded residential care home for older people. The property is a large detached Victorian building, which has undergone substantial Annual Service Review Page 2 of 7 0 2 0 3 2 0 0 9 conversion. The main building provides accommodation for 34 residents and an annexe attached at both ground and first floor level, accommodates a further 9 residents. The home has a passenger lift and a stair lift, which gives step free access throughout. All of the bedrooms have wash hand basins, television and telephone sockets. There is call bell system in operation, with a call point located in each bedroom for residents to summon assistance. To the rear of the property there is a large and attractive walled garden with seating for residents use. The home is located on the main A2 road approximately one mile from Faversham town centre and railway station and near to a bus route. A number of local shops are within walking distance. There is ample parking for visitors. The home employs care staff working a roster, which provides 24-hour cover. Ancillary staff for catering, maintenance and domestic duties are also employed. Current fees range from £334.47 to £575.00 according to assessed personal need. 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. 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 has this told us about the service? The service received a key inspection in March 2009. At this inspection the home was rated as providing a two star good service. Six of the seven outcome areas were judged as providing good outcomes and staffing was judged as providing excellent outcomes for people living in the home. The Annual Quality Assurance Assessment (AQAA) was returned to us and contained detailed and comprehensive information about the service. It included detailed information on what they felt they did well and how they can evidence this. It was clear about improvements they have identified as having happened and plans they have for further improvements. At our last visit we found that the service provides good information for people and that this was reviewed. The AQAA identifies that they continue to ensure that people are given appropriate information and that it is available in different formats. Our last report stated that the arrangements in place to assess the needs of the people are in place and they can feel confident their needs will be met. The AQAA identifies that the home maintains a robust assessment process with a personalised pre-admission assessment and opportunities to visit the home prior to moving in. The AQAA tells us that they have improved this documentation in the last twelve months which includes areas for residents and the manager to sign to show agreement with the assessment. Our key inspection in March 2009 found that care plans and risk assessments would benefit from additional detail being included in these. The AQAA states that care plans and risk assessments are maintained and they are reviewed regularly to ensure that ongoing changes are met. The AQAA also tells us that the home has purchased a new Annual Service Review Page 4 of 7 care planning system which will be more structured and hold all the information required to support people. The AQAA also identifies that they acted upon recommendations made at our last visit with regards to care planning and risk assessments. The activities coordinator has now been in post for a year and the AQAA identifies that this has helped improve the range of activities and stimulation within the home. It is clear that people are able to exercise choice and control over their everyday lives. Healthcare needs continue to be well supported with the AQAA telling us that staff are trained in medication and people have access to healthcare professionals as required. In March 2009 we judged the outcome area for staffing as excellent and the AQAA supports that the systems in place for recruitment, induction, training and staffing arrangements continues to be maintained. They tell us there is a training development programme in place and currently there is 80 of staff who have achieved a National Vocational Qualification (NVQ) in care. Further plans to improve staffing training includes to ensure that all staff complete dementia awareness training and have 90 of staff achieve the NVQ. Management team training is also to be sourced for senior staff. The AQAA says that there have been no complaints received by the service in the last twelve months and no safeguarding investigations. At our last visit we found that the complaints procedure was accessible to all people and that they are encouraged to voice their concerns, no matter how minor. We (the Commission) have not received any complaints about the service. Our records show that the home continues to inform us of any notifiable events as required by the Care Homes Regulations 2001. The AQAA was clear that residents living in the home have a say in the running of the home and that their views will be listened to. The AQAA says that they use a variety of formal and informal processes to support this which includes quality assurance questionnaires, residents and relatives meetings, reviews and an activities questionnaire so that people can identify their preferences. The AQAA is also clear that the home is looking at ways of developing a deeper understanding of residents experience of care and states are looking at ways to encourage residents to express their personal opinions and realise their potential. They have also introduced suggestion boxes for residents, relatives and staff which they are using to promote an open culture within the home and gain further feedback from people so that they can look at addressing any issues or make further improvements. The AQAA asks the service to tell us what changes they have made as a result of listening to people who use the service. They have told us that they have done the following as a result of this: Introduced additional chair exercises Created a staff board with photos Increased the frequency of residents meetings Annual Service Review Page 5 of 7 Made changes to the menus Introduced visits from the Pat Dog service. Further plans include more themed events during the years and organising a beauty therapist. The AQAA tells us that there is an equality and diversity plan for the home and that these principles are applied so as to ensure that no residents of staff are discriminated against in regards to their disability, race, gender, sexual orientation, age or religious belief. Facilities are provided to support people with their religious beliefs and staff are trained through induction and regular updates on issues surrounding equality and diversity. The last report, AQAA and a conversation with the manager demonstrates that the home is run in the best interests of the people living there and that they are central to the running of the home. Their input is welcomed and promoted and the manager confirmed that feedback from relatives and residents continues to be positive. From the information received we are confident that the service continues to operate to a good standard. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. This Annual Service Review has not changed our opinion of the service. However we can inspect the service at any time if we have any 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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