Care Home: Cedar Court Nursing Home (Dementia Unit)

Annual service review Name of Service: Cedar Court Nursing Home (Dementia Unit) The quality rating for this care home is: The rating was made on: two star good service 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: Angela Kennedy Date of this annual service review: 0 9 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Bretby Park Bretby Derbyshire DE15 0QX 01283211412 01283552220 admin@cedarcourtcare.co.uk www.cedarcourtcare.co.uk Your Health Ltd Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 50 0 Option of admitting up to 10 persons aged 50 years and over within the total number registered 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 Cedar Court Care Home has two units. The larger unit provides nursing and personal care for up to fifty persons aged 65 years and over with dementia, including up to ten places for persons aged 50 years and over. Cedar Court is situated in a rural location near to the village of Bretby, South Derbyshire. Your Health Limited owns the home. Cedar Court is a two-storey building, adapted for use as a care home. The unit has 34 single and 8 double bedrooms. 30 bedrooms have en-suite facilities. Annual Service Review Page 2 of 6 Access to the first floor is by a stairs and a passenger lift. The unit has three lounges and dining areas on the ground floor and the first floor, and has a large enclosed garden area that is accessible to the residents. Although the ground floor is for both male and female residents, there is a specific area on the first floor for male residents. The fees for residency at Cedar Court are as per social service rates. Further information regarding the fees can be obtained by contacting the registered manager at Cedar Court. 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 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 sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information provided by the registered manager and the surveys that were returned by the staff team and people that use the service and their representatives. Our judgment is that the home is still providing good outcomes for the people that use the service and that they know what further improvements they need to make. The home lets us know about things that have happened and this demonstrates an open and transparent approach to the service they provide. The information provided by the registered manager told us that the service has received three complaints within the last twelve months and that all of these were addressed quickly and effectively. The information provided by the registered manager told us that a more user friendly complaints procedure has been developed, which is direct and easy to understand. The information provided by the registered manager told us that the views of the people using the service and their visitors are regularly sought. Surveys are sent out annually to the people using the service and their representatives.The registered manager stated that she has an open door policy, which provides visitors with an opportunity to raise any queries. It was confirmed that any suggestions made are considered and acted upon where appropriate. The information provided by the registered manager told us that the staff team are provided with both mandatory training and training that is relevant to the needs of the people using the service. This included training about the Mental Capacity Act and Safeguarding the people that use the service from abuse.The staff survey returned also confirmed that ongoing training was provided to ensure staffs skills and knowledge was Annual Service Review Page 4 of 6 kept up to date with current practice. The information provided by the registered manager told us that the decor of the home had been improved in many areas through redecoration and refurbishment. New orientation signs have been purchased. The information provided by the registered manager told us that photographs of social events held were on display , that relatives were encouraged to stay for meals and that every three months family teas were held and these appeared to be enjoyed. Regular church visits and weekly communion was available for people that used the service and variety of food was available and the menus displayed the days choices. The comments received by the people that used the service and their relatives were positive regarding the care provided, such as the care is good and staff are kind and considerate and the activities co-ordinator is good, the foods good and theres plenty of it, the gardens are good and maintenance is good and Have kept well during the last 4 years, obviously due to good care. A visiting professional to the service was very positive in their comments regarding the standards of care provided by the staff team. This person wrote, ..I have always found residents very well looked after and very well cared for. Their medical and social needs are addressed alike and relatives are kept involved. This person also stated that the staff at Cedar Court were very efficient. They did say that they were aware of some staffing issues were the staff had been extremely busy. This was also reflected in one staff and one relative survey were the comments made indicated that there were occasions when the staffing levels had been lower than usual. However the registered manager had confirmed this within the AQAA information and this was reflected in the numbers of bank and agency staff that had been used to cover some care staff shifts during this period. The registered manager also confirmed in the AQAA information that the service had developed a regular list of bank staff to ensure continuity of care was provided. 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 the 28th 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 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 6 of 6 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!