Care Home: Cedar House Care Home

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Annual service review Name of Service: Cedar House Care Home The quality rating for this care home is: The rating was made on: two star good service 1 0 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: Elsie Allnutt Date of this annual service review: 1 6 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Cedar House 3-4 The Cedars Ashbrooke Sunderland SR2 7TW 01915655385 01915141443 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Lynn Bell Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment Conditions of registration: Parkside Northern Limited Number of places (if applicable): Under 65 Over 65 23 1 0 4 2 0 0 31 0 0 The maximum number of users who can be accommodated is - 31 The registered eprson may provide the following category of service only: Care Home only - Code PC To service users of the following gender - Either Whose primary care needs on admission to the home are within the following categories: Dementia - Code DE, maximum number of places, 23 Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places 1 Old age not falling within any other category - Code OP, maximum number of places 31 Physical disability - Code PD, maximum number of places, 4 Sensory impairment - Code SI, maximum number of places 2 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? Annual Service Review Page 2 of 7 If yes, what have they been: A new manager, Lynne Bell was appointed as registered manager for the home in June 2009. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 1 0 0 3 2 0 0 9 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? The last Key inspection was carried out 10th March 2009. We looked at all the information that we have received or asked for since the last key inspection. 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, staff and 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 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 in the AQAA and our judgement is that the home continues to provide a good service and that they know what further improvements they need to make. People living at the home tell us that they are happy there and when asked what they thought the home did well the following comments were made, The staff at Cedar House are always available if I need help for any reason. The home looks after people very well. The home is always kept very clean, the staff are considerate and everyone is helped to be happy. There are caring, helpful staff and there is lots of entertainment. The home creates a warm and friendly atmosphere. One relative said, My X and myself chose this home for our X because it had a good atmosphere, caring and friendly staff and clean and pleasant surroundings. The service has informed us of the many improvements and changes they have made in their home over the past 12 months and so that the people living there and their families are given up to date information about such changes the home tells us that they have updated the information in the Statement of Purpose and the Service User Annual Service Review Page 4 of 7 Guide. In addition to this the Service User Guide has been produced on CD ROM format and there are plans in place to develop this into an audio CD so that the information about the service is easy accessible to people with sight loss or impairment. The home has looked at how they can improve the care for the people who use their service and how the care that they receive might be more consistent. The care plan document has been reviewed and improved to ensure that it records the information needed. As part of the care plan process more emphasis has been concentrated on collecting and recording information regarding individual service users social and family histories. This information is particularly important for staff to have access to when working with service users with memory loss and forms of dementia. Knowing service users past interests, preferences and cultures can help staff to assist them when making choices and decisions and when providing activity. Senior staff have recently attended training regarding the Mental Capacity Act and the Deprivation of Liberty. Following on from this a working tool, that assists in the decision making of whether an issue is a deprivation of liberty and whether the apporpriate process needs to be reported and acted upon. This information will be additional but important to the care plan process. The homes policy on death and dying has also been reviewed and as a result all service users have now an end of life plan. Staff attend training regarding safeguarding adults and with regard to other important areas surrounding their work and role. Great emphasis has been channelled towards developing a staff team that works together and that has the development of positive outcomes for the people who live at the home directly in focus . The staff team tell us that they work well together and appreciate the recent changes made in the home. Some comments made by staff include, I have been at the home for 2.5 years and I have seen great improvement. Since I started working at Cedar House 2 years ago the home has improved a lot. It is more homely, training is up to date and the new manager has changed and improved the medication system. The home now works alongside with health and social care professionals to ensure that the best sort of care is provided and appropriate advice and guidance is listened to and acted upon. The following comments were made by healthcare professionals who visit the home. The staff at Cedar House are very professional, are easy to get on with and very helpful. I credit the manager for this. The home responds quickly to any nursing needs identified and contact nursing services and request a nursing assessment when appropriate. The staff have a good knowledge of client needs and treat clients as individuals. When advice is given it is also acted upon and senior staff always inform care staff about this. Annual Service Review Page 5 of 7 Service users relatives also expressed their satisfaction with the care provided and the quality of the staff working at the home. Comments include, The staff seem very happy, they have meals provided and are encouraged to take part in training. We visit two or three times a week and are always made welcome. Although the current provision is very good we feel sure that new ideas will be seriously evaluated if they are appropriate. To ensure that service users are comfortable and safe the home tells us that they have made many improvements in relation to the environment. A new 8 person lift has been installed and 25 out of the 31 bedrooms are now ensuite. All but 2 of the bedrooms have been decorated and refurbished. Further to new bedroom furniture new lounge furniture has also been purchased and the staircases have been redecorated and new carpets laid. A new nurse call system ensures that service users needs can be addressed quickly and newly landscaped gardens with decking areas, allow service users to enjoy outdoor life in a pleasant and safe environment. Service users independence has been safely promoted by having steps in the passageways replaced with ramps and both service users and staffs safety has been promoted with the purchase of non slip flooring in the kitchen and surrounding areas and laundry. The home continues to let us know about things that have happened since the last key inspection and they show that they have managed issues well. They work well with us and have shown us that their 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 are not going to change our inspection plan and will do a key inspection by 10th March 2012. 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 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. 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