Latest Inspection
This is the latest available inspection report for this service, carried out on 1st October 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Chelwood Corner Nursing Home.
Annual service review
Name of Service: Chelwood Corner Nursing Home The quality rating for this care home is: The rating was made on: two star good service 2 9 1 0 2 0 0 8 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: Deborah Calveley Date of this annual service review: 0 1 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Beaconsfield Road Nutley East Sussex TN22 3HJ 01825-740282 01825-740282 ccnh@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: Mr Mehrad Foroudy,Mrs Jennifer Ann Foroudy Number of places (if applicable): Under 65 Over 65 0 27 27 0 The maximum number of service users who can be accommodated is: 27 The registered person may provide the following category/ies of service only: 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 categories: Old age, not falling within any other category - OP Physical disability - PD 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Chelwood Corner is a privately owned large converted manor house and is registered to provide nursing care for twenty-seven service users, who meet the registration category of elderly and service users with a physically disability. The home is located on the outskirts of the village of Nutley, East Sussex. There are
Annual Service Review Page 2 of 7 No 2 9 1 0 2 0 0 8 local shops a short distance away and there is a bus route that passes the entrance of the home. Chelwood Corner is set within its own grounds and is spread out over two floors, which are accessible by a passenger shaft lift. The home comprises of 22 single and two double bedrooms. There are ample communal areas and this includes a newly built conservatory overlooking the grounds to the rear of the property. There is an on-going refurbishment programme, which continues to improve the facilities for the service users living in the home. Intermediate care is not provided. Prospective residents and their relatives are provided with written information regarding the services and facilities. 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. 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. Telephone contact was made with the home on the day of the Annual Service Review so as to clarify any changes to the service. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? The AQAA was received and contains clear relevant information that is supported by a wide range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It shows clearly how they are going to do this. The data section of the AQAA was accurately and fully completed. The home have comprehensive written information which is provided to all prospective people who may use the service. Since the last inspection the home have ensured that everyone who uses the service have a copy of the Service Users Guide. Admissions are not made to the home until a full needs assessment has been undertaken and the home have confirmed in writing that they can meet the identified needs. For people who are self-funding and without a care management assessment, a skilled and experienced member of staff always undertakes an assessment. The assessment is conducted professionally and involves the individual and their family or representative where appropriate. This includes offering an invitation to view the home to prospective resident and relatives. Trial visits are available. The home ensure that all the people who use the service have a plan of care for all aspects of daily living and long term outcomes based on the care management assessment and the homes own assessment of needs. The home review each care plan monthly and more frequently if it is required due to changes in general condition of the people who use the service or if the staff have identified any risk. Annual Service Review Page 4 of 7 Each care plan includes comprehensive risk assessments which is also reviewed regularly. The management of risk is positive in addressing safety issues while aiming for improved outcomes for the people who use the service. Where there are limitations the decisions have been made with the agreement of the person or their representative and are accurately recorded. The home are currently providing training on the Mental Capacity Act. The AQAA states that the home has substantially improved its care plan review processes over the last 12 months. The home have introduced dignity champions into the home and intend to commence a new training programme for care staff on privacy and dignity to ensure that all staff are able to respond appropriately and sensitively in all situations involving personal care. Ensuring that personal care is conducted in private and at a time and pace directed by the person receiving the care. The home have also introduced the Department of Health End of Life Care Planning Programme. The home have organised recreational programme throughout the week, and continue to develop the activities with input from the people who use the service. The home invite the family to take part on birthdays and other festive celebrations. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. Unless there are exceptional circumstances the service always responds within the agreed timescale. There has been 2 complaints made in the past year, all fully investigated. There have been no safeguarding alerts raised since the last key inspection. All staff receive training to protect the people who use the service and a robust recruitment process also promotes the safety of the people who use the service. Staff members are trained and competent in health care matters. The home arranges training on health care topics that relate to the health care needs of the people who live in the home. Staffing levels are reviewed regularly against the needs of the people who use the service. The home has a good record of compliance with the receipt, administration, safekeeping and disposal of controlled drugs. The staff adhere to the NMC standards of Administration of Medication and have lockable facilities if there are individuals who wish to and are able to self-administer their medication. The home provides a physical environment that is appropriate to the specific needs of the people who live there. Continued improvements to the environment have been undertaken and there are also plans to provide a room for visiting relatives and visitors. The well-maintained environment provides specialist aids and equipment to meet their needs. There is a continual programme of redecoration in place. Induction training is in line with the Skills for Care requirements. The manager has a clear understanding of the key principles and focus of the service
Annual Service Review Page 5 of 7 based on clear values and priorities. The previous report was positive and the requirements have been confirmed in the AQAA as being met. The home continues to let us know about things that have happened since our last key inspection through notifications to us and they have shown 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? There will be no change to the inspection plan and will do a key inspection by 29 October 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 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:
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