Care Home: Coniston

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Annual service review Name of Service: Coniston The quality rating for this care home is: The rating was made on: two star good service 1 6 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: Jill Clarke Date of this annual service review: 1 1 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Garfield Road Felixstowe Suffolk IP11 7PU 01394278484 01394274441 leanne.seager@btinternet.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Mr Colin Robert Bentley Number of places (if applicable): Under 65 Over 65 1 0 0 21 Care Staff on Duty There will be a minimum of 3 (three) care staff on duty at all times between 08.00 and 22.00, and 2 (two) carers on duty at all times between 22.00 and 08.00. Designated Double Room All bedrooms to be single accommodation except Room 7 which is designated as a double room if required. Number of Service Users The number of service users is not to exceed 21 (OP 21, MD 1) 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 Coniston is situated in a residential area of Felixstowe, a busy seaside town with a good selection of shops and sea front facilities. The building is believed to be approximately 100 years old and is built into the cliff side. A new extension was Annual Service Review Page 2 of 7 1 6 0 2 2 0 0 9 completed in 2004, which adds a first floor level to the building. The bedrooms in the home have en-suite facilities including a shower, and all doorways are wide enough to allow the easy passage of wheelchairs. The entrance to the home is on this first floor, leading off the driveway across a footbridge, and provides level access to the home. The lounge and Dining Room have very pleasant views with the new bedrooms upstairs to the front of the building have views out over the sea. The Home has a pleasant, well-tended garden with shrubs and pots, which are looked after by the more able service users. A large area of wooden decking has been built to the rear of the house, and there is a summerhouse at the end of the garden that service users are able to use. The manager stated that the current scale of charges is £354 to £575, with additional charges for chiropody services, hairdressing, public transport and requested newspapers. However please contact home direct, to confirm fees given in this report are still correct. 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 completed and sent to us in December 2009. The AQAA is a self-assessment that focuses on how well the outcomes are being met for the people using the service. It also gives us some numerical information about the service. * Survey feedback we have received from ten people living at the home, seven members of staff working at Coniston, and a visiting Healthcare professional (District Nurse). * What the home has told us about things that have happen at the service, these are called notifications and are a legal requirement. * Our last key inspection report (16/02/09). What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. The AQAA gave us information on work they have undertaken to improve their service during the past year, along with future planned work for the next twelve months. Where we made a requirement following the last key inspection, the AQAA informs us that this has been addressed by giving us details on how the home is ensuring peoples needs are being fully assessed, before they move in. This is to ensure that the home can offer, and are registered to provide the level of care the prospective resident requires. Residents surveyed told us that they had received sufficient information prior to moving into the home, to support people in identifying if it would be the right place for them. They also confirmed that they had all received a contract, so they are aware of how much their care is costing them, and what is included in the fees. When asked if the home offered the care and support they need, six residents replied always, two usually, one sometimes and one never. We did note where the person had ticked never, when they were asked what could the home do better they had replied very little. In response to being asked if staff are available when they need them, nine residents replied always or usually, and one sometimes. One resident told us I think there should be a member of staff in the dining room when we eat. Some of us cannot see to cut up food and sometimes we need to leave to use the bathroom, it would be comforting to us I think. Other comments included they make me feel at home and come and get me out in the night if needed with the ring of the red button, staff Annual Service Review Page 4 of 7 always help, never mind what they do for you and the staff and matron are very good. This reflected comments form a health professional, who when asked what they felt the home does well in, they replied care very well for all its residents. Always helpful in assisting not only with the residents individual needs, but in assisting District Nurses. Staff surveyed, confirmed that they are being given up-to-date information about the needs of the people they are looking after. When asked if they felt there are enough staff on duty to meet residents needs, two replied always and five usually. Eight residents told us that there is always or usually activities arranged by the home that they can take part in, with two residents saying there are sometimes. A member of staff told us that Activities have improved since an activity co-ordinator was employed, which the residents very much enjoy. When asked if they like the meals provided by the home three residents replied always, five usually and two sometimes. A member of staff felt tea times could be improved by employing a tea-time cook, this would give the residents more choice of menu at teatime and relieve the care staff. The AQAA informs us that the home has received no complaints, or safeguarding referrals during the last twelve months. All the residents surveyed told us they know who to talk to informally if they are unhappy with the service being provided. However, five out of the ten residents said they did not know how to make a formal complaint. The AQAA informs us that residents are given a copy of the complaints procedure when they are admitted to the home. The procedure for making a complaint is explained to them, or their family, if the resident is not fully able to comprehend the complaints procedure. The AQAA informs us the home is following safe recruitment procedures, by telling us that CRB and POVA first checks are carried out and appointment commences once these have been confirmed. Staff surveyed all confirmed that this is happening; they also told us that they are receiving training which is relevant to their work, and keeps their knowledge updated to be able to meet the individual needs of the residents. Staff said they are being supported by their manager, who meets with them regularly or often to give them feedback about their work. Other comments given by the staff showed that they feel all staff give 100 that they work well together and the home is excellently run with a relaxed and friendly atmosphere which the residents love and they feel it is their home. A health care professional informs us that patients appear to be very well looked after by an excellent in-house team of carers who are always willing to improve the service they give by continued professional development and education. The AQAA gives us information on ancillary staff training during the last twelve months which includes, the chef attending 2 courses on dietary needs and nutritional care, 2 domestic staff undertaking/completing their NVQ in housekeeping. Information supplied in the AQAA shows that the home is keeping their policies and procedures updated. Equipment such as fire detectors and hoists, used by staff to ensure residents safety and welfare is being regularly serviced. Residents tell us that Annual Service Review Page 5 of 7 the home is being kept fresh and clean. Comments included the hygiene and personal care and laundry is attended to very efficiently, with the utmost kindness. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. Using the current CQC methodology for inspecting 2* services, we will do a key inspection within three years of the last key inspection, which was the 16th February 2009. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the person living there. 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