Care Home: Cossins House Care Home

Annual service review Name of Service: Cossins House Care Home The quality rating for this care home is: The rating was made on: two star good service 3 1 0 7 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?   Yes 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: Patricia Collins Date of this annual service review: 3 1 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 1 Downside Road Downside Cobham Surrey KT11 3LZ 01932862038 01932863497 cossins.house@fshc.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Grandcross Limited(wholly owned subsidiary of Four Seasons Health Care Ltd) The registered provider is responsible for running the service Name of registered manager (if applicable): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is: 24. 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 Yes service’s registration details in the last 12 months? If yes, what have they been: There has been a change of Responsible Individual and an application stated to have been sent by the new responsible individual, for approval by the Care Quality Commission. 3 1 0 7 2 0 0 8 Number of places (if applicable): Under 65 Over 65 0 24 Date of last key inspection: Date of last annual service review (if applicable): Annual Service Review Page 2 of 7 Brief description of the service Cossins House is a care home providing personal care for up to 24 older people. The home is operated by Four Seasons Health Care which is a national care provider. The home is set in four acres of landscaped gardens overlooking the countryside. It is situated on the outskirts of the village of Cobham, in a semi-rural location. The village has transport links, shopping facilities and a local church. Car parking is provided at the front and side of the home. The accommodation comprises of 21 en-suite bedrooms arranged on the ground and first floor, some of which are adequately spacious for shared occupancy. There is a passenger lift providing access to the first floor. Communal facilities include spacious lounges and a separate dining room. In addition, three bungalows are available within the grounds, offering a greater level of independence for people using services. Weekly fees range from 700 to 862 pounds. 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 we have received or asked for since the last key inspection. This included: An annual quality assurance assessment (AQAA) sent to us by the manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It provides quantitative information about the service. Also, an assessment of services against the National Minimum Standards (NMS) outcome areas, demonstrating both areas of strength and where improvements can be made. Completed survey questionnaires received from three people who use the service, six relatives, a general practitioner, a student care manager and two staff members. Information we have about how the service has managed any complaints or allegations received since the last inspection. What the homes management has told us about things that have happened in the service; these are called notifications and it is legal requirement to inform us of these events. What other people have told us about the service. Further information from the home manager during telephone contact with her as part of this process. The report will say what we found as it is written on behalf of the Care Quality Commission (CQC). What has this told us about the service? Date of the last key inspection - 31/07/2008. The completed AQAA was received on time. The content was clear, of good quality and validated by evidence. It supplied all the information we asked for. The homes operation and care practice continues to promote independence and choice in the lifestyles of people using this service, within individual levels of capacity. Survey feedback confirmed good satisfaction with health and personal care provision. The homes atmosphere is stated to be warm and friendly. Equality and diversity policies and procedures underpin staff recruitment and training practice, needs assessments and care planning. A new activities organiser took up post this year and has further developed the in-house leisure and social activities programme. The wishes and interests of people using services have been considered when extending the programme and attendance at activity sessions stated to have substantially increased. This has enhanced the quality of life and wellbeing of people using services, affording increased opportunity for social interaction and stimulation. The AQAA told us that people using this service can access community facilities. The activity organiser uses her own vehicle for this purpose and the home has access to a hired mini bus every two weeks. However, feedback from two people who use this service, also from a relative, confirmed their view that the home could improve by making provision of Annual Service Review Page 4 of 7 regular access to shops, garden centres and trips to theatres and cinemas. One individual also expressed the wish for a a shopping service to be provided, instead of having to rely on visitors to buy things for them. The social model of disability is well-understood by the homes management, overcoming disabilities by reducing environmental and attitudinal barriers. The staff team is multi-cultural and feedback from relatives confirmed their impression that staff are genuinely interested in people using services as individuals. Staff were said to be kind, friendly and caring however language barriers sometimes stated to be a problem when people using services are trying to communicate with carers. All information about the home indicates understanding of risk assessment processes in its day - to- day operation. Developments in the past twelve months include new care and health assessment profiles in a more holistic, comprehensive format; also improved record keeping practice relating to social activities and life-stories. A new menu has been produced and most feedback about meals was positive, confirming a choice of wholesome food. The homes management has acted on a complaint specific to the dietary needs of an individual, ensuring referral to a dietician. One relative told us the home could improve in the area of nutritional planning. The manager has taken this on board and attended a training day on nutrition recently. It is planned for this training to be cascaded down to all staff. Other developments have enhanced the environment, including the refurbishment of an en-suite bathroom, fitting window restrictors, provision of non-slip floor covering in two en-suite rooms and replacing the kitchen floor. The location of the home, which is not on a public transport route, has been a barrier in the past to the recruitment of housekeeping and administrative staff. It was positive to note a permanent housekeeper had been appointed since the last inspection and there are no staff vacancies. Our feedback from stakeholders confirmed the environment is clean and hygienic and odour is well-managed. The manager confirmed recent intensive staff training, including training in equality and diversity, mental capacity and deprivation of liberty legislation and for safeguarding adults. 75 of care staff have attained national vocational qualifications in health and social care (NVQ) at level 2 or above. Our feedback from both staff members who took part in our survey, however, confirmed their opinion that they need further training to support them in their role. This information was discussed with the registered manager, who plans to follow this up with her team. She will then consult the organisations training officer regarding any unmet training needs. The home has a clear complaint policy and procedure and received one complaint which has been resolved, since the last inspection. Appropriate policies are in place for safeguarding people using services from harm and abuse. Staff are trained to recognise and appropriately respond to indicators of abuse. There have been no safeguarding adults referrals or investigations involving the home since the last inspection. The registered manager is diligent in ensuring we are notified about things that have happened. What are we going to do as a result of this annual service review? It is our judgement, based on all available information, that the home continues to provide good quality outcomes for people using services. We are not going to change our inspection plan and will carry out a key inspection by 31st July 2010. However we can inspect the service at any time if we have concerns about the quality of the service or safety of the people using the service. 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