Latest Inspection
This is the latest available inspection report for this service, carried out on 6th July 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 Cumberland House.
Annual service review
Name of Service: Cumberland House 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: June Davies Date of this annual service review: 0 8 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 21 Laton Road Hastings East Sussex TN34 2ES 01424422458 Telephone number: Fax number: Email address: Provider web address:
Linda@chouse21.fsnet.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Mrs Linda Gratton Number of places (if applicable): Under 65 Over 65 18 0 The maximum number of service users who can be accommodated is: 18 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: Mental Disorder, excluding learning disability or dementia - MD 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 Cumberland House is registered to provide accommodation for up to 18 older people suffering from a mental health issues and admits people with low to medium dependency needs. The home currently has an exception statement in place, which allows for one resident to be placed under the age of 65 years of age. The premise is a large detached property situated in Hastings. It has mainly single rooms (three doubles) situated on the first and second floors (most of which are en suite, all have a wash hand basin). Residents have the use of a lounge, conservatory (smoking area),
Annual Service Review Page 2 of 7 None dining room and kitchenette on the ground floor. There is no lift and the home is not suited to those with physical mobility problems. The home has a large well-maintained rear garden with seating and lawn area for residents to enjoy and the front garden also has seating for residents. Ample car parking is available within the street outside and in the homes driveway. The building is located a 15 minute walk from the town centre, is close to a bus stop and a shorter walk to the nearest shops. The home currently has 16 residents. The services range of fees can be obtained from the registered provider/manager on application. The lower rate is based on what East Sussex pays. The higher rate is based on what London boroughs pay. Those who are self funding [private] pay hte same as what the lowest rate is and receive the same facilities as those funded by Social Services. The latest Inspection report is sent out to any enquirer who expresses an interest in the home. A copy of the report is obtainable via the manager. 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 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. Informatin 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 notifcations 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 homes statement of purpose and service user guide have recently been reviewed and now states that the home cannot cater for physical disabilities. The manager carries out a pre admission assessment on prospective residents and obtains assessments carried out by external professionals prior to a new resident moving into the home, to ensure that the home has the facilities and staff have the skills and knowledge to meet the residents needs. New residents are given a contract and statement of terms and conditions which they now sign up to. Care planning is good reflecting the physical, mental, helath and social care needs of residents. The care plans reflect the residents preferred lifestyles. Residents have full access to the care plans and risk assessments. The home maintains close contact with all health care professionals to ensure that residents are able to maintain their health and well being. These care plans are reviewed on a regular basis and any changes made are disussed with residents. A recommendation was made at the last key inspection for Medication Administration Records to be divided off for each resident. Recently one resident has been prescribed controlled drugs. The manager has ensured that this controlled drug is kept safely in the home and in a double locked cupboard, and is in the process of purchasing a specific controlled drugs cupboard. Prescribed medicines in the home are well managed to ensure that residents are not placed a risk. Staff respect the privacy and dignity of residents at all times and this is reflected in residents feedback. With residents praising the care they receive from staff in the home and how staff assist them with maintaining the independence. Annual Service Review Page 4 of 7 Residents are offered a variety of activities in the home, and this is further enhanced by the staff team using imaginative ideas with the residents. The residents are able to make choices in regard to their daily living routines, and if they wish to are able to go out into the community to visit local shops, and the local town centre. Visitors are welcome in the home at any time, and residents are able to choose who they wish or do not wish to see, and this is recorded in residents care plans. The home has a very pleasant garden area, where fresh vegetable are grown. Residents are able to use the garden area to sit and relax when they wish to. The menus in the home offer residents a varied, nutrious and balanced diet. Mealtimes are used a social occassions with meals being taken in a relaxed and pleasant atmosphere. Residents talk highly of the food they have and the choices they are able to make. Specialised diets are catered for and where food needs to be liquidised this is produced in an attractive manner. The complaints policy and procedure is clearly displayed in the home, and complaints forms are available in public areas as well as each residents bedroom. The home has received two complaints since the last key inspection, both complaints were dealt with in a timely manner with feed back of outcomes being given to the complainants. All complaints including investigations and outcomes are kept in a complaints file. Residents know how to make a complaint and would feel confident that it would be properly looked into. The home has policies and procedures in place for the Safeguarding of Vulnerable Adults, and staff have been given the appropriate training so they would know what to do if an act of abuse occurred. There have been no Safeguarding Vulnerable Adult referrals since the last key inspection. The environment of the home has not changed since the last key inspection when it was found to offer its residents a comfortable, warm and homely place to live. There are plans that improvements to the interior of the home will take place in the next twelve months. Attention is paid to hygiene and protecting residents from cross infection, by providing staff with disposable protective clothing and ensuring that hand washing facilities provide liquid soap and paper hand towels. Two requirements were made at the last key inspection relating to staffing levels in the home and the recruitment of new staff. The AQAA does not state that these requirements have been met within the timescales set out in the inspection report. The AQAA does say that the staff team and has been consistent over many years. A good percentage of staff have achieved the NVQ level 2 or above in Social Care. All care staff have undertaken or updated the mandatory training. Five members of staff have completed a National Certificate in Further Education for Health and Nutrition. Staff in the home have the skills and experience to meet present residents needs. At the last key inspection it was found that application forms for new staff did not require a full employment history and one member of staff only had one reference. There was good evidence that propsective staff always have Protection of vulnerable Adults register and Criminal Records Bureau checks prior to taking up employment in the home. All preemployment checks must be carried out prior to engaging a new member of staff to ensure that resident are not placed at risk of abuse. The register manager/provider Linda Gratton and deputy manager both have the qualifications to manage the home. Both update the knowledge and skills on a regular
Annual Service Review Page 5 of 7 basis. The management ethos in the home is open with both being available to residents and staff when on duty. Residents spoke highly of the management in the home say how kind and thoughtful they were. At the last key inspection a requirement was made in regard to the registered provider/manager implementing the quality assurance system that she has developed. The AQAA does not state that this requirement has been met, but there is evidence in the AQAA that the views of external professionals visiting the home are now sought. There was evidence that where the registered provider/manager has been requested to safely keep residents personal allowances this is managed appropriately with good records being kept. High priority is given to ensuring the health and safety of the residents living and staff working in the home. All appropriate checks are carried out for fire equipment, all appliances used in the home have an up to date maintenance certificates. Health and safety policies and procedures are up to date and regularly reviewed. Risk assessments are carried out for environmental health and safety and fire throughout the home. Any accident to a resident or staff is appropriately recorded in the accident book. What are we going to do as a result of this annual service review? There will be no change to the inspection plan and we will do a key inspection by the 16th June 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
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