Care Home: Dentholme

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Annual service review Name of Service: Dentholme The quality rating for this care home is: The rating was made on: three star excellent service 1 8 1 1 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: Nancy Saich Date of this annual service review: 0 8 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Cragg Road Cleator Moor Cumbria CA25 5PR 01946810831 Telephone number: Fax number: Email address: Provider web address:   dentholme@cumbriacc.gov.uk www.cumbriacare.org.uk Cumbria Care Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 26 0 0 38 The registered person 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: Old age, not falling within any other category - Code OP. Dementia - Code DE (maximum places: 26). The maximum number of service users who can be accommodated is: 38. 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 Dentholme is a care home operated by Cumbria Care, an internal business unit of Cumbria County Council. The home is registered to provide personal and social care for up to 38 older people, some of whom may have dementia. The registered manager is Mrs Catherine Watters. The home is situated in the middle of a housing estate close to the centre of Cleator Moor and all its amenities. Dentholme is purpose built on two floors, the upper being serviced by a passenger lift. Accommodation for residents is in Annual Service Review Page 2 of 7 1 8 1 1 2 0 0 8 four units, each with its own sitting and dining areas and kitchenette. There are thirtyeight single bedrooms, four of which have en-suite facilities. There are accessible toilet and bathing facilities close to all the accommodation used by residents. There is a large room on the ground floor that can be used for activities, visiting entertainers and parties. This room is also used as a venue for Cumbria Care internal training courses. There is a garden area, which is accessible to all residents and is used by them in the summer months. 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 asked the manager to complete an Annual Quality Assurance Assessment (The AQAA). This asks for information about the service since the last inspection and for any plans for the future. We also ask for some statistics about both staff and residents. We then consider any other information we had gathered about the service since we last inspected. We look at anything the service is required to tell us about under the law. This includes accidents and incidents that may have an impact on peoples well being. We consider any complaints that have been received and we also look at any allegations of harm or abuse. We had received nothing of concern about this service. We then sent out questionnaires to the staff team and to people who live in the service and to professionals who may visit. What has this told us about the service? We learned from this information that things in this home continue to go smoothly and that people who live or work in the home are happy with the way it is managed. The AQAA was returned to us within our timescales and contained detailed information about how well the service meets or exceeds the required standards. The AQAA gives details of evidence to show that the home meets all the core National Minimum Standards and continues to refine and improve all aspects of care and services. The manager gave us details of how assessment and care planning have improved. Staff are becoming more confident in using a person centred approach to this. They include, when people wish, relatives in this planning for care. They have continued with developing life story books and pen pictures so they have a complete picture of the person they care for. They have improved nutritional planning and now use a nationally recognised assessment tool. Specialists in speech and language have been brought in where people have swallowing difficulties. There have been improvements to the activities and entertainments on offer. One member of staff has been trained in reminiscence and has in turn helped other staff to do this as a therapeutic activity. They have started to look at specific activities around this for people with dementia. They use Age Concern volunteers three days a week to provide activities and an individual befriending service. There is a monthly Music for Health session. Different church groups come into the home. They listen to residents and relatives as part of a wider quality monitoring process. Menus and activities have changed to reflect peoples wishes and preferences. Annual Service Review Page 4 of 7 The manager tells us that there have been no formal complaints in the last year and that people are encouraged to speak up before issues become complaints. There have been no instances of adult safeguarding reported in the service. Staff have been trained in understanding these matters and they are regularly discussed in supervision and in team meetings. The AQAA states that bedrooms in the home have been redecorated and that two lounge areas have been refurbished. The manager is moving away from heavily patterned decor so that the environment will be tranquil and less confusing for people with dementia. New pictorial signs been provided in the dementia care units. The garden has been improved and staff are fund raising to enhance these areas. The manager tells us that all recruitment is done to Cumbria Care procedures and no one starts to work with vulnerable people until all the background checks have been completed. Staff then receive induction and foundation training. This includes understanding the rights of older people. The manager and some of the senior staff have become dignity champions and are promoting this in the the staff group. Staff have also had safeguarding training, infection control, health and safety and where appropriate, updates to the safe handling of medication. The new training plan for this year has a focus on safeguarding training and staff who work on the dementia care units will also undertake specialist training on understanding and working with people with dementia with Stirling University. All staff will also complete their training in person centred care planning. Nearly 70 of the staff team have National Vocational Qualifications in care. The manager tells us that quality monitoring of all systems continue and that a new I.T system has been installed. The manager has given us plenty of evidence to show that her management systems continue to run effectively. This service is monitored regularly by senior officers of Cumbria Care and the home continues to work to their policies and procedures. We received a number of surveys from people who live in the home. The responses were very positive with a lot of praise for the work done by the manager and staff. They have provided good care for a long time for my relative and I am sure this will continue due to very caring staff at all levels. They are good at personal care...the food is good...as is the general cleanliness.... They do everything with excellence, dedication, compassion...the staff are strongly committed to the residents...it meets all my needs and more...keep up the good work. The care staff are polite and kind and very helpful.... My wishes are always respected. They support me when I feel down...support me to attend mass. Generally people were very satisfied. One person wanted more activities and another said they thought they needed to redecorate more often. Annual Service Review Page 5 of 7 We also had a high level of responses from staff. Here are some of the things they told us in surveys: I enjoy working at Dentholme...we work well together as a team...it is a friendly home. The care plans are of a very high quality and are kept up to date when a persons needs change. Staff gave positive responses to questions about recruitment, induction and training. They were also positive about levels of support and communication within the team and from management. We work well together and get good training and support from our manager. What are we going to do as a result of this annual service review? This review has not changed our opinion of the service. The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. 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: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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