Care Home: Derwent Residential Care Home

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Annual service review Name of Service: Derwent Residential Care Home The quality rating for this care home is: The rating was made on: two star good service 1 7 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: June Davies Date of this annual service review: 0 8 0 9 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 38 Sedlescombe Road South St Leonards-on-sea East Sussex TN38 0TB 01424436044 01424715409 derwent@cedarscaregroup.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: The Derwent Residential Care Ltd Number of places (if applicable): Under 65 Over 65 34 0 0 34 The maximum number of service users to be accommodated is 34. The registered person may provide the following category/ies of service only: Care home only - (PC) tos ervice 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) Dementia (DE) 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 The Derwent Residential Care Home is a large detached house situated on the outskirts of St Leonards On Sea. It is registered to accommodate thirty-four older people. There is good access to St Leonards where there are a range of shops and services. All bedrooms have en-suite facilities. Communal space includes a dining room, large lounge area and a fully accessible well maintained garden to the rear of the property. Fees can be obtained by application to registered manager. Additional Annual Service Review Page 2 of 8 None 1 7 1 0 2 0 0 8 charges are made for chiropody, hairdressing and other individual requirements. Annual Service Review Page 3 of 8 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 managed complaints. What the service has told us about things that have happened in the service, these are called notifications 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? Prospective residents are given up to date information about the home and are given the opportunity to visit the home with their relatives/representatives so they may make an informed choice. Prior to a new resident moving into the home the Registered Manager carries out an in depth pre-admission assessment to ensure that the environment and staff are able to meet the prospective residents needs. Feedback from residents and relatives confirms that they were given sufficient information about the home before reaching a final decision. The home has recently introduced care books which are part of the pre-admission assessment, this gives the registered manager a good insight into residents daily routines, needs and abilities, and give a picture of the resident as an individual. Pre-admission assessments are developed into informative care plans which include health, personal and social care while at the same time considering the residents rights to choice. Care plans are kept under constant review. The home has good working relationships with external health care professionals. All visits from or to health care professionals are recorded in the individual residents care plan. Staff are encouraged to access work related training in regard to key working, care planning, reviewing care plans, risk assessment, nutrition, continence assessment, tissue viability and wound management. At the present time in consultation with residents the registered manager has been working on personal care charts for each resident, to ensure that all individual care needs are met on a daily basis. Medication in the home is well managed by well trained staff. The manager audits the recording, administering and storage of medication on a monthly basis. Individual residents choices is important to the home. The registered manager and Annual Service Review Page 4 of 8 staff work closely with residents and their representatives to ensure that preferences for daily living routines are met such as religious beliefs, food preferences, special needs and social activities. The home employs an activities co-ordinator who works closely with the care team, residents and their families to ensure that residents have a variety of daily activities they can take part in if they wish to. The home employs a qualified and experienced cook who ensure that menus off a varied, balanced and nutritious diet for the residents. There are alternatives on offer at every mealtime in the home. The home caters for residents on specialised diet as well as those who require pureed meals. Drinks and snacks are available in the home at all times. There are plans for a family room on the ground floor, with a small kitchenette attached, so that families who travel a distance can have a private meal with their resident. This room would also be available to other residents during the course of the day. There are plans to complete a dedicated activities and consulting room, to provide more outing for service users, and to provide residents with access to a day centre, so they are able to socialise more, and to provide a pictorial menu to residents with dementia type illness so they can relate more easily to the meals on offer. There have been no complaints made since the last Key inspection. The home has an up to date complaints policy and procedure together with a complaints form and these are available in the foyer of the home. Residents are supported well by relatives and advocates who would know how to make a complaint on the residents behalf. There have been no Safeguarding of Vulnerable Adults referrals since the last inspection. The home has up to date policies and procedures in place for Safeguarding Vulnerable Adults as well as Whistle blowing. All staff have received Safeguarding Vulnerable Adults training. Derwent House is maintained to a high standard. Most the bedrooms in the older part of the home have now been re-furbished, and communal areas have been redecorated and had new flooring laid and some new furniture had also been purchased. The home employs a full time maintenance person, who follows an internal and external maintenance plan. A safe, clean, and homely environment is provided for the residents. The registered manager and her deputy monitor on a quarterly basis cleaning, maintenance, fire and health and safety audit every quarter, that results in an action plan for staff, housekeepers and maintenance person. The home has a variety of internal and external adaptations and aides to assist residents Independence and movement around the home and in the garden. The home has a dedicated laundry room with commercial machines, with red alginate bags used for fouled laundry. Through the manager and staff taking part in an extended dementia awareness course they have learnt more about aspects of the environment and how to adapt them to assist people with a dementia type illness. Plans for the future are to develop the new family communal lounge, adapting a top floor bathroom into an assisted shower room, and to refurbish the main entrance hall and dining room. Weekly staff rotas are on display with staff being given plenty of notice in regard to any changes in their shift pattern, to cover daily outings, specialised activities or a new residents arrival. The staff rota is kept under constant review and staffing levels are adapted to fit the assessed and changing needs of the residents. The home has its own bank pool of staff to cover for sickness and annual leave. Since the last key inspection staffing hours have increased and the home operates with four care staff on each shift Annual Service Review Page 5 of 8 during the day and three waking night staff on duty. During the day there is always one of the management team on duty as well as sufficient ancillary staff. Fifty five percent of staff have achieve their NVQ level two or above qualification in Social Care. Staff recruitment procedures are stringent ensuring that all new staff are appropriately vetted prior to being employed by the home. New staff are required to complete an initial induction and then the Skills for Care related induction for basic caring skills. All staff are required to complete and update their mandatory training in health and safety related issues and Safeguarding Vulnerable Adults. There are opportunities for staff to undertake work related training like maintaining nutrition and physical exercise. The home operates a policy a week which staff required to read a different policy each week and to sign to say they had read and understood it. The registered manager continues to expand her knowledge and training to ensure that she is able to manage the home effectively and to provide a good quality service to the residents living in the home. The registered manager operates an open door policy for all residents and staff. There are plans to use observational monitoring along Short Observational Framework for inspection guidelines for the general state of well being for the residents, and appropriate engagement and staff interaction. Since the last key inspection there have been thirteen admissions to hospital and all have been reported via Regulation 37 reports to Commission for Social Care Inspection and latterly the Care Quality Commission. Feed back questionnaires show that residents and their relatives are all very positive in the regard to the standard of care that is offered in the home, by a dedicated and well trained team of staff. The home has developed a good quality assurance system, where the view of residents, relatives/representatives, staff and external stakeholders are sought. The manager also regularly audits all systems used in the home. A recent assessment has been completed for health and safety and fire risk throughout the home. Through regular monitoring the registered manager is finding ways of improving systems in the home so they are managed more effectively. The registered manager looks after some of the residents personal allowances and ensures that there is a good accounting system in place for each individual resident, with all incoming and outgoing money recorded appropriately, and receipts retained of any purchases made on the residents behalf. Both accounts and monies are kept securely in the home. All staff receive six formal supervision sessions per year, with all supervisions being recorded and retained confidentially in the home. Health and safety and fire risk assessments are top priority in the home to ensure that residents live and staff work in a safe environment. Weekly checks are carried out on the fire call point system, emergency lighting and hot water delivery. There are up to date maintenance certificates for all equipment used in the home. Annual Service Review Page 6 of 8 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 15th 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 7 of 8 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). 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