Latest Inspection
This is the latest available inspection report for this service, carried out on 8th March 2010. 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 Eagle House Nursing Home.
Annual service review
Name of Service: Eagle House Nursing Home The quality rating for this care home is: The rating was made on: two star good service 1 7 1 2 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: Shelagh Murphy Date of this annual service review: 0 5 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service
Address of service: 43 Stalker Lees Road Sheffield South Yorkshire S11 8NP 01142687001 01142685288 townendc@anchor.org.uk www.anchor.org.uk Anchor Trust 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 Conditions of registration: Number of places (if applicable): Under 65 Over 65 41 0 16 beds are in the category PC, personal care only and are located in the bungalows. 25 beds are registered for nursing or personal care and are in one building. All 41 beds are for use by persons who are 55 years and over. Any of the 41 could be used alternatively in the category MD/E, Mental Disorder for persons 65 years and over. 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 Eagle house is a registered care home providing care for 41 service users over 55 years of age with a mental disorder. The home is situated in a relatively quiet area within easy reach of the lively social and shopping area of Ecclesall Road. It is also near a major bus route to the city centre. The home has been registered to provide nursing care for 25 service users and personal care for 16 service users. There is a pleasant garden at the rear of the building. None. 1 7 1 2 2 0 0 8 Annual Service Review Page 2 of 8 Copies of the last Care Quality Commission inspection report are available for service users and their families to read. The weekly fees are £421 to £694 per week. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. 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 received, or asked for, since the last key inspection. This included, The Annual Quality Assurance Assessment or AQAA report 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. Surveys we conducted with people who used the service. Information we have about how the service managed any 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 inspections 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. As well as the above we completed a risk assessment of the service to ensure we had enough information about the service to determine the quality rating has not changed in the past 12 months. What has this told us about the service? The Annual Quality Assurance Assessment or AQAA report was received on time. We looked at the information in the AQAA and our judgement is that the service is still providing a good service and that they know what further improvements they need to make. For example the AQAA report stated that the service would continue to listen to people who use the service and other stakeholders. They said they would do this by, We discuss all topics relating to their care and the home with them. We hold regular care review meetings to evaluate if their care needs are being met. We send out quality questionnaires about the service they receive and use these to improve our service provision. We seek their views and comments via resident meetings and also via our comments and complaints procedures. These measures helped to ensure peoples views were listened to. The service told us that they had made the following changes as a result of listening to peoples views, We have implemented more activities including floor basketball, bowling, and darts. We have also reviewed our daily routines and altered these to become more person centred by extending meal times and varying the structure of our Annual Service Review Page 4 of 8 activity programme. These changes demonstrated ways in which the service responded to peoples requests. The service was able to identify the developments they were aiming to achieve over the next 12 months. These included, We will continue to review and monitor comments and complaints at our weekly Head of Department meetings and cascade desired outcomes to the team and our customers. These measures will help to ensure the service is responsive and proactive in dealing with peoples concerns or complaints. We received five surveys from people who use the service. When we asked what the home did well they told us, The carers look after me and the menu is good. The staff help me to go to a day centre every week. They feed us well, listen to us, and help me choose my clothes to wear every day. I can stay in bed when Im not well, because some homes dont let you do this. We have carers who are great. We do games and have coffee and cakes. I love living here, it is my home. Arranging birthday parties. Provides good care and accommodation and is clean and tidy. When we asked what the home could do better they told us, I would like to have knitting sessions. The home sometimes feels draughty when youre not mobile. We received two surveys from health professionals. When we asked what the home did well they told us, The staff provide a caring environment for a challenging and diverse group of people. It is holistic and humane. It tries to individualise care. There are excellent food choices. And they have kind and tolerant staff. When we asked what the home could do better they told us, The staff could be better trained to deal with minor illnesses of the residents, that does not involve the involvement of a doctor. Three staff sent back surveys they were generally very positive. When asked what does the service do well staff said, We support people to meet their needs.
Annual Service Review Page 5 of 8 We support Anchors values of personal choice and freedom, independence and dignity. Eagle House offers excellent mental health support to people. When asked what improvements could be made to the service staff told us, The cleanliness of the home could be improved, we do not, always have daily domestic support and so this is then left to the staff who are supposed to be supporting people. I have concerns about the staffing levels on the residential side, as we usually work on 2/3 and this does not allow us time to spend quality time with residents off site. The AQAA report tells us that the service had an experienced staff team and that 65 per cent of the staff team had National Vocational Qualifications, NVQ2 in Care awards. This was positive and showed the services commitment to supporting staff in developing their skills and knowledge. There had been 20 complaints made to the service provider over the last year. 18 of these were upheld and all were responded to within 28 days. We had received one complaint about the service. This was referred back to the provider to investigate and was currently ongoing. We contacted Sheffields Adult Safeguarding Team to clarify if the information we held about the number of safeguarding referrals were correct. We were advised, there had been three adult safeguarding referrals made over the last year about people who lived in the home. Two of the referrals did not lead on to adult safeguarding investigations and the third referral had just been made and therefore there was no outcome to this at the present time. Sheffield Contracts and Commissioning team were asked for any information they had about the service and they told us they had not received any concerns over the last year. The inspection record showed us that the service notified us of incidents required by the regulations. And that the standards in the service are monitored regularly by a representative of the organisation. This helped to ensure that the service was run in the best interest of people who used it. What are we going to do as a result of this annual service review? It is our Statutory responsibility to inspect all care service at least once every 3 years. The completion of the Risk assessment and Annual service review has not changed our view of the quality rating of this service therefore we are not planning to inspect this service before 16th December 2011. 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 8 Annual Service Review Page 7 of 8 Reader Information
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