Care Home: Ebury Court

Annual service review Name of Service: Ebury Court The quality rating for this care home is: The rating was made on: three star excellent service 2 3 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: Julie Legg Date of this annual service review: 1 3 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 438 Rush Green Road Romford Essex RM7 0LX 01708728734 01708728797 beverley.manzar@btconnect.com 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: Ebury Court Residential Home Limited Number of places (if applicable): Under 65 Over 65 39 0 0 39 No person with Dementia will share a room. In the event that Ebury Court has a referral of exceptional circumstances of two persons - relatives or a particular close friendship - wishing to share a room, and taking into acount the Mental Capacity Act 2005, the Registered Person will have to apply to the Commission for a specific Minor Variation. 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 Ebury Court is a private care home that can accommodate up to 39 older people. It is set well back from Rush Green Road, which connects the main town centres of Romford and Dagenham. There are 37 bedrooms with en-suite toilets All are used as singles, but the two largest can be used as doubles by couples. On the ground floor there are communal lounges and a conservatory. Three of the bedrooms Annual Service Review Page 2 of 7 None 2 3 1 0 2 0 0 8 are on the ground floor and the remaining bedrooms are on the first and second floor. There is a good-sized forecourt, additional rear car park, and a well maintained large secluded garden. The fees for the home are £560 a week but there will be additional charges for hairdesser and other sundries. This information was given by the manager on the day of the visit. 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 inspection October 2008 This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment toll that focuses on outcomes for people using the service. it also provides us with statistical information about the service. Information we have about how the service has 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 report (October 2008) What has this told us about the service? At the last key inspection this care service had met the National Minimum Standards for care Homes for Older People in all areas. This home was assessed as being an excellent service - 3 stars. The home sent us an Annual Quality Assurance Assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgment is that the home is still providing an excellent service and that they know what further improvements they need to make. The AQAA identified that during the past twelve months the home has improved in the following areas: The pre-admission and admission assessment forms have been updated. The service has introduced a Good practice care guide which is a quick reference tool to residents daily choices and preferences, this assists staff to deliver personalised and efficient care which is tailored to residents individual needs. As a result of service users suggestions menu changes have been made, more varied activities within the home and in the wider community have taken place; weekly reflexology sessions and a tai-chi class have been introduced within the service and a day centre for people with dementia has been sourced which service users are attending. Visits to the theatre have been increased as well as visits to Paradise Wildlife Park and Capel Manor.The service has purchased a new specially adapted mini bus which enables more service users who are wheelchair Dependant to access the community. Annual Service Review Page 4 of 7 The range of fruits on the tea trolley have been extended, there has been an increase in the services homegrown vegetables and all pastries, cakes and deserts are freshly made daily. The recruitment process has been improved by redesigning the application forms and the scoring system and service users are now involved in the recruitment of staff. the service has created a new post of care leader between care assistant and senior carer to encourage and support staff professional development and enhance career progression. Training is seen as a high priority and all staff (including ancillary staff ) undertake the eight session course on dementia care. Training for the cooks has also taken place to extend the range and further raise the quality of the meals. All staff are actively involved in the Gold Standard Framework in Care Homes (GSFCH) which is supporting people who require end of life care. The service has produced 3 information leaflets in relation to GSFCH for advice and guidance to health personnel, service users, friends and relatives and an evening information session was held for relatives and friends. As a result of the services participation in the GSFCH training programme, all service users have completed a resuscitation and advance care plan. The service has raised the profile of the Protection of Vulnerable Adults and introduced a requirement that all ancillary staff undertake the training. The service has also produced a colourful large print document into all service users bedrooms explaining what they should do if they are unhappy or have any problems or concerns. The environment continues to be regularly redecorated and refurbished; in consultation with the service users the dining room has been redecorated, new carver chairs have and new room lights have been purchased. A new flat screen TV has been installed in the lounge and some of the bedrooms have been refurbished. Security has been strengthened by the installation of a high back gate with a coded security pad and flower baskets have been installed on the balconies to the front of the building. The AQAA identified that their plans during the next twelve months include: The service is looking to produce their brochure in a talking book format, to introduce a large print menu on the dining room tables and to complete a further staff satisfaction survey. Explore the possibility of taking a group of service users on a mini summer break and to extend their activity programme by trying to source a yoga teacher. Staff training in relation to communication skills, advanced dementia, dignity in care and equality and diversity, as well as completing the GSFCH programme. Also that all staff have NVQ 2/3. Further training courses for catering staff to enhance both the presentation and nutritional quality of the meals and to increase the amount of organic produce. Install grab rails in the lower corridor, redesign the wheelchair area and make a pathway around the garden more wheelchair accessible. The service is also looking to establish a dementia corner, purchase a heated food cupboard for the kitchen and the Annual Service Review Page 5 of 7 redecoration and refurbishment of service users bedrooms as required. the service continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. There has not been any safeguarding referrals in the past twelve months nor any complaints. They work well with us and have shown us that their service continues to provide excellent outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will do a key inspection by 5thOctober 2011. However we can inspect the service at any time if we have any 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 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!