Latest Inspection
This is the latest available inspection report for this service, carried out on 30th 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 Edmore House.
Annual service review
Name of Service: Edmore House The quality rating for this care home is: The rating was made on: two star good service 2 0 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: Julie McGarry Date of this annual service review: 0 3 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 20 Oakham Road Oakham Dudley West Midlands DY2 7TB 01384255149 01384255149 ann117@btinternet.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mr Charanjit Singh Atwal Number of places (if applicable): Under 65 Over 65 0 18 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 (OP) 18 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 Edmore House is a privately owned care home and is registered to provide accommodation for 18 elderly persons. It is a converted property consisting of three floors. The first and lower ground floors can be accessed via the lift or stairs. All bedrooms are tastefully decorated and service users are encouraged to bring small items of furniture with them if they wish. There are two lounges on the ground floor and a dining area. At the rear of the property is a patio with garden furniture, potted plants and a large garden. Car parking is available at the front of the house and visitors may visit at any time. Care staff are available 24 hours a day to meet the
Annual Service Review Page 2 of 7 2 0 1 1 2 0 0 8 needs of the service users and ancillary staff are employed during the day. A statement of purpose and service user guide is available to inform residents of their entitlements. Information regarding fee levels has not been provided to the Commission for Social Care Inspection. 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 and 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. Information 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 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? The home sent us their annual quality assurance assessment within of the required timescales, the manager completed this. The information in the AQAA was clear and provided us all the information we had asked for. We looked at the information in the AQAA and our judgment is that the home is still providing a good service and that they have a clear vision of what further improvements they wish to make. We were told how the home ensures that people who use the service are consulted on things that matter to them. For example, the AQAA tells us The views of our service users are important to us we hold regular meetings with service users and have recently started to hold a meeting for families if they wish to discuss any issues this is held every 1st Wednesday of the month. Annual questionnaires are sent out to service users, families and stakeholders and feedback is acted upon and recorded. Complaints are dealt with promptly and all actions are recorded. A complaints and complement book are located in the staff office. We have a suggestion box in the hallway for anyone to access and this is monitored monthly. We communicate with our Service Users and families daily and work on information given. The AQAA tells us that the home has made the following improvements We improve our menus regularly by listening to service users. A large plasma screen television has been purchased due to several service users commenting on not being able to see. Dining room layout has been changed due to problems with service users access. Annual Service Review Page 4 of 7 The medical needs of all the people using the service have been identified and are addressed by the arrangements for the continued health care provided by other professional agencies. Staff responsible for the administration of medicines have completed the relevant training. The AQAA tells us Edmore House care is provided by trained staff who promotes equality, dignity, safety, comfort and a homely atmosphere. Staff, service users, families are encourage to openly discuss any issues and appropriate action is taken. We actively encourage service users if possible to maintain their independence. Policy and procedures are in place to manage complaints effectively. The home is well maintained both internally and externally this presents a homely comfortable environment. The options of service users and staff are taken into account at all times. The home is staff with the appropriate numbers and changed accordingly we have a comprehensive recruitment procedure in place. The home has excellent staff and we listen to all our staff and service users and act to ensure that all service users care needs are properly provided. People using the service are encouraged to maintain links with families, friends and the community. 72 of care staff have achieved a minimum of level two in the National Vocational Qualification in care. This should mean that staff should have the necessary skills and knowledge to provide a good standard of support to the people who live there. The AQAA states that 89 of permanent care staff have received training in safe food handling and no staff are employed without two references and a criminal record check, indicating clear and robust procedures for the recruitment of all staff and volunteers. The home 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. We received four completed surveys from people who live at Edmore House. They said they always receive the care and support they need and they know how to raise concerns, if necessary. People commented: Personal care is good. Good meals. Caring staff - always willing to listen; Lovely, friendly and homely home. Management try hard to make home very much as their own home; Help residents to be as happy as they can. We received two completed surveys from professionals who visit the service. Comments included: Staff caring / good rapport with patients, staff undertaken training courses, staff identify unwell patients early and act promptly; Looks after the wellbeing of their residents. We received six completed surveys from staff who work at the service. Comments from staff include: I feel Edmore House is a very caring home, it always puts the residents first; Nice, clean and happy home, some warm and friendly staff and management; The home
Annual Service Review Page 5 of 7 meets the high standards of care for the residents. All training for staff is always kept up to date; The home couldnt do better, as it is run very well; What the home could do better: More activities and days out if we had more staff on duty. The AQAA tells us that all the required policies and procedures are in place. The service has received one complaint in the last twelve months, which was not upheld. The home has made one referral to the local authority for investigation under the safeguarding of vulnerable adults protocols. We have looked at all the information available to us and in our judgment the service continues to provide a good service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. 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
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:
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