Latest Inspection
This is the latest available inspection report for this service, carried out on 13th October 2009. 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 Elaine Herbert House.
Annual service review
Name of Service: Elaine Herbert House The quality rating for this care home is: The rating was made on: two star good service 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: Ruth Hannent Date of this annual service review: 1 3 1 0 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service
Address of service: The Great Hospital Bishopgate Norwich Norfolk NR1 4EL 01603610066 01603766093 anne@greathospital.org 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: The Great Hospital Number of places (if applicable): Under 65 Over 65 0 17 Seventeen (17) older people may be accommodated. 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 Elaine Herbert House is a care home offering personal care and accommodation for 21 older people. The service is operated by the Great Hospital Charity and the care home stands within the overall complex of the Great Hospital. The site is located in the city centre of Norwich near to Norwich cathedral. The home has been open for some time, however it is new to registration having previously been exempt by royal charter. The home is purpose built with accommodation on the ground and first floor. Those living at Elaine Herbert house have access to the grounds of the whole site. There are 21 single bedrooms all of which are en-suite. None Annual Service Review Page 2 of 5 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 Assessment Assurance (AQAA) that was sent to us by this service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. Any surveys that have been returned to us from people using the service and from other people with an interest in the service. Information we have about how the service manages any complaints. What the management 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 any results from visits that we may have made to the service in the past twelve months. Relevant information from other organisations. Any information from other people about the service. What has this told us about the service? The Manager has returned the completed AQAA and most of this report has been completed from the details written on this document. We are told that the home is not taking any residents into the home at present as the plans to move into their new building is very close. The Manager does tell us that any past new admissions of residents, a full assessment has been carried out prior to that admission and that each resident has a comprehensive care plan detailing the persons care needs and using other formats to ensure all care for the individual is logged such as the MUST tool for nutritional intake. The AQAA also tells us that a care audit took place within the home during the summer and any issues arising from this audit has been rectified. The home has a retained GP who holds weekly clinics within the home and access to other health professionals can be referred through the GP. Medication is provided to the home in blister packs for safe management which the home ensure is carried out through the whole administration process. The Manager has stated that she will treat any mis-management of medication seriously. The home has a variety of activities in the home from scrabble, art classes and exercises to one to one social support. They also produce a regular newsletter and post information on the notice boards to keep everyone informed. Complaints are dealt with seriously and promptly. The home displays the complaints procedure in the entrance to the home and within the service users guide. The AQAA tells us of the way the residents are informed of the new build and how some have been waiting a long time to move which has seen a small delay. In the meantime the Manager is working with other departmental Managers to keep the home Annual Service Review Page 3 of 5 functioning and safe. We are told that residents do have personal processions in their rooms and that due to the complex needs of some residents there is plenty of variety in the mobility and transferring aids around the home to meet the diverse, individual needs. The staff are supported by line management supervision and encouraged to train for NVQ qualifications. New staff are inducted within the Skills for Care framework and also the homes own induction pack. The in house training covers all statutory courses and all staff have POVA and Mental Capacity Act training. Each one has access to the staff handbook. The home has recently developed the skills within the team to take on two new Senior care staff members. There has also been the introduction of a Finance Officer. The home is visited weekly by the Master/Chief Executive who consults with residents and is actively involved in the day to day of the home as part of the regulation 26 requirement. Notifications from the home have been received since the last inspection and noted are 12 deaths but no information about significant incidents or serious illnesses. We have not received any complaints or concerns about this home and no other information has been sent to the Commission. What are we going to do as a result of this annual service review? We will continue to carry out a Key Inspection by 12/10/10. However, we may carry out an Inspection at any time if information received gives us concern. Annual Service Review Page 4 of 5 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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