Care Home: Ersham House Nursing Home

Annual service review Name of Service: Ersham House Nursing Home The quality rating for this care home is: The rating was made on: two star good 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: Deborah Calveley Date of this annual service review: 0 5 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Ersham Road Hailsham East Sussex BN27 3PN 01323-442727 01323849900 ershamnh@btconnect.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 physical disability Conditions of registration: Lakeglide Limited Number of places (if applicable): Under 65 Over 65 0 41 41 0 The maximum number of service users to be accommodated is 41 The registered person may provide the following category of service: Care home with nursing (N) to service users of the following gender; Either whose primary care needs on admission to the home are within the following categories: Physical disability (PD) Old age, not falling within any other category (OP) 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 Ersham House is registered to provide nursing and supporting care for forty-one service users who meet the registration category of elderly, terminally ill and physically disabled. It was opened eighteen years ago and is set in gardens of approximately one acre, on the rural outskirts of Hailsham with extensive views to the South Downs. The gardens are rustic and well tended and easily accessed by the service users. The accommodation offered is thirty-nine single rooms, twenty three with ensuite facilities Annual Service Review Page 2 of 7 A new certificate was issued. 2 3 1 0 2 0 0 8 and one double room with an ensuite bathroom. The home offers communal areas, which are light, homely and tastefully furnished throughout the home, there is the main lounge/dining area which is central in the home, two further small lounge areas on each floor and an activities room. The bedrooms have been designed and decorated to a high standard. Residents are encouraged to personalise their rooms with small pieces of furniture and pictures. There are ample bathing facilities available which have the necessary equipment to meet the needs of the residents living in the home. The lift ensures that there is level access to all parts of the home. There is a reception desk and office and receptionist that works full time Monday to Friday, thus releasing staff from answering phones and enabling them to concentrate on the needs of the service users. Copies of inspection reports and the homes Statement of Purpose are made available on request. Intermediate care is not provided. 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 or 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 Telephone contact was made with the home on the day of the Annual Service Review so as to clarify any changes to the service. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? The AQAA was received and contains clear relevant information that is supported by a wide range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It shows clearly how they are going to do this. The data section of the AQAA is accurately and fully completed. The home have comprehensive written information regarding the home, staff and facilities which is provided to all prospective people who may use the service. The homes inspection reports, the Service User Guide and Statement of Purpose are available in the reception area. There is a receptionist who works five days a week 9am until 5pm, who welcomes visitors to the home. The home encourage enquirers to look at other homes so an informed decision can be made. Admissions are not made to the home until a full needs assessment has been undertaken and the home have confirmed in writing that they can meet the identified needs. For people who are self-funding and without a care management assessment, a skilled and experienced member of staff always undertakes a full assessment of needs. The assessment is conducted professionally and sensitively and involves the individual and their family or representative where appropriate. This includes offering an invitation to view the home. Trial visits are also available as is respite care. The home ensure that all the people who use the service have a plan of care for all aspects of daily living and long term outcomes based on the care management Annual Service Review Page 4 of 7 assessment and the homes own assessment of needs. The home review each care plan monthly and more frequently if it is required, due to changes in general condition of the people who use the service or if the staff have identified any risk. Each care plan includes comprehensive risk assessments which are also reviewed regularly. The management of risk is positive in addressing safety issues while aiming for improved outcomes for the people who use the service. Where there are limitations the decisions have been made with the agreement of the person or their representative and are accurately recorded. The AQAA states that the home actively encourage Community Healthcare Support Teams to record their visits, findings and recommendations in the nursing notes. The AQAA states Improvements can always be made with the care planning process with regard to the involvement of the residents and their relatives and they will strive to identify any shortfalls. Care and comfort are given to people who are dying their death is handled with dignity and propriety and their spiritual needs rites and functions are observed. Relatives are involved in planning for and dealing with increasing infirmity terminal illness and death. The home have organised recreational programme throughout the week. The date and time of each activities is displayed in the communal area. The home invite the family to take part on birthdays and other festive celebrations. The AQAA states that they will continue to monitor the needs of their residents and continue to be guided by the results of the homes quality assurance questionnaires. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. Unless there are exceptional circumstances the service always responds within the agreed timescale. There has been one complaint made in the past year all fully investigated and there has been one safeguarding alerts raised. All staff receive training to protect the people who use the service and a robust recruitment process also promotes the safety of the people who use the service. Staff members are trained and competent in health care matters. The home have a own fulltime in house trainer who organizes the Induction & Foundation training. She also seeks out and co-oordinates appropriate training for all members of staff. The home have recently been accepted by Skills for Care which will ultimately lead to the home receiving Investor in People recognition. Staffing levels are reviewed regularly against the needs of the people who use the service. The home has a good record of compliance with the receipt, administration, safekeeping and disposal of controlled drugs. The staff adhere to the NMC standards of Administration of Medication and have lockable facilities if there are individuals who wish to and are able to self-administer their medication. The home provides a physical environment that is appropriate to the specific needs of the people who live there. The well-maintained environment provides specialist aids and equipment to meet their needs. There is a continual programme of redecoration in Annual Service Review Page 5 of 7 place. The manager has a clear understanding of the key principles and focus of the service based on clear values and priorities. There is a strong ethos of being open and transparent in all areas of running of the home. Mrs sugars (registered manager) and the responsible individual Mr Elphick are aware of current developments both nationally and by CQQ and plans the service accordingly. The previous report was positive and the two requirements made at that time have been implemented. The home continues to let us know about things that have happened since our last key inspection through notifications to us and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? There will be no change to the inspection plan and will do a key inspection by 24/10/2010. 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 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. 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