Latest Inspection
This is the latest available inspection report for this service, carried out on 6th April 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 Everley Care Home.
Annual service review
Name of Service: Everley Care Home The quality rating for this care home is: The rating was made on: two star good service 2 7 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: 15 Lyde Green Halesowen West Midlands B63 2PQ 01384566686 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: Mrs Mani Jethwa,Mr Devshi Jethwa,Shilpa Odedra Number of places (if applicable): Under 65 Over 65 0 16 The maximum number of service users who can be accommodated is: 16 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) 16 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 Everley Care Home is a detached property located in a residential area between Halesowen and Cradley Heath, not in the immediate vicinity of shops or other amenities. The home was extended and converted by previous owners to its present form; a care home providing personal care to a maximum of 16 service users. The building offers a lounge, dining room, kitchen, laundry and a choice of personal care facilities as it has both a shower and an assisted bath. There are gardens to the rear
Annual Service Review Page 2 of 7 2 7 1 1 2 0 0 8 and car parking space at the front of the property. The home is curently managed by the provider (in an acting capacity) on a day to day basis with assistance from a number of senior carers. Other staff include care assistants, a cook and domestic. The curent statement of purpose we saw does not carry the current fee range for staying at the home. We have been told that additional charges include; hairdressing, clothing, private chiropody. 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 proprietor/ acting 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 Each day the acting manager will walk the floor and chat to the residents. She will ask if they are well or if they have any problems. The acting manager will also make a point of popping into communal areas throughout the day to see how they are. She has an open door policy and encourages the service users to go to her with any concerns. We have service user meetings, where we have an agenda which goes through the food and activities provided at the home and any other matters they wish to raise. They are also reminded each time of the process for complaining. Annual quality assurance surveys are sent out to the service users and their families asking them about the service we provide. The AQAA tells us that the home has made the following improvements Following a recent service users meeting we discussed the menus at the Home and as a result we will be incorporating mild currys and more jacket potatoes into the menus as requested by the residents. More DVDs have been purchased following requests, the most recent Annual Service Review Page 4 of 7 being Titanic. More quiz questions have been purchased as this is a favourite of the service users. Some residents and their families have raised concern about weeds in the garden and as a result a gardener has been appointed. Ovaltine has been incorporated into the evening drinks after requests. 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 We are a homely home where service users are able to recognise familiar faces in the carers. There is a low turnover of staff who are trained and qualified in their field of work. The acting manager has a good relationship with the staff and service users. Service users feel at home where an open culture is adopted. The home continues to go through refurbishment stages. We offer choice and variety to our service users. We maintain the health and personal care of the residents. 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 67 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 seven completed surveys from people who live at Everley Care Home. They said they always receive the care and support they need and they know how to raise concerns, if necessary. People commented: Keeps me safe, well and clean; Tries to involve residents and relatives in all aspects of the wellbeing of the people there including choice of meals, outings and activities, but no one is forced to do anything if they dont want to. At the first sign of anyone feeling unwell a doctor or nurse is called. We received four completed surveys from professionals who visit the service. Comments included: I have been impressed by the quality of care at the home and they respect of staff toward their residents; I have always found these premises to be clean, homely, pleasant surroundings. What the service could do better: Occasionally staff could be more aware of medical history problems when a GP visits. Sometime there is a change of staff and messages do not always seem to have been passed on. Annual Service Review Page 5 of 7 We received three surveys from staff who work at the service. Comments include: The care is very good and the manager has frequent meetings and puts staff on training courses throughout the year so staff do their job well; My manager is approachable; The personal care is of a good standard. What the home could do better: Put on extra staff when residents are sick as they need extra care; I would like to see more entrainment come into the home to take pressure of staff; Better management.. we find it hard working because of shortage of staff, no cook when she is on holiday or sick. The AQAA tells us that all the required policies and procedures are in place. The service tells us that they have received no complaints in the last twelve months. There has been 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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