Care Home: Fore Dore Nursing Home Ltd

Annual service review Name of Service: Fore Dore Nursing Home Ltd The quality rating for this care home is: The rating was made on: two star good service 0 7 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: Jane Gurnell Date of this annual service review: 0 7 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Fore Dore Trebetherick Wadebridge Cornwall PL27 6SB 01208863471 01208683963 michaelretter@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 Fore Dore Nursing Home Ltd Number of places (if applicable): Under 65 Over 65 0 32 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 Fore Dore is a detached property situated within a rural village location, surrounded by countryside. The nearest main town is Wadebridge. Fore Dore provides accommodation and nursing care for up to 32 people in need of care due to old age, physical disability or terminal illness. The accommodation is on two floors, with the upper floor being accessed by a stair lift/narrow stairs. The upper floor accommodation is for more able, non-nursing residents. Fore Dore has several long corridors and wings, which give the feel of separate units. Most areas of the home are accessible by sloping corridors to facilitate differing levels of the floor. Service users have a choice of 4 sitting rooms and a dining area as communal space. There is an outdoor seating area to the front of the property. There is also a car park at the front of the home. A trained nurse is on duty over the 24-hour period. 0 7 1 0 2 0 0 8 Annual Service Review Page 2 of 6 Annual Service Review Page 3 of 6 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. - Surveys returned to us by people using the service and from other people with an interest in 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 asked for an extension to the time period to complete the annual quality assurance assessment (AQAA) due to the death of the Responsible Individual who was a Director of the Company. The AQAA was clear and gave us all the information we asked for. We looked at the information in the AQAA and discussed with the Registered Manager the effects to the Company of the death of the Director, and, currently, our judgement is that the home is still providing a good service to the people who live there. In the AQAA the Registered Manager identified a number of improvements to the service including improving the attractiveness of the garden with more flowering plants, better seating and bird tables placed outside peoples bedroom windows as well as ongoing staff training to ensure staff have the skills and knowledge to care for people with complex needs. Future improvements include providing transport for trips out of the home, recruiting more nurses and replacing the fire protection system. The Registered Manager explained that these improvements had been delayed due to the death of the Director. People living in the home always tell us that they are happy there: we received six surveys from people living in the home. One person said, Fore Dore has given me a home. They have nice carers and extremely nice nurses and another said, staff are all kind and helpful. People said there were always or usually staff to assist them when they needed and that staff listened to them. There were mixed results about the quality of the food, with three people saying they always enjoyed the food, one person said usually, one person said sometimes and one person said never. Four people returning the survey said the home always provided activities for them to take part in and two people said sometimes. The home continues to let us know about things that have happened since our last key Annual Service Review Page 4 of 6 inspection and has shown that they have managed issues well. The home works well with us and has shown us that at present their service continues to provide good outcomes for the people who use it. The Commission has written to the Company to seek clarification upon the future management of the Company and will keep the home under review. 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 7th October 2010. However we can inspect the service at any time if we have concerns about the management and quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 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 6 of 6 - 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!