Latest Inspection
This is the latest available inspection report for this service, carried out on 16th November 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 Excellent.
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 Fountains Care Centre (The).
Annual service review
Name of Service: Fountains Care Centre (The) The quality rating for this care home is: The rating was made on: three star excellent 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: Sandra Parnell-Hopkinson Date of this annual service review: 1 5 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 12 Theydon Gardens Rainham Essex RM13 7TU 01708554456 01708529644 thefountains@schealthcare.co.uk www.schealthcare.co.uk Southern Cross (LSC) Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 62 0 62 0 62 0 The maximum number of service users who can be accommodated is: 62 The registered person may provide the following category of service only: Care Home with nursing - Code N 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 - Code OP Dementia - Code DE Physical disability Code PD 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: The registered manager has resigned. A new manager has been appointed and is due to start in November 2009. This person will need to apply for registration as soon as possible. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 6 The home is situated off the Rainham Road within the London Borough of Havering. There is a garden area to the rear of the home and car parking to the front of the home. The home provides 62 single ensuite bedrooms set out over 3 floors. Each floor is independent of each other and each has its? own dining room and lounges. The home is registered as a care home providing nursing, to care for people over the age of 55 years who may have dementia, a physical disability due to a stroke, Parkinsons or other such illness, and those people who are over the age of 65 years who are frail due to age. The statement of purpose and the last inspection report were available in the reception area of the home, and a copy of the statement of purpose will be provided on request. At the time of the inspection the fees ranged from #590 - #750 per week, with additional fees for hairdressing and chiropody. 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. 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, annual service review and random inspection. 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 (AQAA) when we asked for it. The information was reasonably comprehensive and identified areas for improvement, which had been highlighted in a random inspection report undertaken as a result of concerns reported to the Commission. Many of the concerns focused on disunity amongst staff and the negative impact this was having on the quality of care being provided to residents at the Home. We have been assured by the organisation, in information contained within the AQAA, that training in equality and diversity issues will be undertaken by all staff. Also that training and support will be provided to team leaders in leadership, supervision and dealing with confrontation, and that through ongoing supervision and monitoring the organisation will ensure that this training is put into practice for the benefit of the residents. Since the random inspection the registered manager and the deputy manager have resigned. However, a new manager has been recruited, together with a new deputy manager. The service has also developed a social club for residents and relatives, and has identified that further improvements are still required in the area of activities for residents. Plans are in place for care staff to get more involved in social activities, especially at the weekends. The involvement of local students in the decoration of corridor walls on the dementia units have improved orientation for residents living with dementia, and this work continues. Mealtimes have been changed to meet the needs of the residents, and family and friends are being encouraged to become more involved in the development of care plans and also in the daily life of the home. Annual Service Review Page 4 of 6 Recent barriers to improvement have been identified as a lower occupancy rate in recent months due to the local authority reviewing its policy on placements in residential care. The organisation developed a marketing team and robust marketing action plan in an effort to reduce the impact of this. The service does not use agency staff and this provides consistent care to residents, especially those who are living with dementia who find it difficult to build on relationships with different members of staff. The organisation has introduced dignity champions, and hopefully this, together with the planned training and supervision around equality and diversity issues will improve even further the care to vulnerable people. Data received tells us that during the last 12 months the service received 39 complaints and 11 of these were upheld. Generally complaints are resolved within the 28 day timeframe indicated in the homes complaints policy. There have not been any safeguarding referrals. Residents undergo nutritional screening on admission and regular monitoring of weight and other dietary issues takes place with referrals being made to specialist where necessary. 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 the 30th December 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 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:
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