Care Home: Framland Residential Home

Annual service review Name of Service: Framland Residential Home The quality rating for this care home is: The rating was made on: two star good service 0 9 0 1 2 0 0 9 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: Fiona Stephenson Date of this annual service review: 2 3 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: The Mansion House 11 Faldo Drive Melton Mowbray Leicestershire LE13 1RH 01664564922 01664564922 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Firstsmile Limited Number of places (if applicable): Under 65 Over 65 4 4 0 4 0 0 31 0 No person in category PD to be admitted to the home when there are 4 persons of that category already accommodated in the home No person to be admitted to the home in categories MD or DE when 4 persons in total of these categories/combined categories are already accommodated in the home 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 Framland Residential Home can admit a maximum of 31 older persons, some of whom may have dementia or a mental health condition. The home is situated in a residential Annual Service Review Page 2 of 7 0 9 0 1 2 0 0 9 area in Melton Mowbray. The town centre of Melton Mowbray is near to the home, so people living at Framland have access to a variety of shops and other facilities nearby. Framland is easy to get to by private and public transport. The building has three floors, with bedrooms on all floors. People living at Framland can get to their rooms by passenger lift or by walking up the stairs. The home has one large dining room and three lounges. There are 30 single bedrooms, 28 with en-suite facilities. There is a garden at the back of the house. The range of fees charged is between £400 and £450 per week. 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 we have received or asked for, since the last 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 document 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 who live at the home, staff who work for the service, and health and social care professionals involved in the care of people who live at Framland Residential Home. - Information we have about how the service has managed complaints. - What the service has told us about things that have happened to people living in the home. These are called Regulation 37 notifications and are a legal requirement. - The previous key inspection and the results of any other visits 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 AQAA was sent when we asked for it. It provided detailed information about the service, and how the service has been managed over the last 12 months. It told us that the service has improved the care planning process, it has improved the environment through laying new non slip vinyl floor covering in the en suite toilets; and has bought new bedding, towels, flannels and table cloths. The service aims to improve the life of people living in the home with complex needs such as dementia, by looking at how they can be supported in contributing to the life of the home. The AQAA told us there are 20 permanent care staff working at Framlands, 11 of which have completed a National Vocational Qualification in Care to level 2 or above. It told us there has been one formal complaint about the service, and this was upheld. We at the CQC have not received any complaints about Framlands. There have been no Adult Safeguarding referrals. We received eight surveys from people who live at Farmlands. Three people who responded said they were given enough information to help them decide whether Farmlands was the right home for them, three felt they werent given enough information, and two said they didnt know. Six said they always get the care and support they need, one said they usually get the care and support they need, and one said they only sometimes get the support Annual Service Review Page 4 of 7 they need. One person said staff always listened and acted upon what they said, five said staff usually act upon this, one said that staff sometimes act upon what they say, and one didnt know. Six said they always get the medical care they need, with two saying they usually get needed medical care. Five said they always like the meals at the home, two said they usually like the meals, and one said they only sometimes like the meals. Five said the home was always fresh and clean with the others saying it is usually fresh and clean. We received nine responses from the relatives of people living at Farmlands. These were generally positive about the care being provided to people living in the home, and typical comments about what the service does well included: From top to bottom, all are very caring, polite and friendly very welcoming, clean and warm..any concerns about Mum are always taken on board ..we chose Framlands because they seemed very friendly and homely and we have been pleased to find that this is the case. Relatives did indicate that at times the service has a shortage of staff. Comments were: sometimes there is a shortage of staff..as Mum has severe dementia I do worry that due to a lack of staff she doesnt get one to one when encouraging her to drink. I know from personal experience it can take a while to get her to drink a small cup of tea sometimes feel staff are very stretched and no opportunity to provide small group activities...there are long periods in the day when residents are just dozing and there is no one to interact.. short staffed when residents ill or in bed - little time to encourage drinking or eating when residents not well They also felt more activities would be beneficial, comments included: more activities when they have enough staff more entertainment e.g. games/quizzes would be appreciated We received three surveys from health care professionals. All were positive about the staff at Framlands and the work they do with people who live in the home. One however felt that there should be more facilities for moving and handling equipment. They also felt that some bedrooms could do with redecoration. We checked the Regulation 37 notifications, and were satisfied the service has taken the appropriate action when responding to each incident. We received a detailed response from the manager about some of the comments. She assured us that residents are offered a choice of meal, and residents are regularly asked their input into the menus. The manager informed us there is a member of staff Annual Service Review Page 5 of 7 on each shift who ensures that those residents who are unable to take fluids and food independently are supported in doing so. She said the service has not been short staffed, and said there have been periods of time when care needs have changed, but additional staffing had been rotad to assist at these times. She felt that activities were offered to residents, and these tend to occur in the mornings when residents are more receptive. The manager said that the Moving and Handling equipment was suitable to meet the needs of residents currently living at Framlands, and would clarify with the District Nursing staff what they meant by the comments raised. She also stated that rooms are redecorated on becoming vacant. Those that have not been decorated recently have been occupied long term, and those residents have not wished to temporarily leave their rooms to enable decorating to take place. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fees and Frequency Regulations 2007, and the assessment of risk of the service. We will be able to give more information about this once the new registration and inspection system under the Health and Social Care Act 2008 is agreed. 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. 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. 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