Care Home: Frensham House

Annual service review Name of Service: Frensham House 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: Stella Lindsay Date of this annual service review: 1 2 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 125 New Road Brixham Devon TQ5 8BY 01803857476 01803858976 frensham@stone-haven.co.uk WWW.stone-haven.co.uk Stonehaven (Healthcare) Ltd Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Number of places (if applicable): Under 65 Over 65 0 0 0 14 14 14 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 The last key inspection was carried out on 14th November 2007, when Frensham was rated as providing an excellent service, 3 stars. An annual service review was carried out on 14th November 2008, when it was judged that the quality of the service was still excellent. At the time of this Review, a new Manager had been appointed by Stonehaven, but not yet registered with the Care Quality Commission. Annual Service Review Page 2 of 7 Resignation of Registered Manager Frensham House provides care for up to fourteen persons over the age of 65. The service is designed for residents who have some form of dementia or other mental health problem. It is a detached house on the main road leading to the harbour and town centre of Brixham. Residents are accommodated on two floors, and with access via a stair-lift. There are eight single and three double bedrooms. Four of the single bedrooms are on the ground floor. None of the bedrooms have an en suite toilet. There are five toilets, a bathroom, and an accessible shower. The home has a dining room, a comfortable lounge beside the kitchen, and a small sun lounge at the front of the building. A sheltered sunny garden is at the front of the home, with chairs and tables provided for residents. To the rear of the building there are three off road parking spaces, and there is ramped access to the front door from here. Fees range from 350 - 650 pounds per week. The most recent inspection report will be made available on request, and is included in the information pack given to people who are seeking information about the home. 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. 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 annual service review. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The new Manager sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. The Manager told us that they gathers feedback from families and visiting professionals, collate the responses and act on suggestions where possible. They are implementing changes in the garden and in colour schemes in response to opinions gathered from residents and their visitors. The Manager told us that the company has provided impressive new brochure packs for people who are interested in finding out about the home. There is also information about all the Stonehaven homes on a DVD and on the website. Each resident has a Person Centred Care Plan which is both in depth and easy to read, to enable staff to support them in a way that has been discussed with their health and social work professionals and agreed with the client, in order to maintain a consistent approach. The Manager told us that they email a welfare report each week to the Support Office, to keep them in touch with any progress or issues. We received five surveys that had been completed by family members on behalf of their relatives who were residents at Frensham. They all expressed satisfaction with the service. They all said that staff were nearly always available when needed, and that residents always got the care and support they needed. We are completely happy with the care our (relative) is receiving, said one, while another said, I am very happy with the way they look after my (relative). You could not wish for better. They told us that Annual Service Review Page 4 of 7 staff are always on hand in the lounge, residents are never left alone, and that visitors are always made welcome. Relatives and staff both told us that there is a happy friendly atmosphere in the home. Five staff returned surveys to us. They were self critical, considering that they could do more if there were more of them, and also saying that more care should be taken when clothes are returned from the laundry to get them back to the right person. However, they also said they loved working at Frensham House, that the team supported each other and solved problems efficiently. They were pleased with the person centred care, and that activities were provided that stimulated the residents. One person told us they had worked at Frensham for a long time, and they enjoy the constant challenge of new clients, different illnesses and learning. We received surveys back from four health and social work professionals who were in regular contact with the home. The replies were all positive. They found that the home had been able to assess promptly and accurately the needs of prospective clients and formulate comprehensive care plans. They had provided regular updates to the professionals on progress, any issues arising, or concerns, and they request support, guidance and advice and will follow suggested care plans appropriately. They were pleased with the person centred focus of the care provided, and said the service is flexible and accommodating and able to manage diverse and complex needs. Two problem areas were mentioned. Communication can be more difficult when residents have disabilities that impede their communication, and staff are from a different cultural background. It was also suggested that as residents who wish to be on the move do not have much room indoors to walk about, more effort should be made to arrange for them to go outdoors in safety. Often it is most appreciated if someone can be available to enable a short walk. The Manager told us that the company now has a minibus, so drives and group outings can be arranged more frequently. The CQC had not received any complaints about Frensham over the past year. The Manager told us that she kept a record of any complaints, that one had been received, dealt with under the homes procedure, and that they are pleased to use complaints to learn and improve. All the residents who returned surveys said that they knew how to make a complaint and who to speak to if they were unhappy. There was a safeguarding alert during the year, but the allegation was not upheld. Care and care planning were reviewed by the Older Peoples Mental health team and found to be good. The Manager told us that staff have received training over the past year in the Protection of Vulnerable Adults, and the Mental Capacity Act, including the Deprivation of Liberty Safeguards. No-one at present is in need of these safeguards. The Mandatory training programme had been delivered effectively, and other training provided had included Person Centred care, dealing with challenging behaviour, training on stimulating activities for people with dementia, nutrition and diet for people with dementia, and training on the issues around dying and bereavement. She said she planned to obtain training in Mental Health for Senior staff in the year ahead. Our judgement is that the home is still providing an excellent service, and that they continually review their service and work to put into practice any suggestions for improvement. Annual Service Review Page 5 of 7 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 14th November 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. 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