Care Home: Galtee More Nursing Home

Annual service review Name of Service: Galtee More Nursing Home The quality rating for this care home is: The rating was made on: two star good service 2 2 0 9 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: Sue Turner Date of this annual service review: 2 3 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 164 Doncaster Road Barnsley South Yorkshire S70 1UD 01226733977 Telephone number: Fax number: Email address: Provider web address:   None None Dr Gulzar Khan Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 28 Persons accommodated shall be aged 60 years and above. 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 manager has left the service. There is an acting manager covering the home. The provider has advertised for a new manager and is currently undertaking interviews. 2 2 0 9 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Galtee More is a 28-bed home for older people; it provides both nursing and personal care. The home is in a residential area on the outskirts of Barnsley town centre, where there is good access to public services. There is a bus route, a variety of shops, health centre, post office, pubs, and church near by. The home has disabled access and a passenger lift to all levels. There are eighteen Annual Service Review Page 2 of 7 single and five double rooms, two lounges and a dining room. There is a garden and car parking is available at the side of the building. The weekly fees for the home can be obtained by contacting the acting manager at 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 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 acting manager had been informed by the previous manager that the AQAA had been sent to us. As we had no evidence that this had been received the acting manager completed and returned an AQAA to us. Examples were given of changes made following comments from people who use the service. These included, The large lounge now leads onto an outdoor railed balcony which has appropriate garden furniture and parasols. In order that both residents and their relatives can enjoy warm weather and fresh air. This also enables the large lounge to remain cooler in summer as it now has double doors. The sun lounge has also been re-decorated and colour co-ordinating chairs bought to brighten and make more pleasant for residents to sit. The service is able to identify what it does well which included, Potential residents are encouraged to visit the home prior to admission, to partake in meals and social areas to ensure they have a better insight into daily life at the home. A full needs assessment, carried out by a qualified member of staff, is completed prior to admission. This is then discussed with people and any concerns etc, added before a final care plan is formulated on admission. Risk assessments for falls, pressure areas, nutrition and hydration are reviewed Annual Service Review Page 4 of 7 monthly or as necessary. Professional visits from |Optician, Dentist, Chiropodist are carried out on a regular basis and people have the choice of the homes outside agencies or to keep their own personal professionals. GPs, MacMillan Team, CPNs and District Nurses are available to support health needs. People are given choice in all areas of their daily life. If they would not like to participate in activities, they have no need, but are encouraged to prevent social isolation. However, their choice is paramount. Trips out from the home are arranged by staff. Numerous locations have been visited, including garden centres, pubs for lunches, shopping in town etc. There is an open door policy so that anyone with a complaint or concern will be able to discuss this immediately. The complaints policy is robust and any complaint is dealt with, within the allowed timescale. Staff turnover is minimal. Some staff have worked at the home for quite a few years. Staff will cover shifts to give continuity to people, instead of having agency carers. Extra staff are brought in to cover escort duties, functions etc. All staff have a POVA (Protection of Vulnerable Adults) check prior to receipt of enhanced CRB (Criminal Records Bureau ) check in order to protect people. Almost 100 of the staff have NVQ Level 2 training or above. The service was able to identify the developments they were aiming to achieve over the next 12 months. These included, To continue to send out quality assurance questionnaires on a monthly basis. Quality assurance questionnaires will ask people for suggestions for improvements and ask for feedback on new activities. To make the upstairs room next to the office into a visitors room, where visitors and families can retreat when staying if their relative is unwell. We intend to put comfortable chairs and drink making equipment in. We aim to continue to follow the homes policies and procedures and review and update our records in accordance with any new legislation. Some furnishings and fittings are being replaced. A new lounge carpet is being purchased for the large lounge. An enclosed conservatory is to be built on top of the balcony to the rear of the large lounge. We hope to replace corridor carpets. We sent out surveys to 10 people that live in the home, eight staff and five professionals. We received back two surveys that were completed by relatives on behalf of people that live in the home. They told us, The staff are really thoughtful and caring. The home is kept very clean. The staff are always around to care for people. The home does most things well, but there should be more activities arranged, as people sit in their chairs all the time. The home had notified us accordingly, as they are required to, about events at the home. Annual Service Review Page 5 of 7 We spoke to Barnsley Social Services, Contracting and Commissioning Department. They told us, We last carried out a contract visit in September 2008. We saw that the manager was caring and hard working. The previous manager said that the provider was sometimes reluctant to invest money into the home for things that she thought were needed. The present acting manager said that the provider had spent money making improvements to certain areas of the home, for example new carpets and furnishings had been purchased for peoples bedrooms and for communal areas. The activities programme was poor and should be more diverse. The home was untidy in places and wheelchairs were causing an obstruction. We have been made aware of one complaint received at the home. Barnsley Social Services were also made aware of the complaint. The complaint was dealt with and resolved by the manager. The AQAA stated, There have been no official complaints during this year. Barnsley Adult Safeguarding confirmed to us that there has been no adult safeguarding referrals made since the last inspection. The AQAA stated, There have been no allegations of abuse. Staff have had training in Action on Elder Abuse. We spoke to one social worker. She was aware that two people had been placed in the home this year, by two of her colleagues. She said they had no issues of concern about the service and they would continue to place people in the home, subject to their wishes and preferences. What are we going to do as a result of this annual service review? We are not going to change the inspection plan and will carry out a key inspection by 21st September 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 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. 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