Care Home: Glebe House

Annual service review Name of Service: Glebe House 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: Patricia Collins Date of this annual service review: 0 8 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: The Broadway Laleham Staines Middlesex TW18 1SB 01784451643 Telephone number: Fax number: Email address: Provider web address:   caroline@surreyresthomesltd.co.uk www.surreyresthomesltd.co.uk Surrey Rest Homes Ltd The registered provider is responsible for running the service 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 Conditions of registration: The maximum number of service users to be accommodated is 24. The registered person may provide the following category of service only: Care home only - (PC) 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 - (OP) Dementia- (DE) 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 None 2 2 0 9 2 0 0 8 Number of places (if applicable): Under 65 Over 65 24 0 0 24 Annual Service Review Page 2 of 6 Glebe House is a large detached property located in the village of Laleham, Middlesex. The home is owned by Surrey Rest Homes Ltd and provides accommodation and personal care for up to 24 older people including people with dementia, of either gender. Bedrooms are arranged on three floors, the first floor accessible by passenger and stair lifts, the second floor by stairs. There is one shared bedroom and twenty two bedrooms for single occupancy, nineteen of which have en-suite facilities. Communal areas include a large lounge leading onto a conservatory, a dining room and another conservatory at the far end of the building. Facilities include assisted toilets and bathrooms. There is a large enclosed garden with patio to the rear of the property and parking for several cars to the front. Fee charges are 620. 00 pounds per week. 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 we have received or asked for since the last key inspection. This included: The last key inspection report. The annual quality assurance assessment (AQAA) sent to us by the service. The AQAA is a self assessment focused on how well outcomes are being met for people using this service. It provided quantitative and numerical information about the service and an assessment of services against the National Minimum Standards (NMS) outcome areas, demonstrating both areas of strength and where improvements can be made. Information we have about how the service has managed any complaints or allegations received since the last inspection. What the person in a management role at the home has told us about things that have happened in the service; these are called notifications and it is legal requirement to inform us of these events. Also other information received during recent telephone contact with this person. What other people have told us about the service. The report will say what we found as it is written on behalf of the Care Quality Commission (CQC). What has this told us about the service? Surveys were sent to the home for distribution to stakeholders, to obtain feedback on service provision. None were received back at the time of this review. The AQAA was not submitted on time and was received after a reminder letter sent. The AQAA provided the information asked for and was validated by evidence. The content of the AQAA indicated compliance with statutory requirements made at the last inspection. The home has not had a registered manager for a sustained period of time. The home manager just in post at the time of the last key inspection, left without notice after working only three days. The manager vacancy has since been filled through an internal appointment. We have been concerned at the delay in submitting a complete application for registration for the new manager; also at misleading information we received in this regard, from the manager and responsible individual. The manager informed us at the time of this review that her complete application was in the post. The AQAA states the home provides a high standard of care and the atmosphere is warm, homely and inviting. Stated improvements include a more positive relationship with the medical practice under its new management team. A general practitioner now provides an open surgery at the home, enabling pro-active management of health Annual Service Review Page 4 of 6 conditions. Senior staff are now more involved with the pre-admission assessment process and the complaint procedure has been updated. The manager reports having received a 4 star rating for food hygiene at the home, from the Environmental Health Department. The refurbishment and redecoration programme in progress at the time of the last inspection is now complete. Floor covering in the dining room has since been replaced. The staff team is stable, current staff have all worked at the home for more than one year. Staff continue to work towards National Vocational qualifications (NVQ) in Health and Social Care and three staff have NVQ Level 2 or above. Whilst the homes summer fair raised enough funds for a planned river boat trip for the enjoyment of people using services, there is management recognition that the social activities programme needs further development. The manager is trying to organise input to the programme from the Alzheimers Society. Internal quality assurance systems have identified other areas for improvements. There are plans for provision of a stair lift to the second floor bedroom accommodation. Also for the manager to attain the Leadership for Management in Care Services (NVQ) Level 4 qualification and for further nutritional training for the team. Three safeguarding alerts and two safeguarding investigations have taken place, involving the home, in the past twelve months. These matters are now closed. Minutes of safeguarding meetings show that the home was not represented and did not send apologies to the last two safeguarding meetings. These incidents were linked and both meetings took place on the same day. We discussed delays in sending safeguarding adult alerts and on one occasion, failure to follow the local safeguarding procedure, with the homes former line manager. We have not received all notifications relating to safeguarding incidents, though the homes management has informed us of other things that have happened. What are we going to do as a result of this annual service review? Based on all available information, it is our judgement that overall the home is continuing to provide good quality outcomes for people using services. We are not going to change our inspection plan and will carry out a key inspection by 22nd September 2010. However we can inspect the service at any time if we have concerns about the quality of the service or 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!