Care Home: Glen Rose

Annual service review Name of Service: Glen Rose The quality rating for this care home is: The rating was made on: two star good service 3 0 1 2 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: Janette Everitt Date of this annual service review: 3 0 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Mount Drive Catisfield Fareham Hampshire PO15 5NU 01329511155 Telephone number: Fax number: Email address: Provider web address:   glenrose@saffronland.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mr Antony Boughton Conditions of registration: Category(ies) : dementia Conditions of registration: Mr Amin Lakhani t/a Saffronland Homes Number of places (if applicable): Under 65 Over 65 47 0 The maximum number of service users to be accommodated is 47. The registered person may provide the following category/ies of service only: Care home with nursing only - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE). . 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 Glen Rose nursing home provides nursing care for up to 47 older persons whose primary need is dementia. The service is located in a residential area of Fareham, close to the town centre. 3 0 1 2 2 0 0 8 Annual Service Review Page 2 of 7 Accommodation is provided over 2 floors and is arranged as 16 double and 15 single bedrooms, all with en-suite wash hand basins and toilets. Communal areas consist of 2 lounges and a sun lounge and two dining rooms one on the ground floor and one on the first floor. A passenger lift gives access to all floors. There is parking on the forecourt of the home for visitors. For the range of fees contact the home manager. 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 of 30th December 2008. 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 organizations. What people 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. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. The AQAA clearly identified improvements made during the last 12 months and as a result of listening to people who use the service and taking into account the equality and diversity of the service users, the improvements are stated as: Menus have been reviewed regularly to provide for service users changing needs and preferences. Residents are encouraged to choose their own clothes each day. Religious observances are honoured as appropriate. Service users have care provided, if preferred, by same sex carers. The home provides wheelchair access throughout the home and also in the gardens. Further improvements identified are stated as follows: The person centred care planning and risk assessments have been improved. The home has employed a deputy manager to strengthen the management team. An activities organiser has been employed to ensure a full and active programme of activities is available for the service user. A minibus is now available to the home for outings. Relatives meetings have been introduced and the local Alzheimers Society have attended some meetings to support the relatives. The AQAA states that there have been environmental improvements with various areas of the home being redecorated in colours that lift the corridor and entrance area of the home. The home has achieved the Investors in People Award. The home has been involved with several charity activities associated with some Alzheimers society events and staff are encouraged to participate in these. The AQAA also clearly identified what improvements the service wants to make during Annual Service Review Page 4 of 7 the next 12 months. These are stated as follows: Changes to the sun lounge and new furniture. The creation of a sensory garden and a memory cafe for service users and their relatives to use. It is anticipated that small petting animals will be brought to the home regularly to enhance the activities for the service users. Continue to maintain the environment with a programme of redecoration and refurbishment. The manager stated that he will arrange the training programme for all staff for the coming year. The AQAA states that the home falls below the standard for 50 per cent of care staff to be trained to the National Vocational Qualification level 2. Surveys from CQC were distributed to service users, relatives, staff and visiting professionals. Service users were unable to complete the surveys but five relatives surveys were returned to CQC with comments saying: The home looks after the service users needs well. Good care and interaction with service users and families. The staff attitude to my mother is friendly, caring and respectful. They have a sense of humour but never humiliate my mum. The home has started to do craft work with residents which is excellent and helps keep residents more alert. This is an improvement. I am very satisfied with my relatives care. The staff are helpful and courteous and the home is clean and tidy. Good support from the staff. Always courteous and polite. There could be more clarity and dialogue over aspects of care and incidents. The home could be more proactive in communications, for example, updates on health aspects during illness. Seven staff surveys were returned to CQC and indicated that staff are generally satisfied with their roles in the home and their employment, but staffing levels are discussed widely. Comments on surveys said: The induction covered everything I needed to know to do the job very well. There is ongoing training in mandatory subjects and numerous courses that we are able to attend. The home does everything well and provide activities for the residents. I feel that Glen Rose is a well run, clean and exciting home to work in. There are always activities for the residents and outside entertainers attend the home as well as the activities organiser providing a programme for residents. The residents love the PET therapy. The home provides all the training I need and does well at care planning and entertainment. The home does well caring for the residents and there is a friendly atmosphere creating a good working environment which reflects on the residents well being. We have purchased new beds but it would be so much easier to have every resident on a profile bed. Staff at the home ensure that residents at Glen Rose have the best care. We receive a lot of in-house training to give knowledge to the staff about how to provide appropriate care. Care plans are comprehensive and thorough and are updated with any change in care. There is always enough staff on duty. We have a new activities organiser who is doing fantastic work with all service users. The home provides choice for service users in every respect. There is always a supply of equipment and the home provides staff training. More permanent staff should be employed as there is a lot of agency staff used and the residents need familiarity and recognition of staff. If we had more permanent staff there would be more continuity of Annual Service Review Page 5 of 7 care especially for those residents who have dementia. The home provides a clean and bright environment. It is welcoming and tranquil. The visiting farm and activities provide stimulation for residents. The home could review the number of staff to allow for more time with service users for personal care. The food should be reviewed to be more exciting for the residents. There is too much white bread used. The care is good and constant but the surroundings are sometimes shabbier than they should be. We have lost good staff through poor salaries. Pay staff more and avoid agency workers. The home provides a caring environment for our service users in a homely atmosphere and there is a good standard of nursing care given. We all try to do our best to do things we need to do but sometimes there is not enough staff. If we had more staff we could spend more time on caring for the service users. Staffing levels should be reviewed. Surveys indicated that the home provides regular training opportunities. The AQAA recorded the service had received two complaints in the last 12 months, which have been resolved within the stated timescales. The management of the service has shown they have a good understanding of safeguarding issues and are able to work with Adult Services to protect people who use the service. The service continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. 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 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. 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