Care Home: Great Horkesley Manor

Annual service review Name of Service: Great Horkesley Manor The quality rating for this care home is: The rating was made on: two star good 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: Diana Green Date of this annual service review: 2 4 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Nayland Road Gt Horkesley Colchester Essex CO6 4ET 01206271394 01206271446 greathorkesley@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 25 0 0 73 Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 25 persons) Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 73 persons) The total number of service users accommodated in the home must not exceed 73 persons 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: 1/06/2009 Change of responsible individual. 16/09/2009 Manager post vacant. Project manager to act as manager until manager is recruited. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 6 Great Horkesley Manor is a large older detached house within extensive grounds and approached by a long drive. The service is operated by Ashbourne (Eton) Ltd, which is a subsidiary of Southern Cross Healthcare Ltd, and is registered to accommodate persons over the age of 65 years who require both care and accommodation by way of their older age. The accommodation is arranged mainly on ground floor level although there are rooms on the first floor that are accessed via a passenger lift. The original building had been extended to form additional bedroom and communal facilities. The majority of bedrooms are for single occupation. There are ample bathing and WC facilities. All bedrooms have en-suite facilities. There are two dining rooms, three sitting rooms and additional seating areas spread around the communal areas of the home. Outside the home there are gardens laid to lawn with seating and a summerhouse available for use. The home is located within the village of Gt Horkesley, with some local amenities such as post offices, pubs, corner shop etc. The village lays on the northern edge of the town of Colchester with many more amenities and is accessible by public transport. 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? What did we do for this annual service review We looked at all of the information 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, which is required by law to be completed by the service and 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 any other things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the result of any other visits that we have made to the service in the last twelve months. Relevant information from other organisations. What other people have 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 the information we asked for. We looked at the information in the AQAA and our judgment is that the service is still providing a good service and they know what further improvements they need to make. We received no completed surveys from people living at the home. We received a completed survey from the relative of a person living at the home. They told us that the staff are very kind and sympathetic and care staff are very good about informing us. The AQAA informed us that developments have been made in refurbishing all communal rooms, building a new footpath and patio to the summer house and garden furniture and umbrellas and a pianola have been purchased. As a result of listening to people, menus have changed, monthly residents meetings are held and trips to Annual Service Review Page 4 of 6 shopping centres have been arranged. An administrator, deputy manager, chef and a full time activities coordinator have been employed and the service is currently recruiting to the manager position. Further developments are planned to employ a second activities coordinator, hold bimonthly meetings between the chef and residents, hold a weekly manager surgery and continue to maintain the grounds and garden. The AQAA informed us that since the previous inspection a key worker system has been introduced, new care staff received training in dementia awareness and safeguarding adults and those staff without an NVQ level 2 qualification received induction to Skills for Care recommended standards. Staff receive regular supervision, several staff are attending training on the Mental Capacity Act and Deprivation of Liberty. Senior staff are undertaking NVQ level 3 training and 50 care staff are undertaking NVQ level 2 training. The AQAA informed us that the home has a complaints procedure that includes agreed timescales for a response and is included in the statement of purpose and service user guide. All complaints received in the last twelve months have been responded to within the twenty-eight day timescale. There had been no complaints made in recent months. The AQAA also informed us that safeguarding policies and procedures are in place and all staff received training in safeguarding adults. A whistle blowing policy is also available to staff in the event that they need to raise concerns. One safeguard alert has been made recently with regard to care planning. Information has been received by the Commission that the home are taking action to address issues that are to be monitored through regular audits of care plans. At the previous key inspection requirements were made to provide regular staff supervision, obtain the views of people using the service, develop staff training in dementia care, develop complaints records to ensure a clear audit trail, ensure risk assessments are provided in care plans and develop person centred care planning. Information received in the AQAA informed us that some action had been taken to address these issues and that further developments are planned to provide staff training in care planning, palliative care and to improve care plan evaluation. The service continues to let us know about things that have happened since the last key inspection and they have shown they have managed issues well. They work well with us and have shown us that the service continues to provide good outcomes for 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 22nd November 2010. However we can inspect the service at anytime if we have concerns about the quality of the service or the safety of the people using it. 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. 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