Care Home: Harecombe Manor

Annual service review Name of Service: Harecombe Manor The quality rating for this care home is: The rating was made on: two star good service 0 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: Melanie Freeman Date of this annual service review: 0 9 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Southview Road Crowborough East Sussex TN6 1HG 01892-652114 01892652114 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: Mr Alexandre Ollivier,Mrs Evelyn Ollivier Number of places (if applicable): Under 65 Over 65 0 51 51 0 The maximum number of service users to be accommodated is 51 The registered person may provide the following categories of service: Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Physical disability (PD) Old age, not falling within any other category (OP) 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 Harecombe Manor is a privately owned care home that is registered to accommodate up to 51 residents. Nursing care is provided whilst a maximum of 10 places can be utilised to accommodate residents in receipt of personal care only at any given time. The home is located opposite Crowborough Hospital and is on the outskirts of town and there are some local amenities within walking distance of the home. Annual Service Review Page 2 of 6 0 2 0 9 2 0 0 8 The home comprises of 41 single bedrooms (21 of which have en-suite facilities) and 5 double bedrooms (3 of which have en-suite facilities). There are additional toilet and bathroom facilities throughout the home. Rooms are located over two floors, accessible by two passenger shaft lifts. The home has a number of specialist equipment in use such as mobility aids, specialist nursing beds and bath and moving/handling hoists. There are extensive attractive gardens to the rear of the property that are accessible to residents. There are car-parking facilities to the front of the premises. Potential new service users can obtain information relating to the home via the internet, CQC Inspection Reports, Care Managers, Placing Authorities, by word of mouth and by contacting the home direct. The range of fees charged (at the time of this report) are £520 - £650 per week depending on the room to be occupied, with additional charges made for newspapers, hairdressing, dry cleaning and chiropody. 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 that we have received, or asked for, since the last key inspection, that was completed on the 2nd September 2008. This included; The Annual Quality Assurance Assessment (AQAA) that is completed by the service and focuses on how well outcomes are being met for people using the service, was provided when requested. 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 including Social Services and visiting health care professionals. The registered manager was also contacted by telephone on the day of the Annual Service Review for up to date information on the service, and confirmation on how the home had responded to the requirements made at the last key inspection. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. This provided information on the service that included numerical information that was requested. The AQAA was well completed by the registered manager and identified areas that have improved in the last year, and others where further developments are either planned or would benefit residents. The last key inspection was completed in September 2008 and was positive with regard to resident care, with outcomes being judged as good. Two immediate requirements were made. The AQAA and contact with the registered manager confirmed that systems had been established to ensure any handwritten orders have two signatures on the Medicine Administration Records. The window restrictor on the window of room 32 had been shortened for safety. The recommendation that a tool for recording the administration of lotions and creams has also been progressed. The contents of the AQAA recorded that the home has the required safety checks and servicing is completed on all its equipment and services, general refurbishment of the home also continues. The AQAA recorded that seven complaints had been received by the home since the last inspection. Discussion with the manager confirmed that all complaints are taken seriously and are responded to. The manager was reminded to ensure an accessible log of complaints and any safeguarding investigations is retained in the home, in order to demonstrate action taken in response, and how they have been used to improve the service. Two safeguarding alerts have been raised about the home and the subsequent investigations confirmed some shortfalls, that included the provision of drinking water for residents, the notification of relatives of a fall, and incomplete care documentation. The home has worked with social services to respond to the shortfalls identified, and have employed a nurse specialist to work with the home on improving the care documentation. The AQAA recorded that the home is working on staff training encouraging staff development and the completion of National Vocational Qualifications. They have also Annual Service Review Page 4 of 6 recognised that the leisure activity in the home needs further development. The surveys completed by, or on behalf of residents indicated that they were not aware of the contract arrangements in place, or how to make a formal complaint. This was discussed with the manager who agreed to ensure all residents and their representatives are given a copy of their contract arrangements, and are reminded of how to make a complaint, and given a copy of the procedure as necessary. The information provided by the home confirmed our judgment that the home continues to provide a good service. What are we going to do as a result of this annual service review? There will be no change to the inspection schedule and the Care Quality Commission will do a key inspection by 2 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 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). 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