Care Home: Harker House

Annual service review Name of Service: Harker House 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: Ruth Hannent Date of this annual service review: 1 2 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Flowerpot Lane Long Stratton Norwich Norfolk NR15 2TS 01508530777 Telephone number: Fax number: Email address: Provider web address:   www.norfolk.gov.uk Norfolk County Council-Community Care 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 0 0 8 27 At least one person who has received training in dementia awareness is on duty at all times in the unit for Older People who have dementia. One (1) Service User who has dementia and is named in the Commission`s records may be accommodated in the main home. Service users who need wheelchairs to assist with independent mobility at the point of admission can only be accommodated in room numbers 7, 24, 39, 86, 99, 111 and 113. 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 Harker House is a care home providing personal care and accommodation for 28 older people and 7 older people with dementia. It is owned by Norfolk County Council. The home is located in the busy village of Long Stratton, close to the local GP/Health Annual Service Review Page 2 of 6 None Centre and close to shops, pubs, post office and other amenities. There are 28 single bedrooms on the ground and first floors and communal lounges are available in different areas of the home. There is a large dining room. A separate unit for those people being cared for with dementia has 7 bedrooms with lounge/dining room and bathroom. The home has a passenger lift. There are gardens to the front and side of the property with car parking to the rear. . At the time of this inspection the services maximum fee was #368.72 with each service users fee individually assessed according to individual circumstance. 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. This included: The Annual Quality Assessment Assurance (AQAA) that was sent to us by this service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. Any surveys that have been returned to us from people using the service and from other people with an interest in the service. Information we have about how the service manages any complaints. What the management 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 any results from visits that we may have made to the service in the past twelve months. Relevant information from other organisations. Any information from other people about the service. What has this told us about the service? The AQAA has been returned to us and is completed comprehensively. It gives us a picture of the service provided. Details such as the residents assessment process, the development of care plans and the reviewing of those care plans is clearly stated. The home offers a key worker system both day and night to offer continuity of care. The residents, who have been identified as requiring it, can have one to one support for activities and many planned activities do take place throughout the year. Examples of trips out, memory joggers that visit monthly, entertainment and rummage boxes are all recorded. The AQAA also tells us that the staff follow the procedures written within the home for the benefit of residents. For example the MUST tool is used to establish the food requirements of each person, care plans are in place and reviewed monthly, medication procedures are followed. Although it has been noted that we have received a number of notifications during the last year that state medication errors have been happening. The document also tells us that complaints are listened to and acted upon. The Commission to date has not received any complaints about the home. Staff recruitment, training and development is carried out correctly, timely and safely with each staff member having an annual appraisal. The AQAA does not tell us about staff supervision and this would need checking at a future inspection. The home is going through changes in the building with recently completed bathrooms and a wet room. The Manager informs us that there is a development programme for the home and improvements to the environment are planned. Risk assessments are in place and the home is visited, checked, equipment serviced and maintained to ensure the home is safe. Annual Service Review Page 4 of 6 The AQAA also tells us of the support of volunteers who assist with morning drinks or improving the gardens, health professionals such as CPNs or palliative care nurses who support staff and other agencies such as the church or Lions Club to ensure the residents have the person centred care required. We are told the staff have all been through the POVA and CRB procedures and that all staff are trained in the understanding of abuse as part of their induction programme. The home has a quality monitoring procedure that involves all stakeholders and is carried out annually and the results from these are used to plan the development of the home over the next year. We have received a large number of notifications from this home in the past year that show issues and concerns are being dealt with and managed, however procedures on medication administration could be improved. No other information has been received by the Commission regarding this home. What are we going to do as a result of this annual service review? We will continue to carry out a Key Inspection by 07/10/10. However, we may carry out an Inspection at any time if information received gives us concern. 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. 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