Care Home: Hasbury

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Annual service review Name of Service: Hasbury The quality rating for this care home is: The rating was made on: two star good service 0 2 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: Tina Smith Date of this annual service review: 0 1 0 3 2 0 1 0 Annual Service Review Page 1 of 5 Information about the service Address of service: 154 Middleton Hall Road Kings Norton Birmingham West Midlands B30 1DN 01214585336 01212435336 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 Mrs Rajwantee Chundoo,Mr S.V. Chundoo Number of places (if applicable): Under 65 Over 65 0 24 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 Hasbury is a large, extended, detached house, which is set back from the road with car parking spaces to the front of the building. Located on Middleton Hall Road between the shopping centres of Cotteridge and Northfield, public transport passes the front of the home. Accommodation for the people who live in the home is on two floors with a passenger lift to enable access. There is a mixture of five double and fourteen single bedrooms. There is a dining room, and a sitting area that is divided into two by a dividing wall. The garden is large, with covered patio, lawn, plants and shrubs. There is a path around the garden. The property is well maintained and decorated to a high standard. The fees identified in the service user guide at this inspection were £360 to £390 per week with a top up of between £15 to £30 per week. The top up would be agreed after discussion with the manager. None 0 2 1 2 2 0 0 8 Annual Service Review Page 2 of 5 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked information we received, or asked for since the last key inspection: - The annual quality assurance assessment (AQAA) sent to us by the service is a selfassessment about the running of the service, what has improved and is planned. - 10 surveys were returned to us by people using the service and their relatives. - What other people and organisations have told us about the service. - The service sends us legally required notifications about events that affect people. - The previous key inspection. What has this told us about the service? Following our last inspection the manager took action as agreed and notified us about this. This year the manager sent us the AQAA on time. It showed analysis and gave us the information we asked for. The AQAA shows that the service is sustaining good outcomes for people but did not tell us what was done to meet a requirements so that people have flexible mealtimes and are protected by the homes recruitment checks. A fire risk assessment was put in place which may have addressed one requirement. During the past year the home improved assessment of risk to prevent falls, and night time care planning, involved multi-disciplinary teams and followed health advice. They improved the audit system and the regularity of staff supervision. At the time of the AQAA there were 22 people living in the home, with 6 admissions taking place during the past year including 3 short stays and 4 discharges. The AQAA told us that the home fosters an atmosphere of care so that residents live a full, interesting, independent lifestyle if possible. People and families are regularly consulted in meetings and satisfaction surveys. As a result of listening to people the home said that they provided more outdoor activities such as bowling and pub lunch meals, carols and religious readings in the home at Christmas time. People are registered with Ring and Ride and more active people use this to go out, and they now check if there are facilities for disabilities where they take outings. In surveys people who need assistance wanted more outings. Management want more people to take part in activities and outings, and know that activities need more variety to match their interests and abilities. There is a plan to employ a kitchen assistant and a part time activity coordinator so that activities regularly take place, and to introduce gardening which people want to do. The AQAA says that there is a low staff turnover and low sickness, that staff cover absence so that there is consistent care. There is a strategy for staff retention. Ninety percent of staff have NVQ 2 qualifications. The AQAA says that checks with the police are undertaken so that staff are safe to work in the home; staff are supervised, inducted, trained and determined to be competent, including food safety and infection control. More training about mental capacity and Deprivation of Liberty Safeguards is Annual Service Review Page 3 of 5 planned. They carry out nutritional screening but staff have not had training in malnutrition and assisting people to eat. There is free on-line training available through www.dh.gov.uk. Ten surveys told us that people usually have the care and support they need from staff when they want it, families are usually kept informed by the home, and it is always clean. Two people did not know how to make a complaint but had someone to talk to if they were unhappy. Five families know how to make a complaint and said that the home usually respond appropriately. Most people did not know if they were given a contract. The AQAA told us that three self funders all had contracts reviewed. People said: the food is good; they look after me well; they do all things well for us and anybody who comes to visit, Im really happy here. Families said: their care and support is second to none, I have no worries, staff welcome relatives in a very friendly manner; small friendly homely atmosphere like a big family, wonderful staff who work hard, always clean; there is choice of menu daily, regularly change clothing and bath, the hairdresser and chiropodist visit and they have exercise and entertainment; there are no restrictions on taking my relative out on family occasions. Three complaints or grumbles were received and resolved within an appropriate timescale which shows us that the procedure is used to take people and families seriously, and relatives confirmed these in surveys. The home makes appropriate safeguarding referrals to the council to protect people in the home and elsewhere, and keeps the Commission informed of progress; the AQAA was not accurate about this. During the past year we are aware of matters under the local safeguarding protocol, one ongoing, so that peoples health and their financial affairs are protected. Flooring, furniture, mattresses, headboards and curtains were replaced in communal areas and bedrooms and the garden was improved. They are trying to respond to requests from people and relatives, such as for a conservatory, within their rolling refurbishment plan and budget. A new shower room is under consideration after listening to staff. From the information we have received and examined, the home is still providing good outcomes for the people who use it, policies and procedures and maintenance checks are kept up to date and they are planning work required to Stennah lifts. Management know further improvements they need and want to make and have systems and plans in place. The home keeps the Commission well informed. 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 02/12/11. 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. The provider needs to keep up to date, and re-register on-line during 2010 due to new care laws and regulations. Annual Service Review Page 4 of 5 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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