Latest Inspection
This is the latest available inspection report for this service, carried out on 7th December 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Heatherdene Nursing Home.
Annual service review
Name of Service: Heatherdene Nursing Home The quality rating for this care home is: The rating was made on: two star good service 2 2 1 1 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: Elizabeth Dudley Date of this annual service review: 2 3 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: The Highlands Bexhill on Sea East Sussex TN39 5HL 01424224518 01424212800 heatherdenenh@btconnect.com www.southcarehomes.com Zeenat Nanji,Tasneem Osman 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 Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 28 The maximum number of service users to be accommodated is 28 The registered person may provide the following category 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 category: Old age, not falling within any other category (OP) 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: Registration to increase numbers of residents to 28 2 2 1 1 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Heatherdene was originally a family home and has been greatly extended and adapted to its present use over the last 20 years. Heatherdene is registered to provide personal and nursing care for older people up to a maximum of 28 residents . The home has 27 bedrooms,1 of which can be used for sharing and 23 of the single
Annual Service Review Page 2 of 7 rooms have en-suite facilities. Heatherdene Nursing Home is situated on the outskirts of Bexhill on Sea, in a private residential road in an elevated position facing towards the sea, with attractive gardens on all sides. Heatherdene is owned by a family partnership that also owns and manages other care homes in East Sussex. The current fees for the home range between £550 and £700 per week, these do not include extra services such as hairdressing or chiropody and information regarding charges for these can be obtained from the 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 inspection. 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 attained for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened to the service users. We refer to these as notifications and it is a statutory requirement for the registered persons to inform the Care Quality Commission within 24 hours of their occurrence. Monthly reports the provider is statutorily obliged to make and, if required, to submit to the Commission. The registered provider can undertake these, but more likely this is fulfilled by an appointed person with no connection to the home. We refer to these as Providers reports. The previous key inspection and the results of any other visits that we have made to the service in the last twelve months. Relevant information from other organisations. The last Annual Service Review was undertaken on the 7th March 2008 and the last key inspection took place on the 22nd November 2008. What has this told us about the service? The registered manager returned a clear and comprehensive Annual Quality Assurance Assessment (AQAA) when we asked for it. The assessment identified areas that had improved in the last year and other areas where further developments were planned that would benefit the residents. The last Key Inspection was very positive and included only one statutory requirement, which the manager has assured us has been complied with. At the time of the last inspection the residents reacted positively to questions about the delivery of care and life within the home. Equally positive comments were made on questionnaires sent out by, and returned to, the Care Quality Commission. These included:The home has good activities and food. The home has been refurbished to a high standard, The staff are always friendly and helpful, the residents always clean and tidy and well cared for and the food is good. They care for me well and the food is good and the activities are good. The AQAA tells us that prospective residents are fully assessed prior to admission to Annual Service Review Page 4 of 7 ensure that the home can meet their needs, and that information about the home is given to the individual to permit them to make a decision over whether they wish to live there. Three surveys from residents said that although they were happy at the home, they did not think they had sufficient information prior to moving in. Following admission of a new resident a care plan is formed from the initial assessment. This is an ongoing document in which the information about the resident is added as care and social needs are made known to the staff. At the last inspection care plans viewed were personalised to the individual, reviewed on a regular basis and showed that other health care professionals are accessed as required. Staff have received training in end of life care, and follow nationally recognised best practice in caring for residents reaching the end of their lives. The home provides a range of activities for residents, and the AQAA tells us that residents wishes for different activities are made known to the manager and staff at resident meetings and added to the programme. Care staff take residents out to the local shops or for walks and relatives and friends are assisted to take residents on outings. Residents said that they enjoyed the food and it was evident at the last inspection that a nutritious and varied diet is provided. All residents undergo nutritional screening which is repeated as required with staff taking action to address any nutritional problems. Ministers of religion visit the home and residents are enabled to follow their own religious faith. Advocates for those residents that require this service can be accessed by the manager. The home has a complaints procedure, and surveys received from residents showed that the majority of them were aware of how to make a formal complaint if needed. The home has had three complaints in the past 12 months, these were not substantiated. The last key inspection showed that full records are kept of complaints and concerns and the actions taken to address these and avoid repetition. There has been one adult safeguarding alert in the past twelve months, this was still in the process of being investigated at the time of writing this report. Subsequent to this annual service review being completed, the adult safeguarding issue was found to be unsubstantiated and the investigating authority wrote to the home commending them on the good quality of the care given to the residents and the high standard of their supporting documentation. All staff have received training in adult safeguarding and it has been shown that the home follows national guidelines in response to adult safeguarding issues and cooperates with the lead agency in ensuring that residents are fully safeguarded. All staff are aware of the implications of the Mental Capacity Act and the manager has undertaken training in Deprivation of Liberty Safeguarding. No residents have required assessment regarding their liberty being deprived up to the present time. Annual Service Review Page 5 of 7 The home has recently been extended and refurbished and now provides accommodation for up to 28 residents. The residents personal accommodation consists of 27 rooms, one of which is a double and therefore suitable for a couple who wish to share a room. Twenty three of these rooms have en suite facilities and there are assisted bathing facilities throughout the home. Following the recent extension the manager is in the process of recruiting more staff. Surveys received from staff showed that although generally they were satisfied with the staffing arrangements an extra member of staff would enable us to give better care to the residents. Two surveys from residents said that staff were always very busy. The staff could be quicker at answering the call bells but they are always very busy. Staff said that they got good support from the manager and there was a good range of training available. All of the care staff (100 ) have the National Vocational Qualification in Care at level 2 or above, and staff have access to a variety of training relevant to the care of the residents, health and safety and new legislation. Registered nurses are encouraged to take part in studies required by their professional body and also to ensure that they have up to date knowledge of advances in resident care. The manager and the owners undertake regular quality monitoring of the services the home provides, and residents and visitors are encouraged to make their views known by means of questionnaires and resident and relatives meetings. The manager is actively involved with all residents and available at any time for any concerns or suggestions they may have. All the records available provide enough evidence to suggest that the home is continuing to look at ways to improve the care and life style of the residents living in the home. What are we going to do as a result of this annual service review? The Care Quality Commission is reasonably confident that this home is continuing to provide good standards of care and will continue to monitor it through ongoing processes. A key inspection will be carried out by 30th October 2011. The Commission has the power to inspect the service at any time, particularly if there are concerns about the quality of the service, or the safety of the people using this service Annual Service Review Page 6 of 7 Reader Information
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