Latest Inspection
This is the latest available inspection report for this service, carried out on 24th July 2009. CQC found this care home to be providing an Good service.
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 Heathside.
Annual service review
Name of Service: Heathside The quality rating for this care home is: The rating was made on: two star good service 3 0 0 7 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: Patricia Collins Date of this annual service review: 2 4 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Heathside Coley Avenue Woking Surrey GU22 7BT 01483765046 Telephone number: Fax number: Email address: Provider web address:
derek.purchese@anchor.org.uk www.anchor.org.uk Anchor Trust Name of registered provider(s): Name of registered manager (if applicable) Derek Purchese Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 2 0 0 20 0 21 8 The age/age range of the persons to be accommodated will be: OVER 65 YEARS OF AGE The age/age range of the persons to be accommodated will be: OVER 65 YEARS OF AGE 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: The home manager was registered on 16th October 2008. 3 0 0 7 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable):
Annual Service Review Page 2 of 7 Brief description of the service Heathside is a purpose built care home operated by Anchor Trust Ltd, a national care organisation. The home provides personal care and accommodation for up to 51 older people, with increasing physical and mental frailties and varying mental health needs. The home is situated in a residential area close to the centre of Woking town, with its range of shops and facilities. The accommodation is divided into seven living units over two floors. Upstairs units are accessible by passenger and wheelchair platform lifts. Each unit has a combined dining room, lounge and kitchen and all bedrooms are for single occupancy. There is a large communal lounge on the ground floor that can be used for social activities. There is also a small seating area on the first floor as an alternative place to sit. There is a large enclosed garden with a furnished terrace and fish pond. Ample parking facilities are available. Fee levels range from 585 pounds to 646 pounds per week. 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? The report will say what we found as it is written on behalf of the Care Quality Commission (CQC). We looked at all the information that we have received, or asked for, since the last key inspection. This included: The homes Annual Quality Assurance Assessment (AQAA) completed by the registered manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using this service. It provided quantitative information about the service, requiring assessment of the same against National Minimum Standards (NMS) outcome areas, demonstrating both areas of strength and where improvements can be made. Survey questionnaires received from 13 people using this service, 9 of their relatives or advocates, 5 social care professionals and 5 members of staff. Information we have about how the service has managed any complaints. What the service has told us about things that have happened, these are called notifications and are a legal requirement. Outcomes of the last key inspection. Relevant information from other organisations and what other people have told us about the service. Additional information received from the registered manager during telephone contact as part of the review process. What has this told us about the service? Date of the last key inspection: 30/07/2008. The AQAA contained good quality information, validated by evidence and supplied all the information asked for. It was very detailed and demonstrated continuous improvement and developments in a number of areas. These included progress in the delivery of statutory and service specific training to the staff team. Training includes dementia care, deaf awareness and techniques for non-abusive crisis intervention. Anchor organisation is committed to staff training and development and has achieved the Investors in People Award. Staff have also undertaken training in person - centred care planning, this approach having been fully implemented across the home. Care plans are evaluated daily and internal care reviews take place annually. People funded by local authorities have an additional review each year by care managers. Access to health services is facilitated, to meet assessed needs. Quarterly meetings are held between senior staff and district nurses, additionally with the medication coordinator from the homes pharmacy supplier. Internal medication audits are carried out and Annual Service Review Page 4 of 7 staff are trained and competent to administer medication. Other developments include the recent employment of a new chef manager who has implemented new menus. Nutritional screening is standard practice. An activities coordinator is also a new appointment. The range of social activities has further developed and social inclusion is promoted through links with a local school and arrangements enabling individuals to attend a day centre and to go on shopping trips. A local vicar provides a religious service at the home. A programme of redecoration and refurbishment is ongoing, enhancing the appearance of the environment and garden. Bathrooms and kitchen areas in living units have been upgraded and some bedroom carpets and furniture replaced. A cyclical programme has commenced for replacing carpets in communal areas. The environment is secure and safe and the home has achieved the organisations Safe Site Award for the second year running. New recruitment policies and procedures have been implemented. People using services were stated to be invited to sit on interview panels for recruitment of care staff. Some turnover in staff is reported and recruitment of new care and bank staff since the last inspection. Staffing levels have increased, providing one additional care assistant and an additional team leader on duty across most shifts, throughout the waking day. Whilst new staff are being inducted the home has temporarily reinstated the use of agency staff, to maintain staffing levels. Based on all available information it is evident that equality and diversity is embedded in the organisations culture, underpinning policy and practice and ensuring equal access to services. The homes operation recognises and celebrates differences and respects the dignity, rights and choice of individuals receiving services. Services continue to be outcome based, meeting the NMS. Our survey established that generally people using services were satisfied with the service received. Complimentary comments included, They do everything well, How can you improve on perfection? They made me very welcome when I first moved in , I am very happy here. Feedback from relatives and advocates confirmed they were positive about many areas of the homes operation. Some comments included, I am kept informed at all times and they employ cheerful, sympathetic and kind staff, The permanent staff are generally committed. They know the people they care for as individuals and their needs. The use of agency staff however sometimes precludes individual needs receiving an appropriate response. There has been a noticeable improvement in the last twelve months in provision of individualised care but this can be inconsistent. Two areas of least satisfaction were common in feedback from some people using services, relatives/advocates, staff and individual care managers. The view was expressed that the social activities programme was in need of further development. The constructive suggestions from relatives for improvement were discussed with the registered manager. Survey feedback across all four groups of stakeholders was critical of staffing levels. Strong opinion was expressed these were inadequate. The manager is confident however that when new staff appointed are fully inducted and brought into post this perception will change. A barrier to new staff expediently taking up post continues to be the length of time taken by the Criminal Records Bureau (CRB) in processing applications for CRB disclosures. Other feedback from staff was very positive. We were informed that the home was a good place to work, that there is good teamwork and a happy atmosphere, also staff feel well supported by the registered manager who is very approachable. Care managers were generally satisfied with the home though some felt its management could be more accommodating when processing emergency admission referrals. Discussions with the registered manager confirmed admission
Annual Service Review Page 5 of 7 assessment responsibilities are taken seriously and are thorough. The home continues to let us know about things that have happened at the home. The registered manager has also confirmed compliance with the one requirement made at the time of the last inspection. This was in respect of statutory monthly visits to the home being carried out in accordance with the regulations, by a person designated to do so on behalf of the organisations responsible individual. Quality assurance systems have been enhanced by the introduction of quality indicators. The complaint procedure is accessible and complaints are taken seriously and acted upon. Robust policies and procedures are followed, ensuring vulnerable adults are safeguarded. There has been one safeguarding referral investigated under the local multi-agency procedure, since the last inspection, and this process is ongoing. 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 30th July 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 6 of 7 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:
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