Care Home: Highbury House Nursing Home

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Annual service review Name of Service: Highbury House Nursing Home The quality rating for this care home is: The rating was made on: three star excellent 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: Elizabeth Dudley Date of this annual service review: 2 1 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Steyning Road Rottingdean Brighton East Sussex BN2 7GA 01273-309447 01273307527 zeenatnanji@aol.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 30 The maximum number of service users to be accommodated is 30 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 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 Highbury House provides accommodation with nursing for up to 30 older people, it may also accommodate 12 older people who need only personal care and assistance. The Primary Care Trust has a contract with the home to provide continuing care. Situated in Rottingdean, all rooms have pleasant views, some with a sea view and there are well-maintained gardens which are accessible to service users who use wheelchairs. Highbury House provides a pleasant environment and one which service Annual Service Review Page 2 of 7 users are encouraged to treat as home. Public transport passes within walking distance of the home and there is restricted parking in the area of the home, however unrestricted parking is available in roads around the home. The fees currently charged are in a range £381 to £750 per week, depending on both the residents needs and the room to be occupied. There are charges for extra services such as hairdressing, chiropody, toiletries and newspapers. 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 we have received, or asked for, since the last Key Inspection or Annual Service Review.This included: 1.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. 2.Information we have about how the service has managed any complaints. 3. What the service has told us about things that have happened to the service users. We generally refer to these as notifications and it is a statutory requirement for the registered persons to inform the commission within 24 hours of their occurrence 4. The Care Quality Commission sent out ten surveys to people using the service and five surveys to the staff working in the home prior to this Annual Service Review. Of these five were received from residents and six from staff. Comments received were used in the formation of this report. 5.Monthly reports. The provider of more than one home is statutorily obliged to make a monthly visit to the home and form a report, and, if required, to submit these 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. 6.The previous key inspection and the results of any other visits that we have made to the service in the last twelve months. 7. Relevant information from other organisations. 8. What other people have told us about the service. What has this told us about the service? The last Key unannounced inspection for this service took place on the 21st September 2007 and the last Annual Service Review took place on the 20th August 2008. The 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 others where further developments were planned and would benefit the service users. The last inspection report was positive and contained no statutory requirements. At the last inspection it was noted that prospective residents received adequate and up to date information about the home to enable them to make a decision about whether the home could meet their expectations. All prospective residents are assessed by the Annual Service Review Page 4 of 7 manager prior to admission to ensure that the home is able to meet their needs, and the home confirms this in writing to the person. The home admits older people who need nursing care for permanent or respite care and continuing care. It does not admit people for intermediate or transitional care. Each resident has a plan of care, which is robust, and includes details of all the individuals needs and the actions to be taken to meet these needs. Staff have received extra training in End of Life care and the Liverpool Care Pathway and the Gold Standards framework are used within the home.(Nursing tools used to ensure that residents receive a nationally recognised standard of care and pain relief at the end of their lives). The home is currently seeking accreditation in the Gold Standards Framework. Comments from residents surveys included: They look after me very well, and the staff are polite and caring. The care given is of a high standard and they always get the doctor when I need to see one .My mother is always treated with respect. Staff are encouraged to participate in any training relevant to the needs of those in their care. All staff have undertaken mandatory health and safety training such as moving and handling and fire training, and other courses such as training in Dementia Care are provided. Registered nurses have the opportunity to update their skills and knowledge in fields including terminal care and wound care.Four staff surveys were positive about the amount of training received and stated that the home provides plenty of training and that there is support from management. The manager has undertaken recent training in the Mental Capacity Act and the Deprivation of Liberty safeguarding and this training is now being cascaded to other staff. Fourteen of the twenty five care staff have attained the National Vocational Qualification level 2 in Care. All new staff now participate in the recognised induction programme Skills for Care. The home practises and robust recruitment system thus ensuring the safety of the residents. Over the past year the home has received nine complaints, four of these were fully or partially substantiated. The manager tells us that these were all relatively minor complaints relating to services offered by the home and have been addressed. Four of the surveys received from residents stated that they were unsure of how to make a formal complaint. The provider has given assurances that residents will be reminded of this and be given individual copies of the complaints procedure. Relatives and residents meetings are held, which is another avenue that residents can use to discuss any matters about which they are concerned. The AQAA states that the home has an open culture which supports individuals to share any concerns in relation to their health and safety. Annual Service Review Page 5 of 7 Concerns about lack of sufficient staff at weekends have been brought to the attention of the Care Quality Commission; both in surveys from staff and residents, and from other information received. The owner Mrs Z Nanji and the manager Ms B Sibiza are giving this their attention. A deputy manager has recently been employed. The home provides a well balanced and nutritious menu which enables residents to have snacks at any time in addition to the three main meals. The menu is varied and enables residents to have choice at all meals. Comments from residents showed that they usually like the food provided. The home has recently appointed an activity organiser who will be present in the home three times a week, the home hopes to expand its current programme of leisure activities for the residents which at present are provided by the staff. These currently include board games, occasional outings to the local village for tea, and outside entertainers being brought in. A large screen television has been purchased for the main lounge and the home hopes to commence computer lessons for the residents. Christian ministers of religion visit the home to ensure that the spiritual needs of residents are being met, and the manager accesses other religious organisations or ministers for those residents who practice other religions. The home is in the process of taking the steps to assess residents under the Mental Capacity Act and will be liaising with suitable advocates if this is found to be required. The home monitors the services it provides by regular auditing, and by sending out questionnaires to residents, relatives and other stakeholders in the home. The AQAA tells us that the homes policies and procedures have recently been reviewed, thereby giving up to date information to staff, and that all of the utilities and equipment have been serviced regularly to ensure the safety of those living and working in the home. What are we going to do as a result of this annual service review? All the records available provide enough evidence to suggest that the home is continuing to look at ways to improve the delivery of care and how this can be better accomplished. In view of the concerns raised and information received by the commission regarding the staffing levels at weekends the commission will continue to monitor the home and may consider a further inspection of the home at a weekend prior to the next inspection which is due to take place by the 30th August 2010. 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