Latest Inspection
This is the latest available inspection report for this service, carried out on 15th January 2010. 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 Holyrood House.
Annual service review
Name of Service: Holyrood House The quality rating for this care home is: The rating was made on: two star good service 2 2 0 1 2 0 0 9 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: Alan Thompson Date of this annual service review: 0 8 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 46 Green Lane Ostend Burnham On Crouch, Maldon Essex CM0 8PU 01621784759 01621784856 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 Mr Peter Walters,Mrs Melanie Walters Number of places (if applicable): Under 65 Over 65 0 3 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 Holyrood House is a detached property that was first registered as a private care home for three older people in 1994. The owners are Peter and Melanie Walters, who is also the registered manager. This home is situated on the outskirts of Burnham on Crouch but is not within walking distance of the towns facilities. Holyrood House caters for up to three older people in a homely environment, which they share with the owners. As a family home, residents are able to receive consistent day-to-day care and involvement with the owners and a small team of care staff. Residents private accommodation is in single bedrooms on the ground floor. There is access to the front garden via patio doors and adequate car parking facilities are available at the side of the property. 2 2 0 1 2 0 0 9 Annual Service Review Page 2 of 7 At the time of the last key inspection the manager advised that the fees for accommodation ranged from £430 to £450 per week. Items considered to be extra to the fees include private chiropody, hairdressing, toiletries and newspapers. CQC inspection reports can be obtained from the home, or via the CQC internet website: www.cqc.org.uk 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 key 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 met for people using the service. It also gave us some numerical information about the service. Any surveys that were returned to us by people using the service, their families and from other people with an interest in the home. What the service has told us about things that have happened in the home, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the home in the last 12 months. What has this told us about the service? Inspection Report: The last key inspection of this service was undertaken on 22nd January 2009 and found that of the seven outcome groups looked at six were judged as good with one adequate. The inspector concluded that: People benefit from a small scale family style home and the continuity provided by the manager/owners who live on the premises and a small, flexible team who know them well and spend lots of time with them. People thinking about living at the home would have an assessment of their needs and a trial stay so that they could determine whether or not the home is suitable and able to meet their needs. People can expect to have their privacy and dignity respected and their personal and individual health care needs met. The atmosphere is warm and visitors are made welcome. The manager is well respected by them and people feel that they can raise any issues, concerns or complaints. This tells us that overall the home was achieving good outcomes for the people using the service, with no statutory requirements made. AQAA: Annual Service Review Page 4 of 7 This was sent to us when we asked for it and provided us information to confirm that the manager had an understanding of the service, could identify what they did well and evidence this, and were also able to highlight areas for improvement. A brief summary of the managers comments in the AQAA included: Under What our service does well: Residents benefit from a small scale family run home with a small team of dedicated trained staff which often results in one to one care. Each resident has a detailed care plan which they have been involved with themselves or someone close to them. Everyones rights to privacy is respected and the support they get from our staff is always given in a way that maintains their dignity. We support people to follow personal activities and interests, we encourage familes to spend quality time and provide private rooms and garden space. We provide nutritious and attractive meals and snacks at a time and place to suit people. Any concern is looked into and action taken to put things right. We safeguard people from abuse and neglect and would take action to follow up any allegations. The accomodation is compact, homely and comfortable. It is safe, well maintained, clean and hygenic. We ensure that we have the right specialist equipment and that residents feel that the rooms are like their own. We are a small team of staff who are experienced, reliable, well trained, kind and caring. Manager has a good relationship with residents and encourages feedback so that they get the right support. Under How we have improved in the last 12 months: We have updated our medicine policy, we keep more detailed records of residents daily activities and personal care, another member of staff has completed medication training. We have regular visits from a manicurist beautician and encouraged more suggestions on what our residents like to eay and drink. More detailed records are kept of residents daily activities. There has been training in Deprivation of Liberty and a change in the CRB management company used. The quiet lounge has new furniure and windows. We have purchased a new ramp for wheelchairs. Now using red bags for soiled linen to comply with DOH guidance. Staff has achieved NVQ level 3, training in medication, health and hygiene and manual handling. CRBs have been obtained for owners relatives. Polices and training records have been updated. Care plans and the report book are more detailed. There has been more staff training and more staff support.
Annual Service Review Page 5 of 7 The data set provided with the AQAA shows that in the time since our last inspection up to the 15th October 2009 no complaints had been received by the service. The AQAA also shows that there had not been any safeguarding alerts. Information in the AQAA also confirms that all the required recruitment checks had been carried out on new staff, and that one out of three permanent care workers had achieved their NVQ level 2, or above, awards. This means the service does not yet meet the recommended level of 50 per cent of staff obtaining this qualification. The AQAA also shows how the service plans to introduce further changes to bring about improvements to benefit service users. Surveys: We sent surveys to the home for service users and staff to complete. Holyrood House is a small home (maximum of three service users accommodated) with a small staff team. Because of this we acknowledge that the number of completed surveys returned to us may be low. We did not receive any completed staff responses however we did receive a response from service users, which had been completed with help, and gave us some views about the care provided. Responses confirmed that people knew who to speak to if they were unhappy. They confirmed that the home is always fresh and clean and that carers always listened and acted on what they said. They also thought that they always received the care and support they needed, and that staff were always available when they needed them. Actual comments in surveys when asked what the home does well included, treats everyone as part of the family. Information received since last inspection: As required by regulations, the home has when necessary notified us of any relevant incidents/information that we are aware of since the last inspection. Based upon the information available at the time of completing this ASR we think that the quality of the service has not changed since our last key inspection. What are we going to do as a result of this annual service review? At the present time we are not going to change our inspection plan, and will do a key inspection by 22nd January 2011. 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
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