Care Home: Horsell Lodge

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Annual service review Name of Service: Horsell Lodge The quality rating for this care home is: The rating was made on: two star good service 0 4 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: Mavis Clahar Date of this annual service review: 0 9 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Horsell Lodge Kettlewell Hill Horsell Woking Surrey GU21 4JA 01483760706 01483771306 horsell@caringhomes.org Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Horsell Lodge Ltd Number of places (if applicable): Under 65 Over 65 46 46 0 0 0 46 The maximum number of service users who can be accommodated is: 46 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - DE Mental disorder, excluding learning disability or dementia - MD 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 0 4 1 1 2 0 0 8 Annual Service Review Page 2 of 6 Horsell Lodge is a care home providing personal care for older people. Located in an exclusive residential area, Horsell Lodge is within close proximity of Horsell village. It is also accessible to shops and other community facilities in nearby Woking town. Set in spacious, mature landscaped grounds, the building is a large, detached Manor house dating back to 1891. This was extended in 1947 and the modernisation programme over the years has retained the traditional architectural features of the original building. The home has good parking facilities and a secluded garden terrace and summerhouse. Bedroom accommodation is arranged on three floors accessible by passenger lifts. The home is wheelchair accessible except for the second floor and for this reason service users accommodated on that floor must be ambulant. Bedrooms are mostly singles, 24 of which have en-suite facilities. Three of the five shared bedrooms also have en-suite facilities. Communal accommodation is arranged on the ground floor, comprising of two lounges, a conservatory, main dining room, separate smoking room and dining/visitors room. Assisted bathing and shower facilities are available and wheelchair accessible toilets. Annual Service Review Page 3 of 6 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 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 tool that focuses on how well outcomes are being met for people using the service. Surveys were returned to us from seven people using the service and from three 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 in the service. 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 service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. There was a lot of information provided in this document. We received seven completed surveys from service users and three from staff working at the home. All seven service users informed us that they can make decisions about what they do each day, six knew whom to talk to if they were not happy and knew how to make a complaint . One survey informed us they did not know how to complain. Comments received on what the home does well range from, pleasant caring staff. Excellent care re medication, provides a safe and secure environment with caring staff, most things, food, entertainment activities to everything. In answer to what could the home do better the following comments were recorded. Consult with the residents more regarding more variety of meals. Provide a bigger range of daily activities. Nothing. NO. However, the surveys revealed three people always liked the activities and take part if they want to and four people usually liked the activities and they take part if they want. The AQAA informs The Home Activities Coordinator is very proactive in her role. She ensures that a varied and interesting programme of activities based on individual one to one discussions and group meetings to ensure that the programme meets the desires and preferences of all service users. This takes the format of one to one therapy for those who may be less able or reluctant to join in group activities, takes into account those who may lack cognitive ability or have some cognitive impairment and a programme of reminiscence is built into the programme to ensure that these service users also benefit. The activity programme is displayed on the notice board in reception and is also available in the conservatory and main ground floor hallway. Service users seem to enjoy the planned programme as is evidenced by the photographs taken during different activities. Our service users are encouraged to make choice within their capabilities concerning their day to day activities and this includes receiving visitors at times preferred by themselves, maintaining family and friends and local community contact as they prefer. Annual Service Review Page 4 of 6 Four surveys also informed us that they always receive the care and support they need and that the staff are always available when they need them. Three surveys informs us they usually receive the care and support they need and that staff are usually available when they needed them. Two said the staff always listen and act on what they say, whilst five said the staff usually listen and act on what they say. All three staff surveys informs the employer carry out checks such as CRB and references prior to them starting their employment at the home. Two said their induction mostly covered everything they needed to know to do the job when they started and one said this area was very well covered. Comments made by staff about what the home does well include; good food, regular outings,good relationships between relatives, residents and staff, friendly and caring atmosphere, regular meetings with residents and staff, excellent chef good care staff. In response to what the home could do better the following comments were made. Activities, laundry only one washing machine at present. The AQAA informs us that less than 50 of carers have attained NVQ L2 or above in Care or Health and Social care. Carers work from a detailed care plan which is reviewed daily, weekly or monthly depending on the needs of the service user. Medication training is current and records of medication received, administered and returned to the pharmacy are kept. Staff follow the homes policy and procedure on administering medication. Mandatory training which includes SOVA, Moving and Handling, Fire, Food Hygiene, First Aid, Health and Safety and COSHH is carried out on a yearly basis and reviewed six monthly. The AQAA informs us that Staff are trained in Safeguarding Adults based on the surrey multi-disciplinary process. The home has received three complaint since the last key inspection which were investigated to the satisfaction of the complainant. The AQAA further informs us that the home fulfils its objectives as a Home from Home which is safe and clean happy environment suited to the assessed needs of the service users. The home continues to let us know about things that have happened since our last key inspection. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We will continue with our inspection plan and the service will receive a key inspection as planned during 2010. Should the service change provider then this key inspection date will be reviewed. 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 5 of 6 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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