Latest Inspection
This is the latest available inspection report for this service, carried out on 16th September 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 James Terry Court.
Annual service review
Name of Service: James Terry Court The quality rating for this care home is: The rating was made on: two star good 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: Lee Willis Date of this annual service review: 1 6 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 51 Warham Road South Croydon Surrey CR2 6LH 02086881745 02086880587 Telephone number: Fax number: Email address: Provider web address:
www.rmbi.org.uk Royal Masonic Benevolent Institution 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 58 The maximum number of service users who can be accommodated is: 58 The registered person may provide the following category of service only: Care home with nursing (CRH - N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service James Terry Court is a Royal Masonic Benevolent Institute (RMBI) owned residential/nursing home that although registered with us to provide support for up to 58 generally older Freemasons is currently only operating 39 beds due to the closure of the nursing wing. Mrs Diane Collins continues to be the registered manager of the service, a position she has held since January 2004. We our aware that there have been a number of improvements and adaptations made
Annual Service Review Page 2 of 7 No change to the home since the closure of the East wing to accommodate all the service users with nursing needs. RMBI tell us they are still waiting for a start date for the home to be demolished and work on the new build to commence. The present building is set back from a busy thoroughfare in a suburban area of South Croydon and is within a mile radius of a wide variety of local shops, restaurants, cafes, pubs, and banks. The home is also on a bus route and within walking distance of a main line train station with good links to central London. Most people who use the service still have their own single occupancy bedrooms, and communal space consists of a large open plan dining room with a conservatory attached and numerous lounges of varying sizes. The enclosed garden at the rear of the property, which the majority of the bedrooms and communal spaces overlook, continues to be extremely well maintained. People who use the service have all been provided with copies of the homes Statement of Purpose, Guide, and their terms and conditions of occupancy. Fees currently charged by the RMBI for facilities and services provided stand at 545 pounds per week for residential and 835 pounds per week for nursing care. 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 since the homes last key inspection. This included The Annual Quality Assurance Assessment (AQAA) that was sent to us by the manager. The AQAA is a self assessment tool that focuses on how well outcomes are being met for people using the service and what plans it has to improve the home. It also gave us some numerical information about the home. Eighteen of the surveys we sent out were returned to us by some of the people who use the service, their relatives, and staff who work at the home. Information we received from the home about the occurrence of significant incidents, complaints made, and safeguarding issues raised in the past year. Comments made by the homes registered manager, Diane Collins, during our telephone conversation that took place on 16th September 2009. Information contained in the homes previous key inspection report. What has this told us about the service? The services manager completed and returned our Annual Quality Assurance Assessment (AQAA) when we asked for it. We looked at it very closely and our overall judgement is that James Terry Court continues to provide good outcomes for the people who live there. It was evident from the information contained in the AQAA that the home has good arrangements in place for ascertaining the views of stakeholders. It was positively noted that RMBI uses an independent organisation to carry out annual quality assurance surveys with the people who use the service, their relatives, and other professional representatives. The AQAA also provided us with lots of examples of how the service has improved in the past year. According to the AQAA and comments made by the manager the vast majority of her staff team have either achieved or are working toward their National Vocational Qualification (NVQ) in care - Level 2 or above; and have recently attended courses in working with people with dementia, end of life care, infection control, food hygiene, complaints resolution, and equality and diversity. Furthermore, the AQAA states the home has more designated drivers to enable the people who use the service to get out more, and the homes activity coordinators have better equipment and training to enable them to arrange more meaningful and interesting in-house activities and events. The home notified us without delay about the one disclosure of abuse made since its last Key inspection. The issue was dealt with very openly and professionally by the Annual Service Review Page 4 of 7 home who promptly reported it to all the relevant parties in accordance with local safeguarding protocols. The allegation of abuse was not upheld following an investigation, but the manager told us a number of training issues were identified as a result of the enquiry which the service has now resolved. None of the homes staff have been referred for possible inclusion on the Protection Of Vulnerable Adults (POVA) register in recent years. The manager told us that although the Local Authority has now given RMBI planning permission to redevelop James Terry Court financial constraints have meant further delays in setting a start date for building work to commence. The manager is nonetheless hopeful construction will commence sometime in 2010. It was positively noted that despite plans to redevelop James Terry Court being approved a number of significant changes were made to the interior layout and design of the existing building in this interim period. The manager told us in the past year a lot of the bedrooms and bathrooms had been redecorated, new wet and sluice rooms introduced, and new floor coverings laid in various areas. The AQAA also told us about plans they had to continue improving the service they provided, which includes the introduction of more person centred care plans. Progress made to achieve this aim will be assessed at the services next key inspection. The manager told us all three of the outstanding Requirements identified in the homes previous Key inspection report were met within the prescribed timescales for action. The homes arrangements regarding the development of easy to read documents for people who use the service, returning of unwanted medication to the dispensing pharmacist, and the storing of chemicals and other substances that are hazardous to health will be examined in depth at the homes next Key inspection. In the main the written feedback we received from the various stakeholders who completed our surveys was very positive. Typical comments included -the service is excellent, i think the home is very well run - we are very satisfied, the staff are very good and always friendly, the home gives me peace of mind that my relative is well looked after, and all the staff are professional, friendly, and approachable. The vast majority of the people who use the service wrote in our surveys that they always received the care and support they required; staff were always available when needed; listened and acted upon what you said; activities were always available for you to take part in if you want; the meals were always good; the place was always kept fresh and clean; and you could always speak to someone if you were not happy. Similarly, most relatives told us it was either always or usually the case that the home meets the needs of their loved ones; staff helped them to keep in touch, and had the right skills and experience to look after their relatives properly; and that they (the relatives) knew how to make a complaint if they needed too. Finally, most staff told us in our surveys that they were always given all the information they required in care plans to meet peoples needs; RMBI had carried out Criminal Record Bureau (CRB) and reference checks on them before they started work there; the training they were given was relevant to their role as support workers; they got enough support from their line managers; and there were usually enough staff on duty to meet the individual needs of the people who use the service.
Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We are not going to change our plan to carry out a key inspection of this service by 7th October 2010 because we still rate James Terry Court as a two star good performing residential care/nursing home. However, we reserve the right to decide to inspect the service at any time if we have concerns about the quality of the service or the safety of the people who use it. Annual Service Review Page 6 of 7 Reader Information
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