Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd November 2009. 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 Kesteven Grange.
Annual service review
Name of Service: Kesteven Grange The quality rating for this care home is: The rating was made on: two star good service 1 7 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: Eileen Engelmann Date of this annual service review: 0 3 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Kesteven Way Kingswood Kingston upon Hull East Yorkshire HU7 3EJ 01482837556 Telephone number: Fax number: Email address: Provider web address:
stevengrange@schealthcare.co.uk www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Ltd Name of registered provider(s): Name of registered manager (if applicable) Mrs Kelly Marie Moore Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 54 0 0 54 The maximum number of service users who can be accommodated is: 54 The registered person may provide the following category of service only: Care Home only - Code PC, 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, maximum number of places 54, Dementia - Code DE, maximum number of places 54 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 manager of the home has been registered with the Care Quality Commission since the last inspection in November 2008. 1 7 1 1 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable):
Annual Service Review Page 2 of 6 Brief description of the service Kesteven Grange is registered to provide personal care and accommodation for 54 people (of either gender), within the categories of older people and people with dementia. The home is purpose built and situated on a large residential estate on the northern outskirts of the city of Hull. Regular bus services stop near the home and local community facilities are a short drive away. The home has a large car park for visitors. The home has 46 single and 4 double bedrooms. Four bedrooms have en-suite facilities. There is a large lounge and separate dining room on the ground floor and a large lounge/dining room on the first floor. There are a number of bathrooms and toilets throughout the home and a passenger lift to access the first floor for people unable to use either of the two stairways. There is a large garden with a seating area for people to enjoy in the good weather and a secure patio area outside the main lounge. This is the place people using the service go to smoke. 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, 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. Surveys returned to us by people using the service and from other people with an interest in the service. 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. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. In the last twelve months the provider has increased the staffing levels within the home in response to a requirement in our November 2008 report. This has meant more care staff on duty on an evening, which in turn has resulted in better quality care for people using the service. In response to a requirement in the November 2008 report the menus have been changed to the nutmeg system which analyse the nutritional value of each meal and these are displayed on a board in the entrance area, with daily menus placed on each table in the dining rooms. The menus are reviewed regularly to ensure all the meals remain popular with the people living in the home, along with additions to the menus as requested. Currently there are two people using the service who have their own individual menus, these menus have been developed by each person and the cook to ensure they meet their particular likes whilst ensuring they are consuming a balanced nutritional intake We sent out 10 surveys to staff and 10 surveys to people using the service and received 90 back from service users and 40 from the staff. People living in the home always tell us that they are happy there. People commented that they get the care and support they require and are able to take part in activities Annual Service Review Page 4 of 6 and enjoy the meals at the home. Individuals who answered our surveys said that staff are available when they need assistance and the staff listen and act on what they say. Information from the staff survey indicates that there are good training and development opportunities for employees and individuals are offered supervision and support by the manager. One member of staff said This is one of the best homes I have ever worked for. The home makes life comfortable for people using the service. It is clean, presentable and friendly. We have not had any formal complaints reported to us in the past 12 months. People using the service have told us that they understand the complaints procedure and are confident of using it if necessary. The home has made five safeguarding referrals to Hull Social Services in the past 12 months. These were around altercations between people using the service and were investigated by the Hull safeguarding team. All of the safeguarding allegations have been resolved. In the past 12 months the home has ensured that the manager and team leaders have attended Safeguarding Training supplied by the Local Authority and this training has been cascaded to the rest of the staff. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. 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 are not going to change our inspection plan, and will carry out a key inspection by 3 November 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 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 6 of 6 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
