Latest Inspection
This is the latest available inspection report for this service, carried out on 7th December 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 Lansdowne Retirement Home.
Annual service review
Name of Service: Lansdowne Retirement Home 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: Christine Bowman Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 35 Liphook Road Lindford Bordon Hampshire GU35 0PT 01420475448 Telephone number: Fax number: Email address: Provider web address:
bunwold@tiscali.com N/A Mrs Nicola Anne Withers,Mr Rowland Phillip Withers 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 20 The maximum number of service users to be accommodated is 20. 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: Old age, not falling within any other category (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: An increase in the maximum number of people the home can accommodate from 17 to 20. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Lansdowne retirement home is a care home providing personal care and accommodation for 20 older people. The home is located in the village of Lindford, which is approximately two miles from Bordon. The home is situated close to local amenities and public transport.
Annual Service Review Page 2 of 7 All bedrooms are single and have en suite facilities. There is a communal lounge and communal dining room. The home has an established enclosed garden with seating that is accessible to the service users. 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. Surveys were completed by seven residents, four staff members and two social care professionals giving their views on the service provided. 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. We also looked at the previous key inspection report completed on 22nd November 2007 and the Annual Service Review completed a year ago. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it and it gave us the information we requested. The AQAA recorded that the residents views are sought in pre-admission questionnaires and by completing annual surveys. Some of the changes made as a result of listening to the residents included reviewing the menus and changing the activity programme to include residents preferences. The AQAA recorded improvements in all outcome areas for the residents. The information available to prospective residents had improved and was sent out to all enquirers, the entertainment programme had been enhanced by monthly visits from a professional singer, and the lounge in the new extension was providing a private space for residents to meet with their visitors. The manager had completed the management development training courses as planned, including the Mental Capacity Act and infection control training, and the AQAA recorded that train the trainer courses had been booked with the local authority, in diet and nutrition, to enable the manager to cascade this training to the staff. Environmental improvements completed over the previous twelve months included upgrading the emergency lighting for the safety of the residents, replacing the grab rails in the bathrooms to support those with mobility needs, re-carpeting the bedrooms so that they now all have new carpets, re-carpeting the lounge, hall and stairway for the comfort of the residents, and re-paving the rear garden so that the residents can enjoy this outdoor space comfortably and safely. A completely new ground floor extension had been completed including a ground floor bathroom and toilet and three new bedrooms, and had been registered for use. Improvements had been made to the car parking area to the front of the home, in that it has been resurfaced, and the boundary fence had been replaced. Plans are in place to provide a lift to improve access to the first floor, which is currently provided in the form of a chair lift. Five of the seven residents, who completed surveys, recorded that they always receive the care and support they need, and two that they usually do. Five residents also recorded that the staff were always available when they needed them, and two that Annual Service Review Page 4 of 7 they usually were. Six residents confirmed that the staff always listen and act on what they say, one that they usually do. All the residents recorded that the home makes sure they receive the medical care they need, and that the home was always fresh and clean. Five always liked the meals and two usually did, and one confirmed that the home always arranges activities they can take part in if they want to, and six recorded that the home usually arranges activities they can take part in. Some comments on what the home does well included, could not wish for better care, looks after me well, feeds me too well, and everything is nice, I am well looked after. Visitors are made welcome and offered a cup of tea and we have regular visits from the hairdresser. The four staff members, who completed surveys, recorded that their employer had carried out checks such as Criminal Record Bureau (CRB) and references before they started work to ensure that only people, suitable to work with vulnerable adults would be considered. They all confirmed that they are being given training that is relevant to their role, helps them understand and meet the individual needs of the residents, keeps them up to date with new ways of working, and gives them enough knowledge about health care and medication. All recorded that they always had enough support, experience and knowledge to meet the different needs of the residents with respect to equality and diversity issues. Two of the four staff thought there were always enough staff to meet the individual needs of all the residents, one thought there usually were, and one that there never were. The manager responded to this comment by confirming that the home was always fully staffed for twenty residents, and that sixteen to eighteen was the average occupancy. Comments on what the home does well included, they provide a good, caring environment, and a lot of training is provided for the staff. What the staff thought the home could do better was, to employ more staff so that more time could be spent with the residents. One staff member commented, there is very little communication between the management and the staff, no confidentiality and poor management control. The manager was saddened by this comment and wrote in her response, we have daily contact with all members of staff, directly, when on site, and on the telephone, when on our two days off. A daily communication book is in use, which is countersigned by duty staff at the start of each shift, thereby making them fully aware of any events or issues that have occurred. We hold regular staff meetings and issue minutes to those who are unable to attend, and all communications from management to staff are in written format and signed as read and understood. Confidentiality is regarded with the utmost importance and this is reinforced to all staff in dealing with clients and their families. Two social care professionals, who completed surveys, recorded that the service always ensures that accurate information is gathered about prospective residents so that the right care can be planned for them, and that the residents social and health care needs are properly monitored, reviewed and met by the service. They also confirmed that the care service always respects the residents privacy and dignity, supports them to live the life they choose, whenever possible, and always responds to the diverse needs of individual people with respect to equality and diversity issues. Comments on what the home does well included; they communicate well with other professionals, they are responsive to the residents needs and provide a health plan, they provide a friendly atmosphere and are welcoming to visitors, and the manager works very hard to meet individuals needs and they create a homely environment for their clients. One social care professional commented that, providing a coded security door system and issuing the code number to those residents, who are able to make their own decisions,
Annual Service Review Page 5 of 7 is something the service could do better. The manager wrote, this is in place and is issued to clients after a risk assessment has been completed. The AQAA recorded that one complaint had been received over the previous twelve months and that it had been resolved within twenty eight days. 100 of the seven residents, who completed surveys, confirmed that there was someone they could speak to informally if they were not happy, and that they knew how to make a formal complaint. The AQAA recorded that no safeguarding referrals had been made over the previous twelve months. We are always told about important things that have happened in the home since we did our last key inspection. The home is managed in a way that shows it has the interests of the people using the service at the centre of what they do. The previous inspection report of 22nd November 2007 contained no requirements or recommendations for the improvement of the service and all of the seven outcome areas were judged as good. The Annual Service Review, completed a year ago, confirmed that the service continued to provide good outcomes to the people, who live at the home. What are we going to do as a result of this annual service review? We will continue to monitor the service and the schedule of inspection remains the same. However, we can inspect the service at any time should there be any 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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