Care Home: Laureate Court Care Centre

Annual service review Name of Service: Laureate Court Care Centre 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: Eileen Engelmann Date of this annual service review: 2 2 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Wellgate Rotherham South Yorkshire S60 2QB 01709838278 01709382692 laureatecourt@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mr David John Walpole Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 84 84 0 One named client over 65 years requiring nursing care (OP) be allowed to reside at the home. The category of persons for whom accommodation is provided shall be persons in need of such by reason of MD Mental Disorder (Age 45 years and over) Two named clients under the age of 45 years requiring Mental Disorder (MD) be allowed to reside at the home. 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: There has been a change of Responsible Individual for the service and a new certificate of registration was issued in May 2009. Date of last key inspection: Date of last annual service review (if applicable): Annual Service Review Page 2 of 7 Brief description of the service Laureate Court is a purpose built care home for people with dementia and mental illness that is situated near the centre of Rotherham. The home is situated in its own grounds that are securely fenced off. A copy of the homes statement of purpose, service user guide and complaints procedure is available in the entrance hall. 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 last visited the home for its key inspection on 18 February 2008 when we gave the service a 2* or good quality rating. We completed an Annual Service Review on 17 March 2009 and we were satisfied that the service continued to offer people good outcomes. 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. As well as the above we completed a risk assessment for the service to ensure that we had enough information about the service to determine the quality rating has not changed in the last 12 months. What has this told us about the service? The home sent us their AQAA when we asked for it. It was clear and gave us all the information that 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. The AQAA tells us that the service has a robust staff recruitment process in place and that all new staff receive an induction before they start work. The induction, combined with the staff training programme has reduced the number of complaints the service has received in the last 12 months. The AQAA tells us that the service is planning to improve the internal training department by increasing the number of trainers in the home. The service feels that a wider range of training subjects will mean better outcomes for the people using the Annual Service Review Page 4 of 7 service. At the moment all staff have completed a Dementia awareness course, but the service recognises that there is a need to develop a training pack for Mental Health awareness. At the moment informal training is provided by the Mental Health nurses. The AQAA tells us that there is an ongoing redecoration and refurbishment programme in place at the home. There are plans for new furnishings for the communal areas over the next 12 months and furnishings are on order. An extensive redecoration programme for the home has already started and the gardens have been made safer after the relaying of the surface. Some issues around odours in the home were raised by people with an interest in the service (through their surveys), and information in the AQAA indicates that the management team are aware of this problem and are working towards a better environment for people using the service. We sent out a selection of surveys to people using the service, staff and social and health care professionals. Unfortunately due to a Commission for Quality Care administration error the wrong type of surveys were sent out for people using the service. We contacted the home and the manager sent us a summary of the services satisfaction questionnaires (January 2010) that they had sent out to relatives of people using the service. We received one survey back from staff and four from social and health care professionals with an interest in the service. The summary of surveys received from the home indicates that relatives are on the whole satisfied with the service and the staff. Comments made where that staff are unfailingly pleasant and cordial and the manager is always approachable, very helpful and professional. Individuals said that the home seems to be well run and staff are willing to listen and do their best to cary out requests and I have always been impressed with the attention to detail and the specialist care given. The social and health care professionals who completed our surveys were on the whole satisfied that the people using the service were well looked after and that their needs were being met. Individuals told us that due to the type of mental health problems experienced by people at Laureate Court, they can present with a number of behaviours that challenge. The mental health liaison team therefore visits on a regular basis and we have generally found the home management and staff keen to work with us. They will contact us if they require advice or support for people using the service and the staff appear open and willing to undertake new strategies, such as dementia care mapping, as well as training to try to improve the overall well being of people using the service. One person told us that people using the service have reported to me that they enjoy the food at Laureate Court. There is regular entertainment and one person I visit particularly enjoys and looks forward to this. There were areas that the social and health care professionals felt could be improved upon and they commented that I feel that the home needs to consider the residents already in their care, before accepting new individuals with complex mental health needs. I feel that the service would benefit from becoming more person centred and it should endeavour to meet the needs of the individual person as well as the group as a whole and a more person centred approach to people, particularly those with dementia, would improve the service. Annual Service Review Page 5 of 7 Information from the AQAA tells us that the manager is aware of the above issues and that staff training and development on care planning and customer care is being undertaken to ensure a more person centred approach to care is taken in the future. We have not received any formal complaints about the service in the last 12 months. There has been 8 safeguarding of adults from abuse referrals made to the local authority safeguarding team; these were a mixture of concerns about staff practices and service user against service user issues. Six of the referrals have been investigated by the safeguarding team and the service has taken disciplinary action against staff were needed and made improvements to working practices as necessary. The two remaining allegations are currently being investigated by the manager, who is acting on advice from the safeguarding team, and he will give a report of his findings to the team by March 2009. Staff have received training around safeguarding of adults from abuse and feel confident in using the systems in place within the service. 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 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? It is our statutory responsibility to inspect all care services at least once every 3 years. The completion of the Risk Assessment and Annual Service Review has not changed our view of the quality rating for this service, therefore we are not planning to inspect this service before 17 February 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 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. 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