Latest Inspection
This is the latest available inspection report for this service, carried out on 18th February 2010. 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 Excellent.
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 Laurel Court.
Annual service review
Name of Service: Laurel Court The quality rating for this care home is: The rating was made on: three star excellent 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: Patricia Hellier Date of this annual service review: 1 1 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Laurel Court Brockway Nailsea North Somerset BS48 1BZ 01275859556 01275859557 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Southern Cross Healthcare (Kent) Ltd Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is 62 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code 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 Laurel Court provides nursing care for up to 31 residents, and personal care for a further 31 residents. The home was purpose built and is owned by the Southern Cross Healthcare group. It is situated in a suburban position, close to shops and leisure
Annual Service Review Page 2 of 6 Number of places (if applicable): Under 65 Over 65 0 62 facilities. The home is fully wheelchair accessible. All accommodation is in single rooms with en suite facilities. The accommodation is arranged over two floors. Residents who require nursing care are accommodated on the ground floor; those requiring personal care are accommodated on the first floor. Communal space on the ground floor is provided in a large dining room, with adjoining seating area, and two separate lounges. On the first floor there is a similar dining room, separate sitting room, and small lounge. In addition there is a small private dining room. A passenger lift provides easy access to all areas of the home. There is a pleasant enclosed garden to the rear of the building. An activities co-ordinator arranges a weekly programme of social events. The provider makes information available through a company leaflet and service specific booklet about the home. CSCI/CQC reports, Statement of Purpose and Service User Guide are displayed in the entrance to the home and available for all to read. The current fees charged range from 586 pounds - 695 pounds per week with additional charges being made for hairdressing, chiropody, newspapers, and toiletries. This information was provided in December 2007. 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. We got good information from the AQAA. It was very detailed with clear evidence of how the home has worked to improve since the last key inspection. We looked at the information in the AQAA and our judgment is that the home is still providing an excellent service and that they know what further improvements they need to make. People living in the home always tell us they are happy there. They are particularly pleased with the quality of the food they get and activities they are able to do. One comment was the food, social interactions and cleanliness are excellent. Another comment told us the home and all its staff care for residents with their best interests at the forefront of all they do.. Another comment said the home is generally good but expensive. In the AQAA we are told Our service has a price and we believe that the care we provide has an element of efficiency; effectiveness and economy. Comments received that we were concerned about were sometimes communication is impaired due to language differences. Another comment was currently there is no manager at Laurel Court and a number of staff leaving, with the new ones not up to the same standard. In the AQAA we are told the home are aware they need to ensure that better planning for training are structured to ensure optimum understanding. Thus indicating they are aware of the need to ensure staff have the skills and knowledge to meet residents needs. Another comment of concern was sometimes personal care is not always delivered in a timely way. This comment was also linked with comments received from staff in which Annual Service Review Page 4 of 6 we were told the home could improve by providing more staff to enable staff to provide the necessary care and support to residents and reduce waiting time for assistance. Further comments on this issue received from staff told us low staffing levels have an impact on care provision and residents needs may not always be met in a timely manner for their health and well being. This is also supported by comments received from Healthcare Professionals who told us too tight a budget for staffing levels which can quickly affect care provision. In the AQAA we are told staffing levels ensure that with the skills and mix provided we can meet the residents dependency levels taking into account the size of the home and its layout. From the information received from residents, staff and Healthcare Professionals this is not the experience of residents and we recommend staffing levels are reviewed immediately for the benefit of residents health and well being. We received comments from three members of staff who work at the home. They told us the home is a good place to work and communication systems are good, ensuring they receive up to date information about the care needs of the residents. This means that residents receive individual care as they wish. One comment told us the home runs well considering its size. Another comment said Laurel Court has some very dedicated staff who are always striving to give residents the best they can. We received survey responses from four Healthcare Professionals who told us it is an excellent care home that is well run. Another comment told us they ensure all medical symptoms are reported in a timely manner and tests organised. While a further comment told us good care provision and communicates well with other professionals. 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 do a key inspection by 24th December 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
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