Care Home: Lime Court

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Annual service review Name of Service: Lime Court The quality rating for this care home is: The rating was made on: two star good service 2 6 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: Louise Bushell Date of this annual service review: 0 9 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Lime Avenue Dovercourt Essex CO12 4DE 01255506340 01255556805 catherine.stronach@excelcareholdings.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Dovercourt Healthcare Ltd Number of places (if applicable): Under 65 Over 65 0 0 24 38 Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 24 persons) Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 38 persons) The total number of service users accommodated in the home must not exceed 38 persons) Twenty one service user bedrooms with an area of less than 10 sq.m. will be used only following a written assessment. The essessment should include consideration of whether the facilities in the room are suitable for, and acceptable to, the service user, taking into account their mobility needs. The service user plan should reflect the assessment findings 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 Annual Service Review Page 2 of 6 2 6 1 1 2 0 0 8 Lime Court is a large purpose built home situated in a quiet residential area at Dovercourt. The home is within easy reach of the sea front and local amenities. Accommodation is provided on the ground and first floor, which is accessed by a passenger lift. There are 30 single bedrooms and 4 shared rooms. The home has a secure central courtyard and garden with patio area that is accessible to service users. The home provides 24-hour care to older people with a wide range of dependency levels, who are generally physically and/or mentally frail. There is a large dining room on the ground floor and several lounges and small seating areas around the home on both floors. There is a visitors room for meeting relatives in private. The room can be used for an overnight stay if required by a visitor coming from a distance away. The fees charged by the service range from £352.24 and £412.16 per week. They do not include hairdressing, chiropody, optician care, toiletries, newspapers, dentistry or clothing. 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 and annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service in October 2009. The completion of the AQAA is a legal requirement. It is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about 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 and any feedback received from completed questionnaires. What has this told us about the service? We have reviewed the services most recent annual quality assurance assessment (AQAA), this was completed in October 2009. It is a legal requirement to complete and return the AQAA. The AQAA received was concise and clear and gave us all the information we asked for. We looked at the information we have regarding the service and our judgement is that the service is still providing a good quality outcomes. Surveys were sent to the people who use the service, relatives, staff and external professionals. A range of these have been used as part of this annual service review and have supported us to make a judgement about the continued quality of the service. The AQAA tells us that prospective residents are encouraged to visit the home before the pre-assessment is undertaken and the offer to stay for a meal and meet other residents on a very informal basis. A full pre-assessment is undertaken by trained senior team members, either within the residents home or in hospital. This is often with family present to assist with information of identified needs and to begin the person-centre life plan process. We also have information from the Com 5s sent from social services. All residents are admitted on a four to six week trail basis and reviewed incorporating information from the resident/families and friends, the homes views and social services input. This process is further supported by a number of comments received from professional, relatives and the people using the service. One relative commented since my X moved into Lime Court, I can not fault the way X has been looked after. In addition to this another relative commented my X has only been in Annual Service Review Page 4 of 6 Lime Court a short while, but since X has been in there X has been looked after well and made as comfortable as possible. The AQAA further supports this and states the home has residents regular meeting set in a comfortable environment. The residents views are sought prior to the meeting for the agenda. All the residents are offered the opportunity to view their thoughts, concerns and praises or achievements, communication is set at an appropriate level and pace for all residents to aid understanding and to feel valued. The home also has regular meetings with the families and friends of the residents of the home as an opportunity to exchange information in an open and honest environment. Feedback from a visiting general practitioner stated a very good home for the elderly and in thirty four years as a GP this care home offers excellent care. Staff who responded to our survey told us that they knew what to do if a client or relative had any concerns about the service or the care provided and that they were well supported in their role and received training that enabled them to meet individuals needs. A number of staff surveys completed, highlighted a general theme that there needed to be a permanent manager in post to offer guidance and support to all as required. Since the surveys have been returned a new manager has been appointed. The AQAA tells us that there is anarea Manager and Development Manager supporting the senior staff developing new skills and understanding their roles and responsibilities, the care team and residents were also supported in the interim time before a new manager was appointed. It adds that a new manager, deputy manager and activities co-ordinator now in post. New training model in place. Observational supervisions being undertaken with the opportunity to train through coaching. In addition, the service continues to keep us informed of any significant events in the care service. The service continues to keep us informed of safeguarding issues and this shows that the service is transparent in its approach. From the information we have received, we believe that the service is still providing good outcomes for individuals. 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 complete an inspection by 5th November 2010. We can review at any time the regulatory activity of this service if we have reason to believe that the outcomes for the people who use the service have changed. 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). 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