Care Home: Lindsay Hall Nursing Home

Annual service review Name of Service: Lindsay Hall Nursing Home The quality rating for this care home is: The rating was made on: two star good service 1 2 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: Melanie Freeman Date of this annual service review: 2 4 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 128 Dorset Road Bexhill On Sea East Sussex TN40 2HT 01424219532 01424222660 info@galleoncare.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Galleon Care Homes Limited Number of places (if applicable): Under 65 Over 65 38 38 0 0 The maximum number of service users to be accommodated is 38. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Mental disorder, excluding learning disability or dementia (MD). 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 Lindsay Hall is a Care Home providing nursing and personal care and accommodation for up to 38 older people with dementia. It is owned by Galleon Care Homes Ltd, which was purchased in April 2008 and became part of Titleworth Healthcare Ltd Group along with the two sister care homes within East Sussex. The home is situated in a quiet residential area of Bexhill-on-Sea close to local shops, Annual Service Review Page 2 of 6 1 2 1 1 2 0 0 8 churches, pubs and other community facilities. The building is a large, spacious home, providing a light and airy positive environment for its residents. There is a lift in the premises to reach all three floors and has assisted bathing equipment and hoists to assist transfer. There is a large garden to the rear which is accessible to residents and car parking for visitors at the front of the building. Copies of inspection reports and the homes Statement of Purpose are made available on request. Fees charged as from 1 April 2009 range from £538.50 to £730 per week. Additional charges are made for hairdressing, chiropody, toiletries, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. 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, that was completed on the 12 November 2008. This included; The Annual Quality Assurance Assessment (AQAA) that is completed by the service and focuses on how well outcomes are being met for people using the service, this was well completed and was provided when requested. 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 including Social Services and visiting health care professionals. A health care professional who has regular contact with the home was telephoned for direct feedback on the service. The registered manager was also contacted by telephone on the day of the Annual Service Review for up to date information on the service, and confirmation on how the home had responded to the requirements made at the last key inspection. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. This provided information on the service that included numerical information that was requested. The AQAA was well completed by the registered manager and identified areas that have improved in the last year and others where further developments are either planned, or would benefit residents. The last key inspection was completed in November 2008 and was positive with regard to resident care with all outcome areas being judged as good, apart from those related to the homes environment. Five requirements however were made following this inspection. The AQAA and contact with the manager confirmed that all these requirements have been addressed. A comprehensive pre-admission assessment is carried out for any prospective resident, including short stay respite residents, even if they are known to the service. A new care planning system has been introduced and this promotes a more person centred approach with formalised care plan reviews, to which relatives are invited by letter, in order to engage the views of the residents and their representatives in the care planning process. The communal space has also been increased by 24 square meters. There is a new dedicated reminiscence kitchen, and a quiet room where residents may entertain their visitors in privacy. The home has also reduced two shared rooms to single occupancy in response to peoples preferences, and a written assessment is now used to record individual choices, compatibility and the safety with regard to people sharing rooms. The recruitment process is more robust and ensures that all the necessary checks and records are held in respect of each employee. The AQAA recorded that the home actively seeks, listens and responds to residents and relatives views, to improve the service. Examples of this were the improved links with Annual Service Review Page 4 of 6 local religious communities, to facilitate some residents to attend external religious services as opposed to what would previously have been domiciliary visits. The home has responded to the increase in demand by residents and their representatives, for single occupancy rooms by converting two of the shared rooms into singles. The home has consulted with representatives of the residents with regard to the homes redecoration and colour schemes used. In response to service questionnaires the home is planning a major refurbishment to include increased communal space, redecoration of existing bedrooms, and a reduction in the number of shared occupancy rooms. The AQAA recorded that a complaint had been received by the home that was investigated in accordance with the Safeguarding Vulnerable Adults local policies and procedures, in conjunction with Social Services. Discussion with the manager confirmed that the home co-operated fully and the concerns raised about residents care were unsubstantiated, with evidence available to confirm a good level of care, that responded to the individuals changing needs. The manager advised that one of the homes main strengths is the committed staff team, who are responsive to the homes ethos of continued development and improvement, and focus on quality. Staff training is given a high priority with an emphasis on giving staff the skills to develop and empower them to provide the highest possible care to residents, and support to their families. A senior registered nurse has also been recruited recently, this will provide additional support to the manager, allowing her to have a clearer over view of the home, and focus on her management role. She confirmed that she felt well supported by the provider who is in regular contact. The information provided by the home confirmed our judgment that the home continues to provide a good service. What are we going to do as a result of this annual service review? There will be no change to the inspection schedule and the Care Quality Commission will do a key inspection by 12 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. 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