Care Home: Lower Bowshaw View Nursing Home

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Annual service review Name of Service: Lower Bowshaw View Nursing 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: Shelagh Murphy Date of this annual service review: 1 7 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Low Edges Crescent Sheffield South Yorkshire S8 7LN 01142372717 01142375743 none Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Total West Limited Number of places (if applicable): Under 65 Over 65 0 40 The maximum number of service users who can be accommodated is: 40 The registered person may provide the following category of service only: Care Home with Nursing - Code N, To service users of the following gender: Either, Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places 40 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Lower Bowshaw View is a purpose built nursing home, which provides single bedroom en-suite accommodation for 40 older people. It is located in a residential area of Sheffield with good access to public services and amenities. Accommodation is on two floors; the first floor is accessed by a lift. The home has six lounges and dining rooms, a garden area, and car parking facilities. A copy of the CQC inspection report will be made available by the Registered manager Annual Service Review Page 2 of 7 None for prospective residents. And is available for anyone visiting the home. Information about how to raise any issues of concern or make a complaint is available from the Registered manager. 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 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. Information we have about how the service 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 inspections 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 or AQAA, when we asked for it. It was clear and gave us all the information 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. For example the AQAA report stated that the service will continue to listen to people who live at the home and other stakeholders. They said they do this by holding, Service users and relatives meetings. They also told us they seek peoples views by sending out, quality assurance surveys. They went on to tell us they, Listen to individuals comments and respond appropriately. The manager told us that the following changes have been made at the home in response to listening to peoples views, New menus have been introduced, Peoples bedding including pillows and quilts have been replaced by new bedding and they told us, The times of the residents and relatives meetings have been changed to ensure more people can attend. They went on to say, New activities and outings are being planned and an activities coordinator was being recruited. This demonstrated the service tries to respond appropriately to peoples views and requests. The AQAA report also stated that, the service has experienced some barriers to improving the service over the last year. These included, Occupancy levels have been Annual Service Review Page 4 of 7 affected by changes in assessments criteria by the Local Authority, as more people are now assessed as needing residential and not nursing care. And they have experienced, Difficulties in recruiting an appropriately experienced deputy manager and problems with staff retention and sickness levels. They told us they have reduced these barriers to improvement by looking at ways of ensuring occupancy levels are improved, by re-advertising to recruit a deputy manager and by establishing a bank of nurses and carers within the service to ensure continuity of care to cover sickness and staff absences. This is very positive as it shows the provider is being open and proactive to enable the service to develop. Five of the people living in the home have completed CQC surveys. Overall these told us that most people were very satisfied with the services they received at the home. Their comments included, Contented with the high standard of care, cant wish for anything better. More than happy with the overall standards in the home. I like living here and my family can come and visit. Staff are always willing and helpful, nothing is too much trouble. Good entertainment with visiting singers and visitors can come at any time. The AQAA report tells us that the service has an experienced staff team but they have had some staff retention problems over the last year, however, they told us they have over 50 per cent of the staff have NVQ2 in Care awards. And that 7 staff are working towards completing NVQ level 2 and 3 in care. This is good and shows the services commitment to supporting staff in developing their skills and knowledge. Three of the staff who work at the home completed surveys. Overall they were very positive and their comments included, The home provides us with the training we need. And The manager is approachable at all times. Another staff member told us, People receive a high standard of nursing care. Two of the Health professionals that we sent surveys to, returned them. Their comments about the service included, Manager is accessible and involved on a daily basis. And, Some people say the daily activities are dull, and some people seem to sit around unstimulated for lengthy periods of time. Another professional told us that, Usually when I go in to the home I can get the information I need for reviews, the staff have been very willing to assist. I have observed kindness, helpfulness to clients. And From clients I have always had positive feedback in relation to their care. Annual Service Review Page 5 of 7 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. There has been one anonymous complaint made to the CQC over the last year. This was resolved appropriately. We received two surveys from relatives of people who live at the home and their comments included, The staff are experienced and knowledgeable. Another relative told us, People have regular visits from health professionals e.g. Chiropodists, Opticians and GP visits. This helps to support peoples health needs. There have been no adult safeguarding referrals made over the last year from the service. And no adult safeguarding investigations have been carried out with anyone at the service. 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 27/07/2010. 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 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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