Care Home: Malmesbury Lawn

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Annual service review Name of Service: Malmesbury Lawn 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: Laurie Stride Date of this annual service review: 2 9 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Woolston Road Leigh Park Havant Hampshire PO9 4JY 02392244900 Telephone number: Fax number: Email address: Provider web address:   Bill.Dyet@hants.gov.uk Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Hampshire County Council Number of places (if applicable): Under 65 Over 65 37 0 0 37 The maximum number of service users who can be accommodated is: 37 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Dementia - DE 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 Malmesbury Lawn is managed by Hampshire County Council Social Services. It is a purpose built residential care home for 35 older persons including those who have dementia. The home can admit people under and over the age of 65 years. The home is situated within a residential area of Leigh Park, a short distance from the town of Havant. Residents are accommodated on two floors in single bedrooms. A passenger Annual Service Review Page 2 of 7 Change of Responsible Individual lift provides easy access to both floors. The home has recently been refurbished and the residents have the benefit of two enclosed landscaped gardens. 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 have received, or asked for, since the last key inspection or annual service review. 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 homes annual quality assurance assessment (AQAA) 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 some of the further improvements they need to make. For example, although staff are trained in infection control, there is currently no system in place to monitor that standards are being adhered to. The service has plans to designate a member of the management team as the infection control officer, who will conduct spot checks throughout the unit. Some staff have completed palliative care train the trainercourses and the service plans for all staff to receive palliative care training in the next twelve months. A new emergency falls protocol has been developed in agreement with health services. A newsletter, the Malmesbury Mail is now being sent to families to keep them informed. The AQAA stated the home has not received any complaints and there have been no safeguarding issues in the last twelve months. We have not received any complaints about the service. The home has notified us of any incidents affecting the welfare of people who use the service. At the last inspection vist on 01/07/08 we found that the home had improved the quality of care plans and there was ongoing work to improve the environment. The home was seen to have an innovative and creative approach to providing people who use the service with activities and mental stimulation. The AQAA told us that the new lounge on the ground floor has been completed and two garden projects - the walk in the park and a working activity garden have been finished. The AQAA states that the hard work that has gone into these projects has been noted by families and the staff Annual Service Review Page 4 of 7 group have been nominated for a Dignity in Care award at the Health and Social Care Awards 2009. An in-house cinema is now operational with lighting, seating and posters and showing a wide range of films three days a week at present. The home is looking to support people to access public transport and is in the process of acquiring a bus pass for all the people who use the service. We sent out survey questionnaires and received comments from three of the people who use the service, who were supported by staff members to complete the questionnaire. We also received comments from three health professionals and a social care manager. Two of the residents who completed our survey indicated that they received enough information to help them decide if the home was the right place for them, before they moved in. The other person said they did not know. Two said that they usually receive the care and support they need and one said they always do. All indicated that the staff are usually available when they ask for something. People who use the service told us that the staff listen and act on what they say and make sure they get the medical care they need. Two people said that there are always activities in the home that they can take part in if they want, the other person said there usually is. Two people said that they always like the meals, one said they usually do. All three indicated that there is someone they can speak to informally if they are not happy and two said that they would know how to make a formal complaint. All three told us that the home is always fresh and clean. Asked what does the home do well, people who use the service told us: Care for the people and good at understanding people. Sometimes other residents can be rude and demanding and the staff manage this well. I think that the staff are very patient and caring. I have no complaints whatsoever. The home looks after me and feeds me well. Most of the time the home looks after me and helps me with my washing. The staff seem to be happy. The food is nice and I eat plenty. Asked what could the home do better, people who live in the home said: I would enjoy more trips out such as a drive around the country. Not sure. It always seems to tick along and everyone seems to know what they are doing. I would find it hard to find anything they could do better. Comments we received from health and social care professionals indicated that the homes assessment arrangements always or usually ensure that accurate information is gathered so that the right service is planned for people. All four respondents told us that peoples social and health care needs are always properly monitored, reviewed and met by the service. They also confirmed that the home always seek advice and act on it to meet peoples needs and improve their well-being; and that the service always respect peoples privacy and dignity. Three indicated that the homes managers and staff usually have the right skills and experience to support peoples care needs and one said they always do. Two told us that the service always responded appropriately if Annual Service Review Page 5 of 7 they, or another person, have raised any concerns; the other two said the service usually did. Additional comments from the health and social care professionals included: They engage well with their residents for the most part. Show empathy and understanding to family members. Keen to develop new ideas and always offer encouragement to new residents. Sensitive to changes in health. Care staff are excellent. The team are working hard at improving communication channels with health staff to maintain the high standards of care provided. The residents at Malmesbury Lawn are given as much opportunity as possible to choose how they spend their day, what they wear, what they eat etc. They are treated with dignity and respect. There are regular activities for them to participate in, individual attention and personalised care plans. Malmesbury Lawn is, in my opinion, the best care home in the area. 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 1st July 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. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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