Latest Inspection
This is the latest available inspection report for this service, carried out on 7th September 2009. 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 Good.
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 Marwa Nursing Home.
Annual service review
Name of Service: Marwa Nursing Home The quality rating for this care home is: The rating was made on: two star good service 0 5 0 9 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: Damian Griffiths Date of this annual service review: 0 4 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 27/29 Manor Road Aldershot Hampshire GU11 3DG 01252322980 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: Dania Care Homes Ltd Number of places (if applicable): Under 65 Over 65 28 0 0 28 The maximum number of service users to be accommodated is 28. 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) Old age, not falling within any other category (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 Marwa Nursing Home is siuated on a quiet residential street on the outskirts of Aldershot and provides accommodation and personal care to persons over the age of sixty five including those over sixty -five with dementia. There are sixteen single and six shared bedrooms situated over two floors. Communal space includes a lounge and adjoining conservatory and there is an enclosed garden, which is accessible to the residents.
Annual Service Review Page 2 of 7 0 5 0 9 2 0 0 8 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. This included; the annual quality assurance assessment (AQAA) that was sent to us on the, 26/06/09 by the service. The AQAA is a self assessment focuses on how well outcomes are being met to the people using the service. It also gave us numerical information about the service. We received a selection of completed CQC surveys from people wanting to tell us about the home. 10 surveys in total were received. 5 CQC surveys were received from residents at the home. 2 surveys were received from their relatives and 3 were received from the care staff working at the home. 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. What has this told us about the service? The Annual Quality Assurance Assessment (AQAA) was received on time and contained helpful information about the home and how it works hard to ensure good outcomes for the service users. In the previous key inspection report completed in 2008 we asked the home to make available; additional staff at busy times to promote a more individual approach to meeting residents needs. 2 care staff completing CQC survey confirmed that there was; always enough staff to meet the individual care needs of the resident, and one staff member indicated that enough care staff was available only, sometimes. In relation to staffing levels the AQAA stated that over the last 12 months it had; Improved our induction for new staff, especially carers with emphasis on rights, dignity, equality, and diversity. Our plans for improvement in the next 12 months include, continue to update staffing and all areas of training. 3 out of 5 residents completing the CQC survey confirmed that they, always received the care support they needed, confirmed that staff were always available when they needed them and always acted on what they said. The relatives of the residents confirmed that the service always met their expectations and one commented; I do think that the actual service at the nursing home is very well run, organized, clean and tidy. This showed that the home had taking steps to improve the situation and that residents and their relatives completing a CQC surveys were satisfied with the level of staff support. In the previous key inspection report completed in 2008 we asked the home to; reviewed the complaints procedure to include a realistic timescale to report investigation findings back to the complainant. 4 out of 5 residents agreed that they Annual Service Review Page 4 of 7 knew who they could talk to if they were not happy about something. 2 out of 5 knew how to make a formal complaint to the home. The homes AQAA stated; the person who has complained is kept informed of the progress and outcomes within 28 days of the complaint being logged. Care staff completing the surveys confirmed that they knew what to do if somebody had concerns about the home. Relatives completing the CQC survey confirmed that they knew how to make complaint and one commented; I am always informed immediately of any concerns staff had about my father/mothers health. This shows that the home was committed to providing an accessible complaints service to the residents of the home. Since receiving the homes AQAA the home has informed us of two occasions when it has needed to activate its safeguarding policies and procedures and work closely with the local authorities to resolve the situation. The AQAA stated; Staff receive training in abuse awareness, dementia training, safeguarding vulnerable adult and Mental Capacity Act training, supported by Marwa policy and procedures. This demonstrated how the home actively provides safeguarding support for the residents. In the previous key inspection report completed in 2008 we asked the home to make sure that; suitable arrangements were made to enable residents to meet with their relatives, representatives and health professionals in private accommodation which is separate from their bedroom. Residents completing the CQC commented in the section entitled; what does the service do well; looks after people, nursing care is very good, everything. There were no specific indications that residents/relatives were concerns about this . Relatives commenting about the overall care support given by the home stated; I do think that the actual service at the nursing home is very well run, organized and clean and tidy also the meals are very good too. The homes AQAA did not specify any other arrangements that had been made, other than confirming; our service users privacy and dignity is respected at all time by the staff. Service users receive treatment and examination in the privacy of their own room . However, the home was committed to providing good outcomes to the residents and their families. It demonstrated this by providing them with opportunities to comment on the way the home was providing support. The AQAA confirmed that it had consulted residents/relatives and responded by;changed some aspect of our service as a result of our surveys. Other comments received from relatives included staff are very kind and considerate to residents and visitors. When I do arrived at the nursing home they treat me with great respect, I find nurses and carers are very helpful and so polite. Residents completing the CQC survey in the section entitled; does the home do well, commented; Very good caring and everything well-planned and good food. A relative completing CQC survey in the section entitled, is there anything else you would like to tell us stated I would like to express my gratitude to Marwa nursing home for the wonderful care and treatment and support they have given to my partner. The home had sent us notifications of any significant events that had affected the service users well-being over the last 12 months. 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? Annual Service Review Page 5 of 7 We are not going to change our inspection plan, and will do a key inspection by the 5th of September 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
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