Care Home: Meadowcroft

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Annual service review Name of Service: Meadowcroft The quality rating for this care home is: The rating was made on: two star good service 3 0 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: Nigel Thompson Date of this annual service review: 2 6 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 78 Queens Road Thame Oxfordshire OX9 3NQ 01844212934 01844215630 manager.meadowcroft@osjctoxon.co.uk www.osjct.co.uk The Orders Of St John Care Trust Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: The maximum number of service users to be accommodated is 71 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) Physical disability (PD). 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 3 0 0 9 2 0 0 8 Number of places (if applicable): Under 65 Over 65 71 0 71 0 71 0 Annual Service Review Page 2 of 7 Meadowcroft was opened in 2008, replacing the previous care home on the same site.It is situated in a quiet residential area near to the centre of the market town of Thame, and is close to local services - a health centre, community hospital, shops, library, pubs, clubs and churches. The home is registered to provide accommodation and personal care for up to forty older people. The home is not registered to provide nursing care. Meadowcroft is owned and managed by the Order of St John Care Trust, which is a charitable organisation that also owns home in Wiltshire and Linconshire. Fees for the service currently range between £505 per week for low dependency residential care needs to £1000 per week for those with high dependency and nursing care needs. Additional expenses not covered within the fees include hairdressing, podiatry, newspapers and magazines, toiletries and contributions to some outings and activities. 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 form 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. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) which was clear and comprehensive and gave us the information that we asked for. Our judgement is that the home continues to provide a good service for the people who live there. There were no requirementrs or recommendations made following the previous inspection. The inspection report was positive and outcomes for service users were found to be good. The report concluded that: All prospective service users are encouraged to visit the home, before making a decision to move in for a trial period. There is a good rapport in the home between service users and all members of staff, this was confirmed in discussion with service users and staff on duty. Service users confirmed that the routines in the home are flexible. From discussion with members of the housekeeping staff on duty, it is evident that they take pride in their work and maintaining high standards of cleanliness throughout the home. Staff spoken to during the inspection expressed their satisfaction of working in the home and felt well supported. Annual Service Review Page 4 of 7 In discussion with service users and staff on duty, all expressed the view that the home is well managed and run in the best interests of the service users. Thorough policies and procedures are in place for the admission and ongoing care and support of service users. Effective communication and consultation systems enable service users to be directly involved in developing and reviewing their individual support plans. Individuality and independence evidently continue to be promoted. In accordance with their wishes service users are enabled and supported to take part in a comprehensive and personalised range of leisure activities, reflecting their individual interests and preferences, both within the home and in the wider local community. Communication and consultation with service users family members remains effective and ongoing. Relatives have the opportunity to partake in individual assessment, care planning and reviewing processes. Staff receive effective induction and foundation training, regular supervision and are evidently valued and supported by the manager. Through working closely, sensitively and consistently with service users, staff have clearly developed a sound understanding of their individual care and support needs. Service users are encouraged and supported to make decisions about their day to day living, where appropriate and practicable. They are involved and regularly consulted on many aspects of life in the home, including menu planning, colour schemes and activities. The health, safety and welfare of service users is ensured through the homes robust systems for dealing with any concerns or complaints as they arise and the procedures and guidelines that are in place to safeguard individuals from potential, harm, neglect and abuse. The AQAA indicated a range of areas where improvements have been made during the last year: All policies and procedures have been reviewed and updated and the service has been involved in the piloting of new care plan documentation. Staff have attended forum meetings and working parties for continued improvement of standards in service delivery, through reflective practice and research of best practice. The Trust has appointed a Dementia Champion and also a Lead in Medicines Management. A designated person is now responsible for assessing and monitoring competencies of staff who administer medication. Through the dedication of the Activities Co-ordinator and a team of volunteers, further activities have been introduced both within the home and in the wider commmunity. Menus have also been reviewed and improved, providing more individual choice. The recent provision of a raised garden for service users with dementia demonstrates Annual Service Review Page 5 of 7 the ongoing commitment to provide facilities based on current research. New flat screen Televisions have been provided in all units. Recruitment and induction of new nurses and care staff has been undertaken to support the newly opened phase 2 of the home. Specific training has been provided for staff inluding challenging behaviour, Deprivation of Liberty and the Mental Capacity Act. Linked to this, the home has introduced a Mental Capacity Assessment and a Best Interests checklist. Further staff training has been introduced to support the Department of Health strategies of improved dementia care and end of life care. A new manager and head of care have been appointed and rationalisation of working patterns and the rota has evidently resulted in an improved skill mix and more effective communication between shifts. The Home Manager has been involved in the Trust Nursing and Care forum group, where initiatives are raised, discussed and trialled, if appropriate, to consistently look at raising standards in care delivery. Complaints are well managed and service users, staff and visitors have confidence that they are listened to. Policies and procedures are in place to protect service users from financial abuse and all financial transactions are recorded. Robust policies and procedures are in place relating to staff recruitment, annual leave and sickness absence Staff are clearly valued and well supported. Ongoing training is provided to ensure that all staff have the necessary skills and competencies to effectively meet the assessed needs of the service users. There is evidence from the AQAA that the service continues to meet the service users ongoing support needs and the management and dedicated staff team remain committed to providing good quality care and maintaining positive outcomes for the people who live at Meadowcroft. 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 29 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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