Care Home: Mill Hayes Residential Home

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Annual service review Name of Service: Mill Hayes Residential Home The quality rating for this care home is: The rating was made on: two star good service 2 7 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: Linda Clowes Date of this annual service review: 1 9 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 72 Mill Hayes Road Kynpersury Stoke on Trent Staffordshire ST8 7PS 01782519047 01782519047 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 physical disability Conditions of registration: Care View Services Limited Number of places (if applicable): Under 65 Over 65 4 0 8 0 16 0 The maximum number of service users to be accommodated is 16 The registered person may provide the following category of service only: Care Home Only (Code 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) 16 Physical Disability (PD) 8 Dementia (DE) 4 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 Mill Hayes is a privately owned care home. and is located in a semi-rural location on the ourskirts of Biddulph. It is conveniently situation on the main A527 between Tunstall and Congleton. Annual Service Review Page 2 of 7 2 7 1 1 2 0 0 8 Accommodation is provided on two floors with access by staircase or a passenger lift. There were two shared bedrooms each with en-suite facilities and twelve single bedrooms for a total of 16 older people. There was a walk-in shower facility on the first floor and an assisted bathroom on the ground floor with separate toilet facilities conveniently located around the home. On the ground floor there was a large lounge with adjacent snug and a separate dining room. There was a secure decked garden area with a covered smoking area. The home stood in grounds that were set with lawns, shrubs and a decked area. There were hard-standing car parking facilities. 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? Following the last Key Inspection on 27 November 2008 we considered that Mill Hayes Retirement Home provided a Two Star (good) service. We are, therefore, this year carrying out an Annual service Review. We looked at all the information we have received, or asked for, since the last Key Inspection. This includes: The Annual Quality Assurance Assessment (AQAA) that is completed and sent to us by the service. Completion of the AQAA is a legal requirement and it enables the service to undertake a self-assessment which focuses on how well outcomes are being met for people using the service. Surveys returned to us by thirteen people who use the serice and their advocates. Surveys returned to us by twelve people who work within 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 home. These are called notifications and are a legal requirement. The previous inspection findings from the Key Inspection Report dated 27 November 2008. Two requirements were made in the last report as follows: 1.No care staff shall be deployed in the home until all checks and references have been received. 2.No person shall be admitted to the service who has mobility needs until care staff have received updated moving and handling training. We made the following recommendations: 1.The home should confirm in writing to people who use the service that they are able to meet their needs. 2.They should weight people on admission to provide a base line. 3.They should check with peoples doctors to confirm their current medication. 4.They should ensure that there is sufficient storage for controlled drugs. 5.They should introduce a staff training matrix. 6.They should undertake regular Quality Audits (Satisfaction Questionnaires). What has this told us about the service? The home sent us their AQAA within the specified timescale. This gave us a good picture of the current situation within the service and also plans for improvement for the future. Annual Service Review Page 4 of 7 The AQAA tells us that the service has updated recruitment procedures which includes police checks and taking up two references before employment (Requirement 1). They have updated all mandatory training including manual handling (Requirement 2). The AQAA tells us how they meet equality an diversity through having an Equal Opportunities Policy that was updated in October 2008 and which is promoted during staff induction. We are told that the service is Currently planning a one day course with our trainers which will include equality and diversity and specialist conditions (epilepsy, dementia, autism, etc) for all our staff. We are also told our organisation culture of valuing differences amongst people is made clear at recruitment. The service promotes individual religious beliefs and cares for both males and females. The AQAA tells us how they have improved in the last twelve months and how they have met the requirements and recommendations in the last Key Inspection Report through implementing more robust pre-admission assessments (Recommendation 1). They now weigh people on admission if service user in agreement and able to bear own weight (Recommendation 2). Prospective new service users GPs (general practitioners) are consulted regarding mental health, medication, medical history and diagnosed illnesses/ailments (Recommendation 3). They have told us that they have installed an appropriately approved medication storage cupboard for controlled drugs (Recommendation 4). A clear overview of staff training has been introduced by using a training matrix board (Recommendation 5). The service also tells us we ensure that we listen to views of people using our services and act upon issues where appropriate through our robust Quality Assurance (Recommendation 6). The home is managed by an appropriately qualified and experienced manager who is supported by a commited proprietor. There has been commitment to improving the environment in the last twelve months with the introduction of a walk-in shower facility to replace a little used bathroom area; major repairs to the roof of the building; upgrading of toilet facilities; on-going decoration and renewal of furnishings. We are told that the service has recently been granted approval to build a conservatory which will increase the communal living space for people who use the service. The AQAA also tells us that the service has received no complaints since the last Key Inspection. No safeguarding procedures have been initiated. We, the commission, have received no complaints about the service or any safeguarding alerts since the last inspection visit. The surveys we received from people who use the service are very positive. They tell us that the staff and manager treat people well and that they listen and act on what people say. They also confirm that the home is always clean and fresh and that they know how to make a complaint if they have concerns or are unhappy. People have added comments to surveys as follows: Very happy at the home. The home offers trips, listens and is very helpful. Annual Service Review Page 5 of 7 All staff really care and show affection for all the residents. I am very pleased with the loving care given to my husband. My family and I could not wish for anything more. They arrange trips out and visits to the pub. Pleasant staff. Not enough staff. The home does its best to look after its residents. Caring and considerate. We have received a very good response to staff surveys. Staff tell us that they are being given training that is relevant to their role; helps them understand and meet individual needs; keeps them up to date with new ways of working; gives them knowledge about healthcare and medication. All staff were positive about their employment at Mill Hayes. Staff have added the following comments: Since new owners in June 2008 the environment has improved greatly. There are caring staff who are willing to undergo regular training. Everyone in the home works well together and communication is usually very good. The home provides a range of activities to suit the needs of service users. Has a good complement of staff that work well together and are aware of service users needs. Gives regular training. More staff needed. We have regular training, meetings with managers. Always have appropriate working equipment. They should give more information about the service users and more information about the medication theyre on. The home keeps us informed by notifications of any issues that occur that affect the people who live at Mill Hayes. What are we going to do as a result of this annual service review? We have analysed all of the information available for this annual service review, including the AQAA and surveys. We are satisfied that Mill Hayes Retirement Home continues to provide good outcomes for people using the service. We are not going to change our inspection plan and will do a Key Inspection by 27 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 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. Copyright © (2009) Care Quality Commission (CQC). 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