Care Home: Mont Calm

Annual service review Name of Service: Mont Calm 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: Christine Grafton Date of this annual service review: 0 3 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 13 Shottendene Road Margate Kent CT9 4NA 01843221600 Telephone number: Fax number: Email address: Provider web address:   j.newell60@hotmail.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : dementia Conditions of registration: Mr Stephen Anthony Castellani Number of places (if applicable): Under 65 Over 65 31 0 The maximum number of service users to be accommodated is 31. 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: Dementia (DE) 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 Accommodation is provided for up to 31 people. The premises have twenty-five single and three shared bedrooms situated on 3 floors served by a passenger lift and two stair lifts. Communal facilities including four lounge areas are situated on the ground floor. The home is located in a rural area next to farmland and within easy driving distance of Margate town centre. On-street car parking is available at the front of the premises. In July 2008 the weekly fees were in the range of £389 and £500. The items not covered by fees include: clothing, toilet requisites, stationery, dry Annual Service Review Page 2 of 7 cleaning, hairdressing, chiropody, physiotherapy, newspapers, medical requisites (other than by prescription), spectacles, hearing aids, batteries, incontinence products and items of a luxury or personal nature; any other treatment or care requested by or necessitated by a residents worsening state or health not provided by the NHS, as well as certain forms of entertainment and outings. 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. 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 visit 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 (AQAA) when we asked for it. This was very clear and comprehensive, containing excellent information that is fully supported by appropriate evidence. Our last inspection on 25th July 2008 indicated that they were ensuring good outcomes for the people living in the home. We saw that they had made significant improvements since the provider took over the home in December 2007. Our report recognised that residents access to better social and healthcare had improved and there was a commitment to quality assurance measures in improving the comfort of residents and their longer term care and support. The AQAA indicates that they have continued to improve the quality of the service that they have provided during the last twelve months. The manager states that this is owed to a dedicated staff team that has totally supported the management in moving the home forward. Comments in surveys returned to us support this, one stated, Always cheerful and always there if you need help. Another stated, The aura of the place its simply a very nice home. The manager has shown a good level of understanding about the importance of equality and diversity and the AQAA contains a wide range of evidence showing how they have listened to residents, relatives, advocates and others involved with the professional care of the residents. The AQAA indicates that equality and diversity training has been completed by the manager and learned practices are taught to staff and incorporated within their work practices. By meeting with families and advocates and forming trusting relationships, staff acquire the knowledge about the resident so Annual Service Review Page 4 of 7 that any equality and diversity needs can be included in the care plans, which are regularly reviewed. The AQAA indicates that all senior staff and the majority of junior carers are trained in dementia care to level 2. The AQAA shows they have continued their commitment to staff training. Examples of courses completed include: four staff have completed a palliative care course and three staff have completed a therapeutic communications course; all management and senior staff have completed infection control training, adult protection training, Mental Capacity Act training and deprivation of liberties safeguards training. They have recognised that an extra staff member was needed to clean the preparation areas in the kitchen and because of the extra workload they were losing a valuable member from the care staff team to fulfill this role. They have created a new post of general assistant, which is currently being shared by two part time staff. This helps to make sure that they have five care staff available for the care of the residents during the day. They have also introduced a new administrative role for twelve hours a week to enable the manager to spend more time personally evaluating the needs of residents in her care and facilitating meetings with advocates and families. They have continued to provide a variety of activities to keep residents meaningfully occupied and stimulated. They have themed social gatherings (parties) to which families are invited. There are regular exercise therapy and music therapy sessions and a therapy room is available with a new electric recliner chair that has been specially bought for this room. They are currently refurbishing the summer house to provide a drinks making area for residents and their families to use when enjoying the garden. They also plan to incorporate into this a residentsshop, selling personal items such as body wash and toothpaste to encourage residents to be assisted to choose and purchase their own toiletries. This will be non profit making and it is planned for one member of staff to run the shop for two hours each afternoon. A relative commented in their survey that this is a lovely idea. Environmental improvements include, the painting of the rear of the building, more new armchairs purchased, a shower room re-tiled, the laundry room has been resituated inside the building, with new machines in place, new beds and soft furnishings in some bedrooms and new audio equipment purchased for three of the lounges. The AQAA has shown that they have plans to continue working in a way that promotes the best interests of the residents. For example, they have stated that they plan to buy more percussion instruments for the home to enhance communication. They plan to hold an Ascot style day in August and are working to complete the renovation of the summer house for this event. The AQAA tells us that the safety of the premises is up to date. They have continued to let us know about any things that have happened since our last inspection, such as incidents and accidents and they have shown that they have managed issues well. The AQAA indicates that they have not received any complaints in the last twelve months and there has not been anything out of the ordinary that has caused us to be concerned. The manager states they receive constant encouragement from the provider and area manager and ideas to enhance the good practice within the home are supported. This Annual Service Review Page 5 of 7 has made the running the home a joint effort between everyone involved in the residents care. We feel that they continue to work well with us and have shown that their service continues to provide good outcomes for the people who use it. Indeed they have provided a number of examples in their AQAA where outcomes for residents are excellent. 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 July 2010. However, we can inspect the home 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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