Latest Inspection
This is the latest available inspection report for this service, carried out on 29th March 2010. 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 Excellent.
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 Moreton Hill Care Centre.
Annual service review
Name of Service: Moreton Hill Care Centre The quality rating for this care home is: The rating was made on: three star excellent service 1 3 0 3 2 0 0 9 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: Kathryn Silvey Date of this annual service review: 0 1 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Moreton Hill Care Centre Standish Stonehouse Glos GL10 3BZ 01453826000 01453826001 moretonhill@barchester.com www.barchester.com/oulton Barchester Healthcare Homes Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Deanna May Lane Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 25 0 0 0 0 2 37 5 The maximum number of service users who may be accommodated is 67. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) - maximum of 37 places Physical disability, aged 65 years and over on admission (Code PD(E) - maximum of 5 places Dementia (Code DE) - maximum of 25 places Mental disorder, excluding learning disability or dementia, aged 65 years and over on admission (Code MD(E) - maximum of 2 places 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: Mrs Deanna Lane was registered as the homes manager on 23 January 2009.
Page 2 of 7 Annual Service Review Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 1 3 0 3 2 0 0 9 Moreton Hill Care Centre is situated on the outskirts of the small town of Stonehouse, close to Standish hospital. The home is set high on a hill with magnificent views across the countryside to the River Severn and beyond. The building consists of an old farmhouse, which has been renovated and extended. The accommodation is on various levels and is furnished, decorated and maintained to a high standard. The majority of rooms have ensuite facilities. Most rooms are for single occupancy although couples can be catered for. All areas of the home are accessible with two lifts to all floors. There are five reception rooms, which serve all levels in the home. Outside there are various sitting areas, one of which is an enclosed courtyard with raised flowerbeds, plants and shrubs. Three parking areas surround the home and the nearby fields and stables are home to a collection of farm animals. There are level pathways for service users to walk safely or use wheelchairs at their leisure. Two of the wings Severn View and Cotswold Rise have been registered to accommodate people with dementia. They have their own lounge, dining and kitchen areas, which have been well decorated and furnished to meet the needs of the people living there. The people in one dementia also have access to an enclosed courtyard and a garden with sensory planting. Current fees are from 875.00 pounds. Hairdressing, chiropody, newspapers, toiletries and outings are charged as extras. The home provides information about the service, including The Care Quality Commission reports, to people and their representatives in the Service User Guide and Statement of Purpose, available in the home. 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 by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It should also give us some numerical information (DataSet) about the service. Surveys returned to us by people using the service, and from staff and 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 home, these are called notifications and are a legal requirement. The previous key inspection and any 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), which was detailed and gave us the information we asked for. The AQAA told us that regular meetings are held where staff ask people their views on the running of the home and any changes they would like introduced. The home promotes person centred care so that peoples views and wishes are acted upon. People also complete an annual customer satisfaction survey that is acted upon where needs are identified. Requests from people for a garden area on level four dementia unit means that the home now has planning permission to provide a garden area within the next two years. There have been improvements in the last twelve months as follows: Documentation and record keeping have improved resulting in a score of ninetysix percent in an October 2009 recent Barchester audit . Continence champions within the home are updated regularly on current good practice and are taking part in the National Audit of Continence Care. Specific training is given to staff to meet peoples needs, for example; palliative care and tissue viability. Activities have increased on the dementia unit, by providing staff with more equipment and training them to deliver meaningful occupation. Advocacy services have been promoted and used within the home, and safeguarding adults scenarios are used to help train staff to recognise abuse. One dementia unit has been completely refurbished and two floors of the home decorated completely. Several rooms have had new flooring. A Barchester audit of Annual Service Review Page 4 of 7 maintenance, undertaken by the regional property services manager in July 2009, scored ninetyfour percent. The AQAA also told us that equipment in the home has been serviced or tested as recommended by the manufacturer or other regulatory body in the last twelve months. Improved infection control for people includes providing personal hand soap and paper towels in ensuite bathrooms. A new trainer has implemented and maintained a comprehensive programme of training. Each new member of staff is supervised and has a named mentor. Training is ongoing following the induction period and takes into account personal development needs. The new registered manager has completed the Registered Managers Award and recently undertaken a Person Centred Dementia Care course, health and safety courses and a moving and handling trainers update. A Barchester administration audit in November 2009 gave a very high score of ninetythree percent, and was a small improvement on the year before. In November 2009 the home won Caring Business Magazines Care Home of the Year 2009, which was supported by eleven testimonials from families and professionals. Also in November 2009, the deputy manager came second and was highly commended for Caring Times, Care Nurse of the Year. Staffing has improved with a fairly static workforce, reducing the need for agency staff to zero for long periods of time. The last review of all policies and procedures in the home was 2007. There have been three complaints in the last year, all investigated by the home, two were upheld. We were notified of one safeguarding referral for a person, which is being strategically managed by the local safeguarding team. The manager and staff have acted professionally and protected the person. We received completed Care Quality Commission surveys from two people living in the home, three relatives, one healthcare professional and five staff. The surveys indicated that people always received the care and support they needed, and the medical care they needed. The people living in the home and their relatives told us they knew how to make a formal complaint. The following comments were made in the surveys from people in the home and their relatives about what the service does well; the nursing standards are excellent, the sympathy,care and comfort from all the staff has been a major factor in the steady improvement of my health, I have found the care, support and friendliness outstanding, the premises and food are first class and the entertainment and outings are excellent, they are quick to spot medical problems when they arise and act sensibly respecting my aunts wishes, I have nothing but praise for the staff at Moreton Hill and Moreton Hill is outstanding and gives all our family peace of mind about our mother. Comments about What the service could do better included the following: access to outdoors for the dementia unit and more stimulating activities there, to include physical exercises and an extra person for period of activities and lunch (on the dementia unit). A healthcare professional told us how impressed they were with the homes end of life
Annual Service Review Page 5 of 7 care in that not only do they support the person one hundred percent, but also consider what support the relatives may need. The staff surveys told us that they are well supported by the manager and that they are appropriately trained. The staff comments about What the home does well included the following: Liaise with the multidisciplinary team to support peoples needs, care and support for relatives, exceptionally clean environment, the home does well in all aspects of supporting residents and family and provides an excellent service for all residents with a warm and friendly atmosphere. Comments from staff about What the service could do better included the following; communication between different departments could be better and have a better pay structure . We looked at all the information and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. What are we going to do as a result of this annual service review? The last key inspection of this service was on the 13th March 2009. Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 13th March 2012 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:
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