Care Home: Needham Court

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Annual service review Name of Service: Needham Court The quality rating for this care home is: The rating was made on: two star good service 1 9 0 1 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: Elsie Allnutt Date of this annual service review: 0 7 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 9 Stanhope Road Low Simonside Jarrow Tyne and Wear NE32 3UD 01914898146 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Jane Barnard Hutchinson Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Helen McArdle Care Ltd Number of places (if applicable): Under 65 Over 65 57 0 0 57 The maximum number of service users who can be accommodated is: 57 The registered person may provide the following category of service only: Care Home with Nursing - Code N 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, Code OP - maximum number of places 57 Dementia Code DE, maximum number of places 57 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: A new manager Jane Hutchinson has been appointed to the home and she has recently been successfull in completing the registration process with the Care Quality Commission. 1 9 0 1 2 0 0 9 Date of last key inspection: Annual Service Review Page 2 of 7 Date of last annual service review (if applicable): Brief description of the service Needham Court is a purpose built three storey Care Home providing residential care with nursing for up to 57 older service users. The home opened in July 2008. The facilities within the home are excellent, communal areas are highly attractive, and all bedrooms are single and have ensuite facilities. The home is situated on Stanhope Road, Jarrow, close to shops, Bedes world, restaurants, other public amenities and near to good transport links. The fees range from 428.00 per week to 510.00. A service user guide and Statement of purpose for the home are available which provide information for prospective service users and their families. A copy of the most recent inspection report is also 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 carried out a key inspection 19th January 2009 and the rating was 2 Star good. We looked at all the information that we have received or asked for since the last key inspection and this includes the following: -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. -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 complaints. -What the service has told us about the things that have happened in the service, these are called notifications and are a legal requirement. -The previous key inspection report and the results of any other visits 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. It was clear and gave us the information that we asked for. We looked at the information in the AQAA and our judgement is that the service provided is still good and that they know what further improvements they need to make. The home told us that they work together with service users, their families, staff and other professionals to ensure that the service is developed effectively and in a way that meets the needs and aspirations of the people who use it. This is achieved by involving people in planning and developing the service. Service users and their families meet to discuss issues about the home and the service delivered and in addition to this satisfaction surveys are sent out every 6 months, the outcomes of which are analysed and used in service development plans. The home feels confident that the service they deliver is a result of listening to the people who use it and as an outcome the following developments have recently taken place: Two activity coordinators have been employed to further develop the activity programme and depending on the activities to be organised they may work along side each other or on alternate days. This has expanded the range of acitivities available and the choice service users have, furthermore there are activities available over 7 days a week. Annual Service Review Page 4 of 7 Menus are organised regarding the preference and needs of the service users. Service users are encouraged and supported to make a choice for their daily meals at breakfast time, however some flexibility is offered to accommodate anyone who may change their mind since making their choice. An alternative meal is always available. The chef interacts with service users and their families to ensure that everyones needs and requests are addressed appropriately and when needed, special diets and pureed foods are made available. Fortified drinks and high calorie snacks in addition to fresh fruit are also readily available. The people who live here have access to all areas of the home and its facilities. The high standard of the environment has been maintained and this helps to promote the dignity and comfort of the service users, while at the same time provides a safe environment in which to live. This also enables service users to maintain their independence and their self worth. Over the past 12 months new garden furniture has been purchased so that service users can comfortably enjoy the environment of the homes gardens. When asked what the home did well service users made the following comments; I get the help I need. The home is kept clean. There are lovely friendly staff. It looks after your welfare and the meals are good. You can have visitors whenever you want. I like everything about the home I can not complain, they always attend to my needs whenever I ask them to. It has friendly staff and manager, it is a great environment and there is a good atmosphere. As a result of discussions with service users and their families the home gives service users the opportunity of remaining at home during the end of life process, as an alternative to moving into the clinical environment of a hospital. The home has developed good relationships with healthcare professionals and feels confident that they will receive the support needed to assist with this care and so that staff are equipped with the relevant skills and knowledge to support this process, they recieve training regarding palliative care. The staff team has remained stable and much training has been offered over the past 12 months to ensure that the needs of service users are appropriately addressed. A Random Inspection was carried out one late evening in June this year following an anonymous complaint about inadequate staffing numbers at night. After observing staff care practices and examining staff rotas and records it was concluded that service users were safely supported by an adequate number of competent staff. To ensure that this remains consistent the home reviews staffing ratios ongoingly in relation to service users changing needs and the manager confirmed that there is often an extra member of staff on duty. Annual Service Review Page 5 of 7 Most of the staff have attended dementia care training and a training programme for the remaining staff will take place over the next four weeks. The manager and senior staff have attended training related to the Mental Capacity Act/Deprivation of Liberty and other training including infection control and health and safety have also taken place. The manager is currently completing NVQ 4 in Care and following this will start the Registered Managers Award. To ensure that she has the skills to manage the home effectively she has been working through an ongoing training programme that includes amongst others; risk assessment, supervision and appraisals, disciplinary procedures and the Mental Capacity Act /Depravation of Liberty level 2. The service tells us that they continue to develop the service in a way that has positive outcomes for the service users and complies with government legislation. 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 19th January 2011. 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. 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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