Care Home: New Bradley Hall

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Annual service review Name of Service: New Bradley Hall 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: Gerard Hammond Date of this annual service review: 1 0 0 3 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: Compton Drive Off Stream Road Kingswinford West Midlands DY6 9NP 01384813515 01384813516 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Linda Elizabeth White Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Dudley Metropolitan Borough Council Number of places (if applicable): Under 65 Over 65 4 0 0 31 The maximum number of service users who can be accommodated is: 31 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: Dementia (DE) 4, Old age, not falling within any other category (OP) 31 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 Annual Service Review Page 2 of 8 New Bradley Hall is a local authority home registered to provide 24-hour care for 31 people over the age of 65, including 4 people with a diagnosis of dementia and 2 respite beds. Originally built in the mid 1960s it has been refurbished to improve the facilities and services available. This now includes 31 single rooms, all with en-suite (toilet and shower facilities) and a number of smaller sized lounge/dining areas. There is a range of aids and adaptations including hoists, vertical lift, call system, wide doorways, corridors, handrails, and spacious bathing/toilet facilities. The home is in its own large grounds near the centre of Kingswinford, easily accessible by public transport. The property is surrounded by an established residential area, but is well screened from nearby houses. The staff team consists of a Registered Manager who with the assistant of a team of senior staff manages a number of care assistants and domestics. The catering services are contracted in from Dudley Catering services. The home should be contacted directly for current information about fees and charges. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? The homes last key inspection was on 7th February 2008. We looked at all the information we have asked for or received since we last reviewed this service on 22nd January 2008. This included: The Annual Quality Assurance Assessment (AQAA) that the Manager sent to us. This is a self assessment that focuses on how well outcomes are being met for people who live at this home. It also provides us with some numerical information about the service. Surveys that we sent to people who use the service, their families or advocates, and staff working at the home. Information we have about how the service has managed any complaints or safeguarding referrals. What the service has told us about significant events or things that affect the wellbeing of the people living at the home. These are called notifications and are a legal requirement. The previous key inspection report and the result of any other visits we have made to the service in the past twelve months. Relevant information from other organisations, and what other people have told us about the service. What has this told us about the service? The Manager sent us an Annual Quality Assurance Assessment (AQAA)when we asked for it. It contained clear information and told us what we needed to know about how the service is supporting the people that use it. We looked at the information in the AQAA and our judgement is that the home is still providing a good service for the people living there. Previous reports show that peoples needs are assessed before they move into the home, so that their care and support can be planned properly. In the Annual Quality Assurance Assessment (AQAA) the Manager told us about things that have happened at the home over the past twelve months, improvements that have been made, and plans to develop the service in the future. She said that there had been an improvement in the number of people visiting the home before moving in. This gives them the opportunity to see for themselves if the service provides what they are looking for. It is planned to improve the information given to people about the service by including a pictorial guide guide to the home. We noticed that this was proposed last year also, but has not yet been realised. The AQAA shows that each person using the service has a designated key worker, and that peoples care plans and risk assessments are kept under regular review. This helps to ensure that important information about peoples care is kept up to date. The ways in which staff record day to day information about people is an area that the Manager has identified for future Annual Service Review Page 4 of 8 improvement. The home has a good working relationhip with the local GP practice, a view endorsed by one persons relative in particular. Previous reports also show that peoples personal and healthcare needs are generally well met. The AQAA shows that the home consults people and their families about their lifestyle choices and preferred activities. Answering a survey question about what the home could do better, one person wrote a little more entertainment. Another told us it would be nice to go out, weather permitting, to the shops, garden centres etc.. Comments received from peoples relatives also suggested that this could be improved. One said more recreational activities are needed at the home. Someone else told us that more activity, stimulation and one to one work are things the home could do better. Comments in general about the home were more positive, and you can read some of these at the end of this section of the review. In the responses to surveys, people told us that they always receive the care and support they need. In the AQAA, the Manager told us that there are plans for each person to have a life story book, to inform planning and scheduling of activities in future. Responses to surveys from people living in the home said that the home arranged activities they can take part in if they wish. All but one said always. Most people said that they liked the food that the home provided, and enjoyed their meals. This view was confirmed by their relatives too. All of the people responding to surveys said that the home is always fresh and clean. People told us that they know someone they can talk to informally if they are not happy. All but one said they knew how to make a formal complaint. In the AQAA, the Manager told us that one complaint was received in the last 12 months, and that this was dealt with according to the homes procedures. We have not received any complaints about this service. The Manager told us that people are safeguarded by the homes recruitment practices. Important checks are carried out on each member of staff before they start work at the home, to make sure they are fit for their jobs. She told us that the home has made 2 safeguarding referrals since the last review. We have neither received nor made any other safeguarding referrals in respect of the service during that time. All staff receive training in safeguarding, and we are confident that the service takes positive action to ensure that people are protected from harm. Previous reports show that the use of agency staff to maintain staffing levels has been a concern in the past. Information in the AQAA shows that this is still an issue. As previously, the home has told us that staff from other Local Authority homes are being redeployed when those services close, reducing the need for external agency staff. Also that, where possible, the home uses familiar bank staff or covers shifts from within the existing care team. Continued improvement is needed on this, to better promote continuity of care for people using the service. Staff responding to questionnaires told us that their induction training covered what they needed to know to do he job mostly or very well. They said that they are given training that is relevant to their roles, helps them understand and meet individuals needs, and keeps them up to date with new ways of working. The AQAA shows that 78 of the permanent members of staff have gained qualifications at NVQ level 2 or above. They said that they had support and supervision either regularly or often. These things help to ensure that staff have the knowledge and skills and get Annual Service Review Page 5 of 8 the support they need to do their jobs well. These are some of the comments we received about the service: What does the home do well One person living there said, Looks after everyone well. Staff are good and friendly. Menus are varied and cooked beautifully, and the home is so clean. Another said, Everything, got no complaints. Relatives told us The carers and all staff at New Bradley Hall are so kind and friendly, my mothers needs are well taken care of. The meals at the home are good (my mother says so) Someone else said, The service looks after my mom very well, and treats her with respect. Another comment received said, Always keeps my mother clean and well fed. Kind and friendly staff are always willing to help. The home is always clean and tidy - very satisfied in all respects. Answering what could be better, one relative said Try to keep more permanent staff. Another said more activities and stimulation for the residents. Mother is registered blind - more adaptions, care by staff to recognise those extra needs with visual impairments. Staff told us Staffing levels - according to dependency levels, more clients now requiring 2 staff members. Entertainment and holidays. Provide more staff and employ more permanent staff for continuity. Other comments included: I feel confident that overall my mother is well cared for and kept comfortable Home, staff and everything is excellent Im praying that this home will never be sold for private housing, because I am happy here. The home continues to let us know about things that have happened since our last inspection and have shown us that they continue to develop and have managed issues well. They work well with us and have shown us that they continue to provide good outcomes for the people who use the service. Annual Service Review Page 6 of 8 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 7th February 2011. However, we can inspect the home at any time if we have any concerns about the quality of the service, or the safety of the people who use it. Annual Service Review Page 7 of 8 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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