Care Home: Nicholson House

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Annual service review Name of Service: Nicholson House The quality rating for this care home is: The rating was made on: three star excellent service 1 1 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: Angela Tew 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: 97 Mirfield Grove Sutton Way Kingston upon Hull East Yorkshire HU9 4QR 01482709443 01482708883 elaine.start@hullcitycouncil.gov.uk 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 Conditions of registration: Kingston upon Hull City Council Number of places (if applicable): Under 65 Over 65 29 0 0 29 The maximum number of service users who can be accommodated is: 29 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, Code OP - Dementia - Code DE 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Nicholson House is a care home offering accommodation and personal care to 29 persons who are subject to a wide range of primary conditions and are experiencing difficulties associated with the aging process. The accommodation is purpose built over two floors that are joined by a passenger lift. The home offers support on a long term and respite basis. All of the bedrooms are single and there is a good range of Annual Service Review Page 2 of 7 None 1 1 0 3 2 0 0 9 communal facilities available for people. The home is situated in a residential area in the East of Hull and is near to some local facilities. There is reasonable access to local shops and public transport is available nearby. The home has two outside patio areas and a small garden with good car parking facilities. The Local Authority own and run the home with some assistance from the Primary Care Trust. People are given a service user guide explaining what the home will provide. The weekly fees range between £81.06 and £703.00, this information was provided by the registered manager during the inspection visit. Additional charges are made for hairdressing, toiletries, chiropody, papers and magazines. 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 this service. It also gave us some numerical information about the service. Surveys returned to us by people using this service and from 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 service, these are called notifications and are a legal requirement. The previous key inspection 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 care home sent us their annual quality assurance assessment (AQAA) when we asked for it. The AQAA gave us information on what the home does well and what they could do to improve the service it provides. It stated that Nicholson House seeks the views of people using the service by holding regular meetings with them and relatives, as part of the quality assurance system surveys are given out to people on a regular basis. District nurses are invited to staff meetings and have given all staff palliative care training. The AQAA also stated that the home has been subject to extensive redecoration. The AQAA told us that equality and diversity is promoted, all staff have had training in Equality and Diversity. Shift leaders and some staff have also received training in values and attitudes and several residents attend the local church on a Sunday. The AQAA told us that people are only admitted following a full assessment of their needs and the home ensures that the individual fits the criteria. The home has produced an information leaflet that explains the running of Nicholson House. The AQAA told us that people have person centred plans and they have Patient Passports. The home has developed good relationships with district nursing team, GPs and other health and social care professionals. The home has a robust medication policy and all staff receive medication training. The AQAA told us that people are supported to take part in activities and outings on a regular basis and these include one to one support with individuals, trips to garden centres, to Beverley by train and visits to Hull city centre. Activities carried out within Annual Service Review Page 4 of 7 the home include reminiscence groups, quizs, reading, coffee mornings, prize bingo. Many of our residents have attended Golden Leaves lunches and parties which also provide great entertainment for them. The home has a regular volunteer who attends the home and undertakes activities. The AQAA told us that the menu offered is varied and diverse, including Themed meal days, vegetarian and several different options. Safeguarding training is undertaken by staff, this is to ensure that staff are aware of their responsibilities and people receiving a service are protected from harm or abuse. There have been two safeguarding referrals made in the last year and each one has been investigated by the Hull Safeguarding team and appropriate action taken to ensure that people living in the home are protected from abuse. The home updates staff on a regular basis regarding safeguarding and in addition staff watch DVDs about identifying bad practice and how to eradicate this. The AQAA told us that the recruitment procedure is adhered to and staff do not start work until the appropriate checks have been received. Staff undertake mandatory training as organised by the Councils training section. The staffing levels are sufficient to meet the needs of the people living in the home and the AQAA stated, we have introduced a new working system of residential workers throughout the unit. There are now three downstairs and three upstairs, plus the one to one who works with individual residents. The AQAA told us that the training offered to staff is of an excellent standard and most staff have obtained NVQ level 2 and the remainder are working towards the qualification. It stated that staff have achieved certificates in dementia and palliative care. The home identifies what the service does well, we provide a safe and caring environment for vulnerable adults, most of whom have very complex needs, due mainly to their advanced levels of dementia type illness. We have actively participated in becoming a person centred care home. Some barriers to improvement are identified as a small minority of the staff group who lack the enthusiasm and commitment to make their role anything other than a job. Five surveys were received from people who use the service and their relatives and their comments were very positive about the service offered. Some comments included, always friendly and everyone is very good and there when you need them. Nothing is too much trouble, my mother is well looked after and I have seen a very noticeable change in her self-esteem. She is very happy and content and well groomed, staff are always available, attentive and proactive in ensuring her needs are met, myself and immediate family can only praise this care establishment, the home and care staff are always friendly and caring, not only to our mum, but to our friends and family too. Ten surveys were received from staff and these confirmed that the training and support offered is of a very good standard and people receive support in a caring way. Some comments included, the standard at Nicholson House is very high, the management are always very supportive, we work together in a person centred environment, the care given to service users is excellent, very good food and choices, we have entertainment days which service users love, Nicholson House is a lovely home. We are given support, help and training in every aspect, the home runs well and the staff work well together. The home gives good care and communication is very good between staff and management, provides a safe environment, care is outstanding towards customers, provides social stimulation and outings. Some commented that there Annual Service Review Page 5 of 7 could be better communication between staff and management, more staff to undertake 1-1 activities with people. The home continues to let us know about things that have happened since the last key inspection and they have shown that they have managed issues very well. The home has not received any complaints since the last visit. There have been two safeguarding referrals made to the local care management teams, these have been investigated by the Police and Hull Social Services and the home works with other agencies to improve standards and ensure people are safe. We looked at the information in the AQAA, returned surveys and notifications and it is our judgement that the home is still providing an excellent service and they know what further improvements they need to make. 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 10th March 2012. 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. 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