Latest Inspection
This is the latest available inspection report for this service, carried out on 25th September 2009. CQC found this care home to be providing an Good service.
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 Paxton Hall Care Home.
Annual service review
Name of Service: Paxton Hall Care Home The quality rating for this care home is: The rating was made on: two star good service 2 8 1 0 2 0 0 8 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: Elaine Boismier Date of this annual service review: 2 5 0 9 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: Rampley Lane Little Paxton St Neots Cambridgeshire PE19 6EL 01480213036 01480477811 paxtonhall@kelam.com www.paxtonhall.co.uk Kelam Health Care Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia learning disability old age, not falling within any other category Number of places (if applicable): Under 65 Over 65 0 0 0 16 3 39 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 Paxton Hall is a listed building, dating back to Elizabethan times, on the outskirts of Little Paxton, between St Neots and Huntingdon. The old house was rebuilt and renovated in 1738 and converted into a care home in the early 1980s. Accommodation for residents in the old house is on two floors, accessed by a stair lift and passenger lift with a single floor extension at the back. A conservatory and communal areas are available and there is a large garden to the front of the house and internal courtyards. Information about the current fees, including any additional costs, can be obtained from the home. A copy of the inspection report is available on request from the home or via our website at www.cqc.org.uk 2 8 1 0 2 0 0 8 Annual Service Review Page 2 of 8 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? We looked at information we have received from the home since our last inspection. We looked at the results of surveys we have received from some of the residents and from some of the staff and from two health care professionals who is involved with the home. We looked at the report of our last inspection that took place in October 2008. We looked at the Annual Quality Assurance Assessment (AQAA) that was completed by the Registered Manager. 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. We spoke with a health care professional, over the telephone as they asked to speak with us. We looked at information, such as notifications and letters, that the home has sent to us. What has this told us about the service? All of the ten residents surveys said that they received the right care, including medical care, and support that they needed. One of these surveys, completed by a residents relative, said the home does well in as it Supports residents at various levels of care. When I go to visit (my relative) (mostly unannounced) I always find (them) well and happy and clean and all (their) notes to hand if I wish to see them. Another of these surveys said that the home, Treats all residents with the utmost respect always seems to deal with everyone accordingly to their individual needs. Within another residents survey we read Everyone is so caring and helpful and (my relative) has got better better since (they) came here.. Both of the health care professional surveys indicated that the respondents were satisfied with the way the home managed the residents medication and, during a telephone call to one of these professionals, we were told that The standard of care is absolutely excellent. This tells us that the residents should be receiving safe and proper care and that they are valued. The AQAA told us what action has been taken, with regards to medication, as a result of our last inspection that took place in October 2008. This said Further to feedback from the previous inspection: - recording of medication and its affects have been improved, the medicine trolley, room and fridge logs are filled in daily and hand written sheets are now being countersigned. - there is closer liaising with the pharmacist and GP for any instructions regarding medication in terms of when it should be given and how it interacts with other medicines. All of the residents surveys indicated that they were satisfied with the standard of Annual Service Review Page 4 of 8 activities provided. All of the ten residents surveys said that they always or usually liked their meals. One of these surveys added that, at meal times, the home Always encourages people to try and make choices e.g. always brings custard or any other sauces to the table in jugs, rather than assume one would just want it. Food is always freshly prepared. The comments received about the activities and the meals indicates that the residents are satisfied with their social lives. We read, within the residents surveys, that the home is a clean and comfortable place. One of these surveys added Bedrooms are very clean and tidy. All lounges and dining areas etc are cheerfully decorated. Very welcoming. Another of these surveys said It is the most welcoming care home that could be wished for. It is very homely.. The AQAA told us that the home environment has improved, within the last 12 months, because We have decorated the external facade of the main building and repaired most of the windows in the main house which is a listed building and New dining furniture has recently been ordered and should be with us shortly. The AQAA also told us about the improvements made to the homes environment as New carpeting has been laid in the corridor and lounge in the extension. We have continued with a replanting programme of shrubs to provide stakeholders with all round colour and interest in the garden and courtyard. This information tells us that people should be living in a comfortable, safe and clean home. Both of the health care professional surveys said that the person knew how to make a formal complaint if they wanted to do so. All of the four staff surveys said that the person would know what to do if they had a concern about the home made to them. We received ten surveys from the residents and the majority (9) said that they knew how to make a formal complaint; the majority of these surveys (9) said that the staff listened and acted on what was said to them (the remaining survey, completed by a relative on behalf of the resident, said dont know to this question). All of the residents surveys or their representative, said that the person would know who to speak to if they were unhappy about something. We have had no concerns within these surveys and we have received no complaints made against the home. According to the AQAA there have been two complaints made against the home; both of these were resolved within the 28-day time required period and one of these complaints was substantiated. One of the residents surveys said the home does Everything (well) we have no complaints. Another of these surveys said, Cannot complain about anything! Everything very good indeed. This tells us that people are satisfied with the home and if not, would feel listened to and should be confident that, if they made a complaint, action would be taken in response to this. All of the four surveys from the staff and all of the ten residents surveys said that there was enough staff on duty. One of the residents surveys said that the home does well because there are Plenty of staff, all permanent-days and weekends. According to the AQAA Staff retention is good and staff turnover is minimal. This tells us that the residents should have their care delivered in timely and consistent way by a stable team of staff. We received four surveys from the staff that told us the person was very satisfied with the way they were managed, including the standard of training, including induction training, that they have attended. We received two surveys from health care professionals, one of which said that the home Provides well trained staff to give
Annual Service Review Page 5 of 8 individualised holistic care... Both of these health care professional surveys said that the staff, including the Manager, had the right skills and experience to support the residents social and health care needs and this included supporting the residents to live the life they choose, wherever possible. The AQAA told us that A large proportion of the care staff (68 ) are now NVQ Level 2 qualified with an additional staff member working towards her NVQ level 2 and that 29 members of the staff have attended training in infection control procedures. This tells us that people should receive safe and proper care as the staff are suitably trained. Following our last key unannounced inspection (KI) we made a requirement that said The care plan must provide clear and accurate guidance for staff in how to meet the individual needs of the residents. The timescale for this requirement to be met was by the 28th November 2008. We received a letter, dated the 27th November 2008, that told us what action the Manager had taken to meet this requirement. The letter said that, since our last KI, the Manager had attended training in person centred planning and dementia care planning and This information will be communicated to care staff in the forthcoming supervisions. Although there were no requirements made, with regards to medication, we expected the home to improve some of the medication practices within the home. The letter, of the 27th November 2008, told us that the temperatures of the drug fridge were now recorded; there was an improved recording of the mid-cycle medication and that the staff competencies and training in medication was being considered. This same letter also told us that the way some of the residents clothing was being protected at meal times, was being re-considered. We were satisfied with the contents of this letter and that it was sent to us in a timely manner. This indicates that the management of the home is mindful of the legal responsibilities in protecting and valuing people who live at the home. The AQAA explained how the home listens to the views of the residents, for example, In response to feedback from residents meeting- we continue to amend our menus and offer variety of choice and alternatives in response to residents feedback received at the monthly residents meetings. The chef now speaks with the residents and finds out from them personally what they would like to eat, how they would like it cooked etc. If a resident expresses a dislike for any particular dish, an alternative is always available. Sauces and creams are now served in separate jugs on each table rather than poured beforehand onto the plate/ into the bowl and residents are able to help themselves to these as and how they wish. Tea is served in teapots on each individual table after meals and residents enjoy pouring this out for themselves. Staff spend time with those residents who do not wish to leave their rooms but who enjoy to have company. We continue to offer a cooked breakfast for any resident who wishes to have one and have found this very popular. We also serve breakfast a little later as per the request of residents. Meals continue to be served in the rooms for those residents who prefer to eat in their rooms. The AQAA was sent to us when we asked for it; it was clear and detailed and told us that the home has a good quality assurance system. It identified areas where the home does well in, such as a low turnover of staff; what has improved within the last 12 months, such as medication practices and the homes environment and what the home intends to improve on such as Following the training in Dementia and Person
Annual Service Review Page 6 of 8 centred care, we will be preparing some memory boxes and memory boards to help with reminiscence exercises and activities. The AQAA also informed us that, as part of the homes quality assurance system, the homes policies and procedures were last reviewed in July 2009. The AQAA told us that the home is a safe place to live as there are in date service and safety checks for portable appliance (electrical equipment) and fire detection and fire fighting equipment, for example. What are we going to do as a result of this annual service review? We will continue to follow our inspection schedule as we are satisfied that the home continues to provide good quality outcomes for the people who live at Paxton Hall. We will carry out our next key unannounced inspection by 27th October 2010. We will continue to monitor any information that we might receive about the home. We can inspect the service at any time should we have concerns about the health, welfare and safety of any person living there. 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:
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