Care Home: Prospect House Nursing Home

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Annual service review Name of Service: Prospect House Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service 1 9 1 1 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: Val Flannery Date of this annual service review: 1 1 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: High Street Malpas Cheshire SY14 8NR 01948860011 01948860006 peterhowell@prospecthousemalpas.co.uk www.prospecthousemalpas.co.uk Prospect House (Malpas) Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Caroline Anne Rowland Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 9 0 4 0 44 0 Staffing must be provided to meet the dependency needs of service users at all times and shall comply with any guidance that may be issued through the Care Quality Commission. 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: Dementia Code DE, Old age, not falling within any other category - Code OP, Physical Disabililty Code PD. The maximum number of service users who can be accommodated is: 44 The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Care Quality Commission. 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: Annual Service Review New registered manager 1 9 1 1 2 0 0 8 Page 2 of 7 Date of last annual service review (if applicable): Brief description of the service Prospect House is a large detached house located in the Main Street of Malpas Village. The building is close to all local services, public amenities and local transport. Most of the accomodation is provided in a purpose built extension. Access to the service is located to the side of the building and is accessible to those with mobility difficulties. The home has an internal passenger lift and staircase to the first floor bedrooms. The second floor contains the administration offices. Bedrooms are mainly single but some have double occupancy and some larger bedrooms are available to accomodate couples. Most bedrooms have en suite toilet facilities. Bedrooms contain connections for a television or telephone and have a call point. There are six lounges/sitting areas and a dining room. There are front and rear gardens and an enclosed rear garden to which people that use services have direct access. Both nursing and personal care are provided at the home as well as intermediate, respite and day care. Fees for those funded through the local authority or Primary Care Trust are at a locally agreed rate and the standard weekly fee is five hundred and sixty seven pounds per week. People that choose to use the services can obtain information about the home including a copy of the last visit report directly from the home or from the homes own website. 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 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 document 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 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 report and the results of any other visits that we have made to the service in the last twelve months *relevant information from other organisations *what other people have told us about the service What has this told us about the service? The service sent us the Annual Quality Assurance Assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that Prospect House is still providing an excellent service and continuing to maintain and improve to provide excellent outcomes for the people who live there. The AQAA told us what the staff at the home do to make sure the views of the people who use the service are listened to and acted upon. This includes senior staff from the home meeting every eleven weeks with the people who live there and their families/other representatives, when the persons individual care and activity plans are evaluated. During the meeting the people who live in the home can discuss issues and concerns and share their thoughts on the service provided by the home. The AQAA also told us that the people who live at Prospect House and their relatives are, following the meeting, invited to sign their care and activity plans to show their involvement in reviewing them and their agreement. We were told that, every year, the people who live at Prospect House and their relatives are asked to complete a questionnaire in which they can can give their views about the home. The AQAA told us that feedback from the questionnaire is made Annual Service Review Page 4 of 7 available to people living in the home, to those who may wish to live in the home, their families/other representatives and to others who may have an interest in the home. We were told that, every two years, an action plan is drawn up which sets out how they will be addressing areas within the home where improvements can be made. In the AQAA we were told that staff, relatives and others who support the people who live at Prospect House are encouraged to consider how their care could be improved, particularly for people who may have communication difficulties. We were told that senior staff in the home are available to talk with people who live at Prospect House about improving the care offered to them. The AQAA said that the home will continue to develop the service offered to meet the changing care needs of the people who live in the home and for those who may wish to live in the home. We were also told that, as part of the intermediate care service run at the home, people are supported to return to their own homes. The importance of respecting the people who live at Prospect House is included as part of the staff induction and ongoing training. The AQAA told us that as a result of listening to the people who live in the home amendments have been made to the menus, people are being consulted about the furnishings in the home as part of the on going refurbishment and the lay out of dining areas has been changed. We were also told that the home is reviewing how they receive comments from relatives. Staff at the home are planning to make these further changes as a result of listening to people who live in the home. They are further developing the choice offered to the people who live in the home, particular with end of life care. They are introducing a more user friendly complaint and comment procedure so that the people who live in the home and others can tell them their views about the home more easily. In the AQAA we were told what the home does to ensure equality and diversity are promoted within the service. We were told that people from other European Community countries are employed to care for the people who live at Prospect House. The AQAA told us that there are employment policies in place that reject discrimination on grounds of race, religion, belief, sexual orientation, gender identity and age. We were also told that the home is committed to providing the same level of care for all the people who come to live in the home regardless of their financial circumstances. People who live in the home are supported to attend the religious services of their choice. We were told that information about peoples diverse needs is obtained as part of the needs checks that are done before people move into the home and the person centred planning which is in place for the people who live in the home. In the AQAA we were told that changes have been made to make sure that equality and diversity are promoted in the home, including the requirements of the Mental Capacity Act. We were also told that all staff in the home have received training on the Deprivation of Liberty safeguards and that the policies and procedures for the home have been updated to include these principles. The AQAA told us what changes are being planned to ensure equality and diversity are promoted in the home. This includes developing the job specification of Operational Systems Manager and attending consultation events run by the Department of Health on dementia and adult social care. Annual Service Review Page 5 of 7 In response to the question in the AQAA about what the home does well, they stated that, The services at Prospect House have been founded on several principles: Excellence in Nursing Care. Transparency and fairness in all our dealings. And respect for all those with whom we interact, residents, relatives and friends, staff, social and health care professionals and regulators. Always promoting and keeping open channels of communication with all these parties. Making our services available to all who need us and choose us, regardless of their financial circumstances. Predicating ALL decision making on an assessment of the effect on, the benefit to, and the interests of, RESIDENTS. Making Prospect House a homely, clean, warm comfortable and welcoming place to live or recuperate or rehabilitate. Placing the highest emphasis on the safety of everyone we employ, care for, or welcome as a visitor. What our service does well is crystallized by our carrying these principles into practice. We were told how they have improved in the last twelve months. We have reorganised our management structure, the better to align ourselves with the challenges of continuing to deliver excellence in all aspects of our Service in a changing regulatory environment. We have improved the physical environment with the addition of the dedicated dementia care garden rooms conservatory. Improvements being planned were; We will review all aspects of our operations through the recently introduced mechanism of the Management Review Meetings and implement any changes indicated to enhance the safety and care experience of our residents. We could enhance the physical facilities offered at Prospect House, in a way that residents tell us they would like. We aim to achieve this through building an extension to our service over the next year. Three people who live in the home and three relatives sent us back completed comment cards with their views about the home. The comment cards completed by the people who live in the home told us; Make you feel that it is your home, Cannot think of any thing that would make the home better, The ladies who look after us are all very friendly and helpful. I like going to church and having my hair done. I liked the choirs which sang for us at Christmas. I like the food and biscuits. The relative/carer comment cards told us; We are very pleased with the care given, Prospect House does most things very well. The initial information provided was timely, relevant and accurate. The Garden Room is a a happy place with cheerful, helpful staff. The quality of care is excellent, the quality of the facilities and the quality of the leadership and staff ensures that residents are not only safe but also active and happy, the system of nominating a specific member of staff to each resident is a good one, could be developed further to ensure good communication with relatives on more mundane matters. 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 carry out a key inspection as required. 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. 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