Latest Inspection
This is the latest available inspection report for this service, carried out on 9th December 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Robertson Nursing Home.
Annual service review
Name of Service: Robertson Nursing Home The quality rating for this care home is: The rating was made on: two star good service 2 1 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: Mary Williamson Date of this annual service review: 2 7 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Priorsfield Road Godalming Surrey GU7 2RF 01483421033 01483428358 slaterj1@aol.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) The Robertson Nursing Home Ltd Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: The maximum number of service users to be accommodated is 41. The registered person may provide the following category/ies: of service only: Care Home with Nursing (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 in any other category (OP) Dementia (DE). 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 Robertson Nursing Home has provided nursing care for approximately fifty years. The current providers have owned the home since April 2008.
Annual Service Review Page 2 of 6 Number of places (if applicable): Under 65 Over 65 41 0 0 41 2 1 1 0 2 0 0 8 The property is over a hundred years old and has retained a lot of its original character. In the past few decades, extensions have been added, which have provided additional bedrooms and communal space. The property is set in its own grounds and is surrounded by a large mature garden. A range of communal facilities are located through the home which include a sitting room; dining room; library and conservatory. The library provides a quiet room with a range of books. The bedroom accommodation is arranged over two floors, with the provision being mainly single rooms with en-suite toilet facilities. The registered manager oversees the clinical and care practices and takes responsibility for the administration and practical running of the home. The providers visit the home several times a week. The home is able to provide nursing care for up to forty-one older people, 10 of whom may have a diagnosis of dementia. Fees range from £536 to £937 per week. This fee does not include chiropody, hairdressing or newspapers. Additional physiotherapy is available on request at an extra charge. This information was provided on 21/01/2008 Annual Service Review Page 3 of 6 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. 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 the service. It also gave us some numerical information about the service. Information we have about how the service is 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 annual service review. Relevant information from other organisations. What other people have told us about the service. Regular telephone conversations with the home manager. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. This was clear and gave us all the information we asked for. We looked at the information in the AQAA and it is our judgement that the home is still providing a good service and that they know what further improvements they need to make. The home operates a structures admission procedure and the manager stated in the AQAA that detailed needs assessments are in place prior to admission. The AQAA indicated that care plans are in place and annual reviews of care are undertaken when relatives, care manager and the named nurse are all invited. It also states that risk assessments are in place. The manager stated that residents views are listened to and acted upon. Questionnaires are distributed for feedback, a comment book and suggestion box maintained, and relative /resident meetings arranged with minutes displayed in reception for people who were unable to attend. Quality audits of the home are also undertaken and reports retained in the service for inspection. The activity programme has been reviewed and more outings and events have been organised. The manager stated that relatives are encouraged to attend home celebrations and parties. She also stated that planned speakers have been arranged from Age Concern and other organisations to talk at resident/relative meetings about various topic for example advocacy. The home has a refurbishment programme in place with several bedrooms having been redecorated since May 2009. Table linen and flower arrangements have enhanced the Annual Service Review Page 4 of 6 dining environment. Plans are in place to replace carpets in the communal areas of the home, replace curtains, redecorate more rooms, provide raised flower beds in the garden for wheel chair residents to enjoy, and fit a key pad lock at the front door. Residents follow a healthy eating plan and the AQAA indicated that fresh produce is used as much as possible. The home has a complaints procedure that is accessible to all residents and a copy retained in individual bedrooms. There is also a safeguarding vulnerable adults procedure in and all staff undertake training in these procedures. The manager stated in the AQAA that there is a team of staff in post that are competent and skilled to meet the assessed needs of the residents. Staff training is ongoing and the most recent training included Mental Health Capacity Act, and dementia awareness. Plans are in place to recruit more state registered nurses to cover leave and maternity leave and reduce the use of agency nurses. Good arrangements in place ensure that the health care needs of the residents are being. There is also a physiotherapist employed in the home at no extra cost to the residents. The home has a new manager in post since May 2006. She has an application in progress with The Care Quality Commission to become the registered manager of the home. The home continues to inform the CQC of any relevant events that have occurred since the last inspection and they have shown that they have managed issues well. They work well with The Care Quality Commission and have shown that their service continues to provide good outcomes for people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection and will do a key inspection by 20th October 2010. 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 5 of 6 Reader Information
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