Care Home: Rose Cottage Residential Home

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Annual service review Name of Service: Rose Cottage Residential Home The quality rating for this care home is: The rating was made on: three star excellent 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: Elaine Boismier Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: School Road Broughton Huntingdon Cambridgeshire PE28 3AT 01487822550 01487824783 john@tillisch.co.uk www.rosecottagecare.com John Tillisch Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Number of places (if applicable): Under 65 Over 65 0 38 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 Rose Cottage offers accommodation, care, and support to up to 38 older people. All rooms are for single occupancy and are on the ground floor; 35 of the rooms have ensuite facilities.Residents have access to a range of communal areas including four lounges and a small kitchenette.The home, located in the middle of the small Huntingdonshire village of Broughton, is situated about four miles from Huntingdon and is also within easy reach of the facilities offered by the cities of Peterborough and Cambridge, and the market town of St. Ives. External grounds feature a courtyard and an established pond that is surrounded by a patio area. There is a parking area to the front of the building. Information about fees, including any additional costs, can be obtained from the home. A copy of our inspection reports can be obtained, on request, from the home, or via our website at www.cqc.org.uk Annual Service Review Page 2 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? The last key unannounced inspection was carried out on the 18th December 2007 when we assessed that the home provided excellent quality outcomes for the people living there. We looked at information we have received from the home since our last annual service review that we carried out on the 2nd December 2008. We made the decision to continue with our inspection schedule as we had formerly planned after completing the ASR in December 2008: we considered that the people living at Rose Cottage were safe and should have been receiving the appropriate health and social care that they needed. We looked at the results of surveys we have received from eleven of the residents, one from a member of the staff and a survey from a health care professional who is involved with the home. 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 looked at information, such as notifications that the home has sent to us. What has this told us about the service? The information, that we have received, told us that the home provides, at least, good quality outcomes for the people living at Rose Cottage. We received eleven surveys from residents and all of these surveys told us that the person had the right amount of information to help them in their decision where to live. The AQAA told us that within the last twelve months there has been no placement breakdowns. This tells us that the home has a good pre-admission procedure in place. All of the residents surveys said that the person received the care, including medical care, and support that they needed. One of these surveys, completed by a relative on behalf of the resident, said that I have been generally pleased with the care accorded to (my relative). This tells us that the people should be safe as they should be receiving the right care and attention that they need. According to the residents surveys people can generally be confident that they are provided with opportunities to live a good social life. All of the residents surveys said the home provided suitable activities that the person could take part in. One of these surveys added that Were treated well, with activities and trips out. We received a range of views about the meals with the majority (10) of these surveys saying that the person always or usually liked their meals, with the remaining survey Annual Service Review Page 3 of 7 saying that sometimes the person liked their meals. Additional comments, about the meals, included a range of views from Diet need (is met) and Excellent to The food is wonderful. We also read that (The home could) provide food better suited to people with eating problems. I feel there should be a choice of menu for lunch. The AQAA identified, following an analysis of the homes 2009 surveys, that The responses received in our 2009 survey with regard to catering were generally more positive, up from 67 to 73 of respondents being satisfied or very satisfied. However, these scores are well below those for other areas of performance, so by comparison we still need to improve in this area to bring it up. People can generally feel confident that they will be listened to if they are unhappy about something although this could be better if all of the staff are (possibly) more approachable. We have made such a judgement based on the surveys that we have received. All of the residents surveys told us that the person knew how to make a formal complaint if they so wished and knew who to speak to if they were unhappy about something. The majority (9) of these surveys told us that the staff always or usually listened to what the person said to them. The surveys told us that the home does well with its General ambiance and that it it has an air of Friendliness and that there is Caring and attentiveness within the home although we read some opposing views about this: two of the residents surveys had less than positive views about staffing: one said that Some of the younger members of staff can be very short and curt at times. The other of these two surveys said that there was Occasionally a lack of thinking/common sense by carers. According to the AQAA there have been no complaints made against the home and we have received no such complaints. In addition the home has received no allegations of abuse against any of the residents and we have received no such allegations. This tells us that people should be generally satisfied and safe from the risk of harm. According to some of the comments made in the residents surveys it is unclear how efficient the home is in taking care of the residents personal laundry due to the range of views about this aspect of care: one of the residents surveys said that the person considered that the home cared well for their personal laundry whereas two of these surveys said that the home could improve in this area adding,Laundry and Ensure that laundry items are not lost. The AQAA identified that this is an issue as Some laundry items still go missing and have to be replaced. This tells us that the home has identified an issue with the laundry without any prompt from us, indicating that the home is able to manage itself. All of the eleven residents surveys said that the home was clean and fresh and some of these surveys added that the service does well because of the Cleanliness of the home. This tells us that people should be living in a comfortable home. The people should also be living in a safe place as the AQAA told us service checks are in date for equipment such as fire detection and fire fighting and emergency lights. We received one survey from a member of the staff and this told us that the person was satisfied with their training, felt support ed by the home and were satisfied with the staffing numbers. They also told us that The home is warm, friendly and very welcoming...The residents are very well cared for... Annual Service Review Page 4 of 7 We also received a survey from a visiting health care professional who said that the home provided the support, care, including medical care, to people and this was done in a way that valued peoples dignity. The person added that Rose Cottage is a Beautifully run home. (It is) Always keen to give the best care and provide the means to do this. The person also knew about the homes complaint procedure. All of the residents surveys said that the staff were always or usually available when the person needed them although one of these surveys added that This last 6 months has seen a great shortage of experienced staff due to mainly sickness and staff holidays. Inevitably this causes staff to cut corners and will lead to inefficiency should it continue. One of the residents surveys had less than positive views about staffing saying that Some of the younger members of staff can be very short and curt at times. People should be in safe hands as, according to the AQAA, 29 of our 41 care staff have NVQ or higher, and more staff have obtained their NVQ 2 qualification this year. Staff retention is good and allows us to deliver continuity of care. (NVQ = National Vocational Qualification). The AQAA also said that 29 of the staff have attended training in managing and controlling infection; 24 of the staff have attended training in malnutrition and safely helping people with their food and 3 of the catering staff and 21 of the care staff have attended training in safe food handling. All of the 41 care staff have attended a nationally recognised induction training. From some of the residents surveys we read positive comments about the management of the home, such as The home is very well run and an excellent place to live and (there is) a wonderful boss, Mr Tillisch. The AQAA told us that In the 2009 survey, 96 of respondents were satisfied or very satisfied with the homes management. The AQAA was completed to satisfactory standard and we received it in a timely manner: it told us that the home has a good quality assurance system in place. For example the AQAA provided results of a survey carried out by the home such as In our 2009 survey, 96 of respondents were satisfied or very satisfied with the overall standard of accommodation, and 93 were equally satisfied with the cleanliness and smell of the home and In the 2009 survey, 92 of respondents were satisfied or very satisfied with the standard of personal care received. In the 2009 survey, 92 of respondents were satisfied or very satisfied with the attentiveness of staff to any health issues. We have received required information from the home such as notifying us of any deaths that have occurred in the home or when a person has been admitted to hospital. What are we going to do as a result of this annual service review? We will not change our inspection plan and we will next inspect the service by 17th December 2010. We may however inspect the service at any time should we have any concerns about the health, welfare and safety of the people living at Rose Cottage. Annual Service Review Page 5 of 7 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. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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