Care Home: Sandfield House

Annual service review Name of Service: Sandfield House The quality rating for this care home is: The rating was made on: two star good 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: Mary Bentley Date of this annual service review: 0 8 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Sandfield Avenue Headingley Leeds West Yorkshire LS6 4DZ 01132752977 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Mr Ibrar Zahir Number of places (if applicable): Under 65 Over 65 27 27 27 27 The maximum number of service users who can be accommodted is: 27 The registered person mayprovide the following category of service only: Care home only - Code PC To service uers of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Dementia - Code DE and Code DE(E); Mental Disorder, exclusing learning disability or dementia - Code MD and Code MD(E) 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 The home is situated in the Headingley area of Leeds within walking distance of shops and local amenities and close to a main transport system into the city centre. There is off road parking at the side and to the rear of the building. None. Annual Service Review Page 2 of 6 The home provides personal care only for people with dementia. Nursing support is provided if needed by the community nursing services. The building is a large converted detached house with an extension, which stands at the head of a cul-de-sac backing onto a large garden. There is accessible outdoor space which is not currently secure enough to enable people who live in the home to walk about outside unaccompanied. The majority of rooms are for single occupancy with four shared rooms. One room has en suite facilities. There are a number of communal bathing, showering and toilet facilities situated throughout the building. In June 2008 the fees ranged from 447.27 to 470.41 pounds per week. This does not include hairdressing, chiropody, personal toiletries and clothing, newspapers or taxis. A small charge is made if staff are required to escort people to hospital. The home should be contacted directly for up to date information about charges. Information about the service is available from the home in the form of a Statement of Purpose and Service User Guide. 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? The last key inspection of this service was carried out on 12 June 2008. That is the date the quality rating was given. This is the first Annual Service Review (ASR) since then. We looked at all the information we have received, or asked for, since the last key inspection. This included: The Annual Quality Assurance Assessment (AQAA). 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 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. We have not made any other visits to the service since the last key inspection on 12 June 2008. Relevant information from other organisations. What other people have told us about the service. On this occasion we did not send any surveys to people using the service. What has this told us about the service? The home sent us their 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 the home is still providing a good service and that they know what further improvements they need to make. There were no requirements following the last inspection. We made some good practice recommendations following the last inspection and in their AQAA the home told us they are implementing these recommendations. For example, they told us they have now employed an activities organiser so that people living in the home will be able to benefit from a more varied and regular programme of activities. The home told us about other improvements they have made. For example to improve the way peoples health care needs are met they have changed the nutritional risk assessment to make it easier to identify people who may be at risk of malnutrition and Annual Service Review Page 4 of 6 they now make sure that all staff who help people with their medicines have an annual training update. We have not had any complaints about the service in the last 12 months. The home told us they have had one complaint and this has been dealt with. The home told us that all staff have now attended training on the protection of vulnerable adults (safeguarding) to help make sure people are protected from abuse. The home has systems in place to make sure that people using the service are able to share their views and are kept informed about changes. For example they send questionnaires to people and publish a summary of the results. They told us they are planning to send a regular newsletter to people and their representatives to keep them up to date with what is happening in the home for example planned special events and staff changes. The home told us they are continuing to refurbish the building to make sure it continues to provide a pleasant place for people to live. The home has good recruitment procedures and this helps to protect people by making sure they are only cared for by staff that are suitable to work with vulnerable adults. The home continues to provide staff with the training they need to meet peoples needs. The manager told us she is looking for a suitable training course on the care of people with dementia so that she can improve her knowledge in this area and keep up to date with current good practice. The home continues to let us know about things that have happened since our last key inspection and they have shown that they manage these issues well. They work well with us and have shown us that their service continues to provide good outcomes for the 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 plan, we will do a key inspection by 11 June 2010. However, we can inspect a 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 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 6 of 6 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!