Latest Inspection
This is the latest available inspection report for this service, carried out on 13th May 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 Excellent.
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 Shelburne Lodge.
Annual service review
Name of Service: Shelburne Lodge The quality rating for this care home is: The rating was made on: three star excellent service 2 7 0 5 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: Barbara Mulligan Date of this annual service review: 1 3 0 5 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Rutland Street High Wycombe Bucks HP11 2LJ 01494440404 01494449562 shelburne@barchester.net www.barchester.com Barchester Healthcare Homes Ltd The registered provider is responsible for running the service Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is: 54 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 within any other category - OP 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 Shelburne Lodge is a care home providing nursing and personal care up to 54 elderly people. The home is located in a residential area in High Wycombe, a short distance from the local shops, amenities and public transport networks. The home is purpose built and consists of a two-storey building set in small grounds. All the bedrooms,
Annual Service Review Page 2 of 6 Number of places (if applicable): Under 65 Over 65 0 54 None 2 7 0 5 2 0 0 8 except for two, are single rooms and have en suite facilities.The communal space is pleasant and the gardens are well maintained. There is qualified nursing staff on duty at all times, supported by a team of carers. There is an experienced management team in place overseeing the running of the home.The home has its own mini bus ensuring easy access to local amenities. 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 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 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 agency 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.Relevant information from other organisations. What other people have told us about 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 agency is still providing an excellent service. They continue to let us know about things that have happened since our last key inspection and they show that they have managed issues well. They are focussed on improvement and development both in the outcomes for the people who use the service and how it is managed and delivered. The AQAA tells us this is a service that listens to the views of people using the service. They do this by holding quarterly residents and relatives meetings and two monthly coffee mornings for the registered manager to attend with the residents. These are all minuted. In addition there are individual six monthly care plan reviews with service users and their representatives. There is a Quality Survey completed twice a year and annual customer service survey for residents and families.Changes made as a result of listening to people include a a coffee morning that is held every 6-8 weeks ly coffee mornings with the residents of the home and the registered manager, the home involve residents with the Barchester in Bloom competition to enter the hanging baskets and some residents visit a Garden Centre to buy the plants and then pot them. The home ensures the equality and diversity of people using the service by ensuring the recruitment and selection policies and procedures result in no job applicant receiving less favourable treatment on grounds of race, colour,, nationality, religion or sexual orientation, make appropriate provision for service users to practice their religion, as they would wish by involving the churches various denominations within the home; the home holds church services every two weeks, and the Roman Catholic and Church of England priests bring Holy Communion to individual residents as required or requested; involve the residents in planning Activities, and menu planning; ensure Service Users continue to enjoy their civil rights such as their wish to participate in elections and individual service user care plans are developed and reviewed in conjunction with the service user and or their advocates.The AQAA tells us that the home has dealth with eighteen complaints in the last twelve months and four of these were upheld. All complaoints were dealt with within twenty eight days. The Care Quality Commission has received one complaints in respect of this service in the previous twelve months. This has been ddealt with effectively and in a timely manner. The AQAA indicates that the home has had no safeguarding of vulnerable adults referrals in the last 12 months and the completed Annual Service Review Page 4 of 6 AQAA informs us that they have a whistleblowing policy to encourage open reporting of serious malpractice within the organisation. The AQAA outlines that nurses employed by the organisation are registered with the NMC and have relevant qualifications and training for the field of practice they are assigned to. 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 do a key inspection by the 27th May 2011. 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
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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