Latest Inspection
This is the latest available inspection report for this service, carried out on 19th November 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 Sherwood House.
Annual service review
Name of Service: Sherwood House The quality rating for this care home is: The rating was made on: three star excellent service 1 0 0 3 2 0 0 9 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: Linda Hirst Date of this annual service review: 1 9 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Main Street Linby Nottingham NG15 8AE 01159642721 01159641261 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 Conditions of registration: Friends of the Elderly Number of places (if applicable): Under 65 Over 65 0 19 The maximum number of service users who can be accommodated is 19 The registered person may provide the following categories of service only: Care home only - Code PC 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 - Code OP 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 Sherwood House is a large adapted and extended Victorian house, situated in the village of Linby on the north western outskirts of Nottingham. It sits in its own large landscaped garden that is easily accessible to people living in the home. The home can accommodate up to 19 people in single rooms, all with en suite. There are 2 lounge areas and a large dining room, plus other smaller areas around the home for people to spend time. There is limited public transport to the village of Linby. Copies of previous inspection reports are available in the foyer of the home, or in the managers office. At
Annual Service Review Page 2 of 6 1 0 0 3 2 0 0 9 the time of this inspection fees charged by the home range between 456 and 608 pounds per week. 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. 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 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) slightly outside of our timescale. The information they gave us was comprehensive, but did not address a number of ongoing issues raised in the last key inspection report and by people living at the service and their relatives in their surveys. For example, in their AQAA the service told us that they make sure all care shifts are covered using agency staff where necessary, and they told us they try to use the same agency member of staff if possible. However, people have commented to us in their surveys that the ongoing use of agency staff is meaning that inconsistent care is being delivered. We have spoken to the providers about this issue and they have sent us in a plan which they will share with the people living at the home about how they will address this matter. They have assured us they are committed to providing the best care for the people who use their service. People living in the home have given us mixed views about it. Some people said the service is very good, for example, one person commenting on what the service does well said, everything, nothing could be better. Another said, (the staff are) very caring, kind and concerned if Im not happy. It is clean. Others told us they only get the care and attention they need from staff sometimes, and that their views are not always listened to and acted upon. Another comment we got was, more activities please. Annual Service Review Page 4 of 6 We received comments from 5 relatives of people living in the home. Again their comments were mixed; several told us how good the permanent staff are, (the service) respects my (relatives) privacy and independence. All staff are friendly and helpful and welcoming. They are prepared to discuss any problems that might arise. Free access to the home and (my relative) but good security too. Another person told us the service is, very average. The relatives raised a number of areas the service could improve upon, including the delivery of care, the variety of food and activities, and most consistently the use of agency staff to cover shifts. Three of the five people who completed surveys commented negatively on this, there is no continuity with the care, sometimes it can be very uncertain, particularly at night and the employment of agency staff. Another commented, agency staff are often unaware of routine initially and this upsets (my relative) who likes to keep a pattern. The third person commented, when there are staff shortages they have to get agency staff in who are not always up to the same standard as the regular staff. The service have told us they have improved the recruitment of staff in the past year, but the AQAA does not give us any assurances as to how they are looking to minimise the use of agency staff in order to provide more consistent care to people living at the service. In order to reassure ourselves that the care being provided is not being compromised we have spoken to the Local Authority about their last Quality Assurance visit to the home, and they told us they have no significant concerns about the service or the care being provided. We have also spoken to the providers who have assured us that the needs and views of people who live at the service is paramount. They have sent us in a very clear action plan and they did this very quickly. This plan covers all of the areas which have been raised and they will be sharing their plans with the people who live at the service in their next meeting on 21st October 2009. No complaints, concerns or allegations have been made directly to us since our last visit, but the service have told us they have investigated a number of complaints using their own internal procedures. The service have kept us informed about key events, but we have some concerns about the pattern of the notifications concerning medication safety and administration. We have talked to the providers about this matter and they have taken steps to improve the training offered to staff. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the 2007 Fees and Frequency Regulations and the assessment of risk. 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:
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!
