Care Home: Skell Lodge

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Annual service review Name of Service: Skell Lodge The quality rating for this care home is: The rating was made on: two star good service 2 8 0 1 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: Rachel Martin Date of this annual service review: 1 5 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: South Crescent Ripon North Yorkshire HG4 1SN 01132382690 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: Maria Mallaband Ltd Number of places (if applicable): Under 65 Over 65 0 23 The maximum number of service users who can be accommodated is: 23 The registered person may provide the following category 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. maximum number of places, 23 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 Skell Lodge is a large, detached house situated in a quiet area, within walking distance of Ripon city centre. The home is owned by the Maria Mallaband Care Group Ltd and is registered to provide residential care for up to twenty-three residents. The home provides accomodation on two floors, with a modern passenger lift to transport people between floors. There are currently nineteen single bedrooms and two double bedrooms. Sixteen bedrooms have en-suite bathroom facilities. There are small gardens and a small parking area. At the time of our last visit fees ranged between Annual Service Review Page 2 of 7 2 8 0 1 2 0 0 9 £321 and £399 per week. Up to date information about fees, terms and conditions should be sought from the homes manager. Annual Service Review Page 3 of 7 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 had 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 gives us some numerical information about the service. Surveys returned to us by people using the service, health care professionals who visit and work with the service and staff who work at the home. Information we have received about how the service has managed any complaints or safeguarding issues. What the service has told us about things that have happened at the home. These are called notifications and in some circumstances are a legal requirement. The previous key inspection and any other visits made to the service. Relevant information provided by other organisations and what other people have told us about the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA). It provided the information we had asked for and had been completed clearly. The information provided in the AQAA supported our judgement that the service is still providing a good service. It showed that they know what they do well, have continued to make improvements and have plans in place to keep making things better. This includes seeking the views of people who use the service through assessments, reviews and meetings. The AQAA also told us that important maintenance and servicing work at the home was up to date. At the last inspection we made four requirements about things that the home needed to improve. These were about medication, the safe use of bed-rails, fire safety and staffing levels. As part of this annual service review we asked the homes management to let us know what they had done to improve these things since our visit. They confirmed in writing that they had taken appropriate action to meet our requirements. We have received regular notifications since the last inspection. These notifications and the information supplied in the AQAA suggest that the home continues to notify us of relevant events. They also demonstrate that the home takes appropriate action in the event of someone being ill or having an accident. There have been no formal complaints made directly to us since the last inspection. The information provided in the services AQAA told us that there have been no Annual Service Review Page 4 of 7 complaints made directly to the home in the last twelve months either. The AQAA told us that the home has in place appropriate systems for handling complaints and for preventing abuse. In surveys we asked people who live at the home if there was someone they could speak to informally if they were unhappy. All seven people who returned surveys said yes. When we asked if people knew how to make a formal complaint, six said yes and one said no. We asked staff if they knew what to do if someone had concerns about the service. All four staff who returned a survey said yes. Seven people who live at the home returned surveys to us. When we asked if people got the care and support they needed, four people said always and three said usually. When we asked if staff listened and acted on what people said, four said always and three said usually. Peoples comments about what the home did well included very caring and supportive, cheerful, there is always someone there that I can confide in and all I want is to be able to stay at Skell lodge and they look after you as well as they can and I am always satisfied. When we asked what the home could do better people told us would be nice to have a few trips out and thats a funny one, the evening meal went off for a while, but its now getting better. Two peoples relatives also completed surveys. Their comments included the care given is excellent, the manager and her staff are very caring and do a first class job and sometimes they could do with extra staff on duty. Four health or social care professionals completed and returned surveys to us. They were generally positive about the home. For example, when we asked if peoples social and health care needs were properly monitored, reviewed and met by the care service, one said always and three said usually. Comments they made about what the home does well included an excellent home, delivering a high level of care and I think they provide a very good service, they make the occupants feel it is their home and involve relatives. Comments they made about what the home could do better included like many agencies/homes sometimes requires more staff. Four staff completed and returned surveys to us. In the surveys staff told us that the required checks had been completed before they started work and that they were provided with support and training to help them do their jobs. Comments made by staff about what the home does well included a friendly staff and home, pleasant working conditions, looks after the residents and staff, I like working here because the staff are friendly and the residents needs are different. We look after the residents well and it excels in the health and welfare of our residents, we care for them and ensure that they know and understand everything that concerns them, if it is needed the family of the residents are informed straight away. An anonymous version of the full survey results has been provided to the homes manager. This means that she knows what people think about the service and can take any action that is needed to make things better. 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 28th January 2012. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of people using the service. 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. 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