Latest Inspection
This is the latest available inspection report for this service, carried out on 8th February 2010. 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 Good.
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 Southlands Residential Home.
Annual service review
Name of Service: Southlands Residential Home The quality rating for this care home is: The rating was made on: two star good service 1 3 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: Elaine Stoddart Date of this annual service review: 0 4 0 1 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service
Address of service: Withins Lane Breightmet Bolton Lancashire BL2 5DZ 01204528369 01204528369 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: Mrs S A Winterbottom,Mr M A Winters Number of places (if applicable): Under 65 Over 65 0 27 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. The maximum number of service users who can be accommodated is: 27. 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 Southlands is a privately owned care home providing residential care for older people. It is situated close to a bus route, at the end of short private access road in the Breightmet area of Bolton. The home is a large, detached building with 27 places on two floors. There are 13 single rooms (3 of which have en-suite facilities) and 7 double rooms. The grounds include a car park and large, enclosed gardens. Mrs Winterbottom has jointly owned, managed and worked at Southlands for 21 years. The current charges range from 398.84 pounds to 420.57 pounds. A top up fee is also
Annual Service Review Page 2 of 8 1 3 0 1 2 0 0 9 charged as negotiated with the provider. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The annual service review for Southlands Residential Home included the following: An annual quality assurance assessment (AQAA) was sent by us to the service. The AQAA is a self-assessment and a data set that is filled in once a year by all providers and it is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. 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 manager 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 and what other people have told us about the service. What has this told us about the service? The manager sent us their annual quality assurance assessment (AQAA) when we asked for it and it gave us the detailed information we needed and was completed to a high standard. We looked at the information in the AQAA and our judgment is that the manager and staff are still providing a good service. They recognise that they are striving to make further changes as a result of listening to people. They were also able to evidence what they do well and changes already implemented. Surveys were sent out to residents and staff to obtain their views on the care provided. At the time of this report two surveys were received from residents and one staff member. Comments from residents include: The home is always clean Food is good. If there is anything I dont like I can have something else Staff are very good, friendly and professional It is a happy home Clean, homely, excellent staff I would like tea and coffees available for visitors Well recommended by me and my family Staff member comments: Well trained staff. Good homely atmosphere. Good food. Staff all work together The AQAA reported that the manager completes a full assessment of residents needs prior to their admission to the home. This ensures the home can provide the correct Annual Service Review Page 4 of 8 care and support required. This information is then used to form the plan of care, which ensures the residents are provided with the care and support they need in the way in which they prefer. The care plans inform the staff of the residents individual care needs and outlines the action for them to take to meet those needs. Care plans are reviewed monthly to reflect changing needs. The AQAA reported that prospective residents and their relatives are invited to visit the home, to meet the staff and other residents. The AQAA reported information is available to residents, visitors and prospective residents about the home in the form of a service user guide and a statement of purpose. Past inspection reports are also available to view. The residents are encouraged to personalise their own rooms with items from their own homes, such as pictures and some furniture thus providing a homely setting. All residents rooms have lockable facilities for valuables and all shared rooms have screens for privacy. Water temperatures and emergency lighting checks are made to ensure the residents are kept safe. The AQAA reported that an activity plan is available for the residents to join in if they wish. Improvements have been made to the activity programme as a result of listening to the residents. Physio sessions take place, in house entertainment and coffee mornings. All special occasions are celebrated, such as Halloween, birthdays and Valentines Day. The home has celebrated four residents 100th birthdays this year with the involvement of the Mayor and Mayoress. Local youngsters are invited to the home (under supervision) to interact and chat with the residents. A new handcraft lady is to commence work with the residents to conduct handcraft sessions. Trips to a hotel in Blackpool take place, which caters for those people with special needs. The home encourages respite stay to introduce new faces to the home. The AQAA reported that the home provides excellent home cooked food. The new cook is presently working with the residents who are encouraged to inform staff of their likes and dislikes. This ensures the residents are provided with the food they like. Alternatives are always available for the residents. Nutritional assessments are conducted to help ensure the residents are kept healthy. The AQAA reported that the residents have access to all health care services, such as a GP when needed to help them to keep well. We have an excellent district nursing service who visit daily and give us back up and advice where needed. The dignity and respect of the residents is adhered to at all times by the staff. Equipment, such as hoists is available to those people who require assistance. Pressure relieving aids, such as special mattresses are available to ensure residents are kept comfortable and well. Risk assessments are in place and reviewed and amended when necessary to keep the residents safe. The AQAA reported that medication is delivered safely to the residents by staff who are trained to follow the correct procedures. The home has a complaints policy and procedure, which is available to the residents and relatives should they wish to make a complaint. The AQAA reported that no complaints have been received in the last year and no complaints have been received by the Commission.
Annual Service Review Page 5 of 8 All staff are recruited following the correct procedures of a criminal record bureau check and two written references. Thus ensuring the residents are safe. Staff are trained in the protection of vulnerable adults so they are aware of how to keep the residents safe. The AQAA reported that no safeguarding referrals have been made since the last visit to the service. The manager was contacted to confirm that no Deprivation of Liberty applications have been made. These are conducted should residents who lack the capacity to make certain decisions are supported. The AQAA reported that staff are aware of how to deal with this should it arise. The AQAA reported that the staff are trained to carry out their roles safely by the provision of a training plan, which includes moving and handling and first aid. Other training is provided, such as dementia care to ensure they have the knowledge of the client group they care for. An induction programme ensures that all new staff are introduced to their roles to enable them to understand the care needs of the residents they support. All of the twenty care staff employed are qualified in at least NVQ (National Vocational Qualifications) Level 2. Thus providing them with the skills to meet the needs of the people they care for. The AQAA reported that sufficient staff are on duty to ensure the care needs of the residents are met. The AQAA reported that there is a low turnover of staff thus providing continuity of care to the residents. The AQAA reported the home provides a safe, comfortable, homely and odour free environment for the residents to live. The AQAA reported the garden is maintained to a high standard and enjoyed by all. An ongoing maintenance programme ensures the home is kept maintained to a high standard. There are sufficient domestic staff employed to keep the home clean, tidy and of a high standard for the residents. Certificates for services, such as gas are up to date to ensure a safe environment for the residents to live. A call bell system provides assistance for the residents when needed. The home owner is the registered manager who is supported by two managers who both have their Registered Managers Award and NVQ Level 4. The AQAA reported that there is always a manager on duty five days and on call at weekends. Thus ensuring staff are supported in their roles. The managers have an open door policy and always make them selves available. The manager works well with us and continues to inform us of any incidents at the home. The AQAA reported that since the last visit the frequency of staff meetings has been improved to keep the staff up to date with progress and involve them in the running of the home. Staff appraisals are also conducted to provide staff support. To aid communication networks the management attends home owner and partnership meetings with the local authority. This gives them an insight into new legislation and local government decisions. The AQAA reported that the service listens to the people they care for. This is provided by the completion of questionnaires by the residents and other interested parties, which enable them to have their say on the care and support given. The residents are also involved in the care planning process, where possible, which enables them to make decisions on their care. The service has achieved the Investors in People Award to show that they listen to the people who use these service and the staff employed. Annual Service Review Page 6 of 8 The AQAA reported that the services policies and procedures are available to staff to ensure they are aware of safe working practices thus enabling them to keep the residents safe from harm. These policies and procedures are updated annually to keep in line with legislation. The AQAA reported that any residents monies held are recorded and kept to a minimum to safeguard the people they care for. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. 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 it. Annual Service Review Page 7 of 8 Reader Information
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