Latest Inspection
This is the latest available inspection report for this service, carried out on 22nd January 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 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 Spring Lodge Care Home.
Annual service review
Name of Service: Spring Lodge Care Home The quality rating for this care home is: The rating was made on: three star excellent service 2 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: Julie Small Date of this annual service review: 2 2 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Main Road Woolverstone Ipswich Suffolk IP9 1AX 01473780791 F/P01473780791 spring.lodge@kingsleyhealthcare.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Spring Lodge (Care Home) Limited Number of places (if applicable): Under 65 Over 65 0 0 28 28 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 Spring Lodge is situated in the small village of Woolverstone about five miles from Ipswich. The home is a registered care home for 28 people, registered to admit both older people, and older people with dementia. The accommodation is situated on two floors. The majority of the bedrooms are on the ground floor and provide single accommodation. Each bedroom has a wash hand basin and two rooms (one double and one single) have a WC en-suite. Bathrooms are situated on both floors. Communal areas are all on the ground floor and include a main lounge and three other areas, including a new conservatory. There is also a central dining room. The home is situated within its own grounds with parking for visitors. There is a large, attractive and enclosed garden at the rear of the property, which is well maintained and provides a variety of seating areas for service users. A major refurbishment programme has recently been completed.
Annual Service Review Page 2 of 7 2 3 0 1 2 0 0 9 At the time of the last key inspection the fees ranged from £600 to £620 per week. 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 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. We received surveys from fourteen people who live at the home, three staff and three health professionals. 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. 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 an excellent service and that they know what further improvements they need to make. The AQAA explained how they met the needs of people who lived at the home and stated we produce comprehensive person centred care plans for our residents which provide the basis for care. These are reviewed every 28 days and as needs/choices change. Nutritional screening is undertaken and reviewed every 28 days and reviewed with their general practitioner. We have an efficient medication policy, procedure and practice guidance. Medication is regularly reviewed by the residents general practitioner. Staff undertaking the administration of medication are provided with training from our pharmacist and undertake medication training via Otley college. Staff have undertaken training in palliative care, dementia awareness and medication via Otley college. Two staff have undertaken Dementia Care Mapping training. The AQAA told us about how they had made improvements in the last twelve months, which included introduced other information into our care plans e.g. Braden scale, new falls risk assessments, body charts etc after consultation with the homes general practitioner and district nurse to source what information they would find beneficial. Fourteen service user surveys said that they always received the medical support that they needed. Twelve service user surveys said that they always received the care and support that they needed and two said that they usually did. Thirteen surveys said that the staff were always available when they needed then and one said that they usually were. Comments made in the service user surveys included all works well and I cant Annual Service Review Page 4 of 7 find fault with anything. The health professional survey asked if the assessment arrangements ensured that accurate information was gathered and that the right service was planned for people, if peoples health social and health care needs were properly monitored, reviewed and met and if peoples privacy and dignity was respected, two answered always and one answered usually. Three health professional surveys said the peoples medication was always managed correctly. Comments made in the surveys were excellent care for very ill people, treats all the residents as individuals, is sensitive to the diverse needs of patients and Spring Lodge is an excellent, well run, caring private residential home. Three staff surveys said that they were always provided with up to date information about people, that the ways that they passed on information about people between staff always worked well and that there were always enough staff to meet peoples needs. Three surveys said that they were provided with training which was relevant to their role, gave them enough knowledge about health care and medication, that kept them up to date with new ways of working and that helped them understand and meet peoples needs. Comments in the staff surveys included fulfills the needs of the residents, happy home, staff well trained, activities for residents, it gives person centred care, residents needs always come first and we produce a very high standard of care to our service users and always try to provide for any of their care needs that we can, we provide them with a good homely place to live as well. The AQAA explained how they met peoples social needs and stated residents personal preferences in relation to choice of cultural interests, social activities, food religion etc are all recorded in their individual care plan and acted upon. We encourage residents to bring in personal possessions and make their room feel more homely to them. We encourage residents to invite their family and friends to have meals with them we set them a private dining area. Our menus of traditional food are reviewed regularly in consultation with our residents our kitchen manager puts a lot of thought into the presentation of the food and records comments from residents and relatives. The service user survey asked if there were activities arranged at the home which they could take part in, ten answered always and four answered usually. Twelve service user surveys said that they always liked the meals at the home and two said that they usually did. Comments made in the service user surveys included good food, various activities, good food, kind staff, everything is done well, good food, friendly staff, I like being here and good food, good response from staff, always clean. The AQAA explained the methods that they listened to peoples views, which included we take time to talk to our residents, relatives and visiting professionals to seek their views. We have sent out questionnaires to our residents, relatives and visiting professionals to seek their views to enable us to improve. We have an open door policy. The AQAA explained how they had made changes as a result of listening to peoples views, which included we have created reminiscence areas within the home in the main lounge we have a reminiscence unit with old toys, photographs, ratio books, magazines, books and postcards. We have added pictures to our hallways old time film stars and the reminiscence tin advertising posters. Fourteen service user surveys said that the staff always listened and acted upon what
Annual Service Review Page 5 of 7 they said. The health professional survey asked if the service supported people to live the lives they chose wherever possible and if the service sought advice and acted on it to meet peoples social and health care needs and improve their well being, two answered always and one answered usually. Comments included communicates well with patients, relatives and health care professionals. The AQAA told us that there had been two complaints received in the last twelve months, which had been dealt with within twenty eight days. The AQAA stated our complaints procedure is clear and given to each individual and clearly displayed within our home we also sit and talk through this procedure with relatives and residents and we have a suggestions box which we encourage everyone to use. We welcome complaints, comments and suggestions and use them positively to learn from them and take time to talk through these with the individuals and keep them informed and updated on the action. Fourteen service user surveys said that they knew who to speak with informally if they were not happy. The survey asked if they knew how to make a formal complaint, thirteen answered yes and one did not answer. Three staff surveys said that they knew what to do if a person had concerns about the home. The health professional survey asked if concerns were appropriately responded to, two answered always and one answered usually. The AQAA said that there had been no safeguarding alerts made in the last twelve months and stated staff trained in safeguarding adults internally and updated yearly with questions and answers and our whistle blowing policy which we go through each time with all staff during their supervision. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. Using the current CQC methodology for inspecting 3* services, we will do a key inspection within three years of the last key inspection, which was 23rd January 2009. 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 6 of 7 Reader Information
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