Care Home: St Anne`s

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well The home`s pre admission procedure is good and prospective residents and their representatives are provided with sufficient information about St Annes to enable them to make a decision about living there. All care plans and health records are kept up to date and can be easily accessed to ensure that the health and social care needs of residents are always fully met. Medicines are safely administered, recorded, stored and disposed of, protecting the health and well being of residents. Relatives and key people are actively encouraged to be involved in the life of the home and in the planning and meeting of residents` needs. Residents are treated with respect, their history and life style informing care practice. A balanced diet is provided and residents are supported to make choices and enjoy their meals. St Annes provides a comfortable clean environment that has a homely feel. Recruitment practices are good and ensure that all documentation required is in place, before staff members commence employment, ensuring that residents are in safe hands at all times. Health and safety management is good, ensuring that any risks to people are minimised. What has improved since the last inspection? The home continues to maintain a high standard of living and care for all of the people living there and provide well trained and competent staff. What the care home could do better: This report contains no requirements or recommendations for improvement; the National Minimum Standards are met. Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Anne`s 21 Wayside Road Southbourne Bournemouth Dorset BH6 3ES     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Joanne Pasker     Date: 1 3 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: St Anne`s 21 Wayside Road Southbourne Bournemouth Dorset BH6 3ES 01202425642 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs N Lingam-Willgoss,Mr M J Lingam-Willgoss Name of registered manager (if applicable) Joanne Lesley Cole Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 18. The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home St Annes is a care home providing nursing and personal care for up to eighteen older people. Situated in a quiet residential road in Southbourne close to local amenities. There are sixteen single rooms, eight of which have en-suite facilities and one double room. There is a communal lounge area on the first floor although this is not used very much by service users, a desk at one end provides staff with office space. A passenger Care Homes for Older People Page 4 of 24 care home 18 Over 65 18 0 Brief description of the care home lift and two staircases provide access between the floors. A kitchen is centrally sited on the ground floor from which all meals are prepared and other utility areas (laundry and food stores are in an adjacent building. Outside the home there are small gardens to the front and rear with a small parking area to the front. Mr and Mrs Lingham-Willgoss are the registered providers (owners) of St Annes, and Mrs Lingham-Willgoss also takes the role of manager with the support of a deputy manager. The homes current fee range is 580 to 675 pounds a week. Fees are based on an individual assessment of the needs of prospective residents. See the following website for further guidance on fees and contracts: /www.csci.org.uk/about_csci/press_releases/better_advice_for_people_choos.aspx Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a statutory unannounced inspection, required in accordance with the Care Standards Act 2000 and assessed the homes compliance with all key standards of the National Minimum Standards. The inspection involved a tour of the premises, discussions with people living at the home, staff, management and the observation of routine tasks and daily interactions. Other information was gathered from documents including care files, staff files and home records. Care Homes for Older People Page 6 of 24 In advance of the visit, the home submitted a completed Annual Quality Assurance Assessment (AQAA) and surveys were received from 4 staff members, 2 healthcare professionals and 4 people living at the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. Evidence: The records of two people who had been admitted to the home since the last inspection were viewed. Both included full pre admission assessments with plenty of relevant information that was then used in planning their care. Letters are also sent out to all residents and their representatives prior to them moving into St Annes, to confirm that the home can meet their assessed needs. Four residents returned Commission surveys prior to the inspection. All stated that Care Homes for Older People Page 10 of 24 Evidence: enough information had been received by themselves or their family, prior to moving in, enabling them to make an informed decision about the suitability of St Annes as a home for them. People also confirmed that they had visited the home to help make their decision and one commented that The staff were very obliging and the atmosphere was very pleasing. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive systems are in place to provide staff with the information they need to meet the health and personal care needs of individuals and good management of medication ensures people are kept safe. Individuals continue to be treated with respect and dignity. Evidence: The care records of 2 people who live at the home were reviewed and found to contain assessments which then formed the basis for care plans, risk assessments and daily records describing the care of each person. There was evidence that care plans had been discussed with individuals or their families and signed by them. All care records seen were clear and detailed and showed evidence of other appropriate healthcare professionals visiting and being involved in peoples care. The two healthcare professionals surveys returned prior to inspection, indicated that they felt the home always sought advice and acted upon it appropriately in managing and improving peoples healthcare needs and commented that this was excellent. Care Homes for Older People Page 12 of 24 Evidence: Medicine handling, administration and recording are well managed, with all staff appropriately trained and regular medicine audits carried out. Some medications prescribed as when required, would benefit from being reviewed though and this was discussed during the visit. Staff were seen to treat people with respect and dignity and overall, there was evidence of good standards of nursing and social care, by well motivated, kind and competent staff. Comments received in staff surveys stated that they felt they were a small, well run nursing home that was excellent at treating patients/residents as individuals and catering for their needs. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a range of activities and social events planned by the home, which meet the residents social, recreational and religious needs. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. A good choice of food is available, which provides a balanced diet and the individual needs of the residents are well catered for. Evidence: St Annes ensures that activities are centered around the needs of the people living there, many of whom have high levels of need or are confused or bedbound. Time is spent with individuals who are unable or reluctant to join in with any planned group activities and residents surveys received also reflected this. Both healthcare professionals who replied to surveys felt that the home always supported individuals to live the life they choose to. Visitors are warmly received and able to visit when they choose, with some arriving and taking people who live there out during the inspection. The menu varies weekly although generally offers very traditional meals, such as Care Homes for Older People Page 14 of 24 Evidence: casserole, hotpot or roast dinner, with seasonal vegetables and puddings with custard. People are free to choose where they eat with several enjoying meals in their own room and relatives are also encouraged to stay and eat at the home too. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are procedures in place to ensure that complaints are fully investigated and residents and relatives can be sure that their concerns will be listened to and acted upon. Adult protection policies are in place, in order to safeguard residents from potential abuse and harm and staff receive appropriate training. Evidence: The Commission or the home has received no complaints since the last inspection and an appropriate complaints policy and procedure is in place to deal with any. Any concerns already noted in the complaints file seen, had been dealt with appropriately and all actions taken recorded. No adult protection referrals had been raised since the last inspection and all staff had received training in safeguarding and were clear in their understanding of it when discussed with them. Of the two healthcare professionals that answered the surveys, both felt that the home always responded appropriately if concerns were raised about the care of a person. Of the four people living at St Annes, who responded to the surveys, all stated that they always knew how to make a complaint and knew who to speak to about it. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. St Annes provides people with a comfortable, safe and well-maintained place to live, which is clean and free from any offensive odours. Evidence: A tour of the premises found the home clean, tidy and well maintained with an on going maintenance programme in place. The AQAA submitted prior to the inspection detailed the improvements that had been made to St Annes environment since the last inspection and any further plans. These included refurbishing some bedrooms and replacing soft furnishings. The laundry was well managed and there was evidence of good infection control procedures around the home, with staff observed appropriately using gloves and aprons and washing their hands. All staff have also received appropriate infection control training. Surveys received from four people living at the home indicated that they thought the home was always fresh and clean and commented the home is always fresh and clean with no smells. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be confident that there are sufficient staff members on duty at all times. Appropriate recruitment and training of staff ensures that residents will be competently cared for and protected. Evidence: Staffing levels are provided to meet the assessed needs of people living at the home and ensure that sufficient staff are available at all times, to meet these needs. Of the four staff surveys returned three stated that they felt there were usually enough staff to meet the needs of people living at the home, whilst one said always. Comments also indicated that occasional staff sickness was the main reason for feeling short staffed. Resident surveys indicated that two out of four respondents felt that staff were always available when they needed them, with two stating usually, commenting that the staff visit regularly and usually anticipate their needs. The recruitment files of five staff were looked at and found to contain all the required documentation, including 2 references and evidence of identity. Criminal Record Bureau (CRB) disclosures were also present in the files and had been obtained prior to starting work. The home has developed a comprehensive induction process and all staff have either Care Homes for Older People Page 18 of 24 Evidence: achieved or are working towards a minimum of NVQ level 2 in care. 4 staff surveys received showed that all staff felt they received training which was relevant to their role, up to date and addressed the individual needs of residents. They all also all felt that their induction had covered everything they needed to know to do the job when they started, very well. Further information on available training can be accessed through the following websites: www.picbdp.co.uk www.skillsforcare.org.uk Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a registered manager in place to ensure that the home is safely managed, well organised and run in the best interests of residents and a quality assurance system, which is based on the views of residents. Practices in the home ensure that the health, safety and welfare of all are promoted and protected. Evidence: The home has an experienced and capable registered manager in place, Jo Cole, who is well supported by the owner, Mrs Lingam-Willgoss who regularly visits the home. The management team and staff ensure that St Annes is run in the best interests of the people who live there and this is reflected in the comments received from all surveys returned. When asked what the home did well, comments included excellent care and attention is given day and night; very caring and professional service provided to all clients; the service has a high standard of care for all people and one healthcare professional said that the home deserved 10/10. Care Homes for Older People Page 20 of 24 Evidence: The home has good systems in place for internal audit quality assurance monitoring, including medicines audits, residents and staff meetings and residents surveys. A completed Annual Quality Assurance Assessment (AQAA) was also submitted to the Commission as required, prior to the visit. This identified what they do well, what they have improved during the past 12 months and their plans for improvement over the next 12 months. The home does not manage the finances of any residents and will invoice families or representatives for any costs due, such as chiropody, after the home has first paid the bill. All aspects of health and safety looked at were well managed and equipment is routinely tested and maintenance certificates seen were up to date. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or 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 summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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!