Latest Inspection
This is the latest available inspection report for this service, carried out on 1st December 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 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 St Catherine`s Manor.
Annual service review
Name of Service: St Catherine`s Manor The quality rating for this care home is: The rating was made on: two star good service 0 4 1 1 2 0 0 8 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: Suzanne Magnier Date of this annual service review: 2 7 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Portsmouth Road Artington Guildford Surrey GU3 1LJ 01483531181 01483440903 stcaths@carehomesofdistinction.co.uk 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 Conditions of registration: Mr L Hasham Number of places (if applicable): Under 65 Over 65 34 0 0 34 The maximum number of service users to be accommodated is 34. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (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 St Catherines Manor is a large detached house located on the outskirts of Guildford and provides accommodation with nursing care for up to thirty-four Older People some of whom suffer with dementia. The home is set out on two floors and is comfortably furnished in a homely style.
Annual Service Review Page 2 of 7 0 4 1 1 2 0 0 8 Residents bedrooms are tastefully decorated, and contain many personal items. Several have en-suite facilities. There is a large garden with shrubs, hedges, and flowers. Car parking facilities are available at the front of the house and public transport is readily available. A mini bus is available for residents outings. 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. 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 and relevant information from other organisations. What has this told us about the service? The home sent us their annual quality assurance assessment 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 a good service. The AQAA advises that the home has an information pack which is given to all prospective residents and includes the homes Statement of Purpose and Service User guide. All prospective residents have their care and support needs assessed by a suitably qualified member of staff prior to their admission to the home. The assessment forms the residents person centred plan and details their preferences, their current needs, the persons likes and dislikes and activities of daily living. The care plans are reviewed regularly and any necessary changes made. The home have identified areas of improvement that they have made over the last 12 months which include a more detailed written personal profile so that any previous hobbies the resident has enjoyed prior to moving into the home may be taken part in once more. The home have strengthened the admission process which has been of benefit to the resident as the home have been able to supply and have equipment available for the needs of the resident in order to be able to deliver the care necessary for each individual. Health care services remain available to all residents. The home have maintained their professional relationships with outside health care professionals including links with the GP who visits once a week and those residents who wish to keep their own GP may do so. Visits form health care professionals include the dentist, chiropodist, aroma therapist, physiotherapist and opticians. The home have maintained their links with the local Palliative Care Team which support the homes staff to plan end of life care better with residents. Six completed written surveys were received from health care professionals who visit the service and statements about the home included the homes staff maintain patients interests, respecting their wishes and that of their relatives. Annual Service Review Page 4 of 7 They have a good rapport with GPs. They are always well organised and have all the information we require at hand, this allows us to do our job to the best of our ability. The homes staff are always welcoming, always puts the needs of the residents first, work well with families and spouses, and provide social and leisure activities. I feel I can visit when I like always made to feel so welcome. Attentive, organised,caring and sympathetic to wards patients. Good liaison, cooperation and relationships with medical teams. I have always found the staff to be supportive and respectful to my clients needs, the homes communication skills have been excellent whilst trying to support the client and have been very supportive and cooperative in all respects. Medication policies and procedures are in place and some improvements to benefit residents have been implemented and staff training organised to ensure medicines are administered safely. A new activities coordinator has been employed which, it is reported has been a positive influence for the residents as they spend time with residents that are in their own rooms, or unable to take part in communal activities. The home offers a weekly activity list for all residents to see and to join in, if they choose to. Several residents art work is reported to be displayed around the home, a new hairdresser has been employed and residents are reported to be pleased with the improved arrangements which have become more enjoyable and social. Art appreciation and music appreciation sessions have been maintained and an increase in staffing levels has offered a wider range of activities which includes Ziggy the pat dog who visits the service with his owner and both are greatly appreciated and maintaining good community links with mobile library, going out for short trips to garden centres. In order to promote peoples equality and diversity the home support residents to receive spiritual support by encouraging members of the clergy to visit the home. All residents are able to have visitors in private and there is a hands free telephone which they can use to contact friends and family. The AQAA advises that more residents are using the dining room for their meals and there is more choice of menu available. A further improvement identified by the home is commencing a pictorial menu book which will enable those residents with communication difficulties to choose what they want to eat. The home has a formal complaints procedure. The AQAA advises that no complaints have been received by the home within the last 12 months. The home has been subject to one safeguarding vulnerable adult referral of which the commission are informed has been satisfactorily concluded. Residents can have access to an advocacy service who need help or advice in matters in their life. The home continues to meet the needs of the residents who are encouraged to have their own belongings in their rooms which include pictures, small items of furniture and personal effects in order to make their rooms more familiar and comfortable. Improvements in the home include new carpets in the sitting rooms. The home has maintained standards of cleanliness, hygiene and the laundry is suitable for purpose. The AQAA advises that the garden is accessible and risk assessments are in place for the equipment and the environment in the home to ensure the safety and well being of all persons in the home. Annual Service Review Page 5 of 7 Recruitment and selection of staff ensures that all appropriate checks are made to make sure that residents are protected and safeguarded from any harm or abuse. New staff receive a structured induction training and the home have a planned mandatory training programme. Two members of staff have NVQ2 and two have NVQ3, two are training towards their NVQ3 and six Health Care Assistants are nurses in their own country. Improvements in the homes training programme has included that all staff have participated in dementia training, five care staff have been trained to level 2 in food and hygiene and extra COSHH training has been provided to further compliment the induction and mandatory training provided by the home. The home has identified that the qualified nurses are to be provided with training to become more familiar with person centred care and a new key worker system will be introduced in the home in the coming year. Three completed written surveys were received from staff and statements were favourable about the home and included they look after people very well and everything is fine at the home. The needs of all residents are well taken care of plus there is a lovely friendly feel between staff residents and relatives. The AQAA advises that the home have a Quality Assurance process which includes distributing quality assurance questionnaires to residents, their representatives and any other persons involved in the home. The views expressed are then analysed to see how the service can be improved. The home have identified that the Annual quality questionnaire needs to be analysed in a more analytical manner and this will be implemented in the coming year. The registered manager has been in post for two and a half years and has achieved NVQ Level 4 RMA. The home have a stable staff team who work well to provide an open and friendly approach in the home. The management of the home continues to let the commission know about things that have happened since the last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the residents. 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 the 31st October 2010, 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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