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 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 St James Park Nursing Home.
Annual service review
Name of Service: St James Park Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service 1 3 1 0 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: Annie Foot Date of this annual service review: 2 5 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: St James Park Nursing Home Bradpole Bridport Dorset DT6 3EU 01308421174 01308427564 holdehe@bupa.com www.bupa.co.uk BUPA Care Homes (CFC Homes) Ltd 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: Number of places (if applicable): Under 65 Over 65 0 46 The maximum number of service users who can be accommodated is 46. 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 folllowing category: Old age, not falling within any other category- Code 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 James Park is a large care home registered to provide nursing care to a maximum of 46 older people, owned by BUPA Care Homes (CFC Homes) Limited. The nominated Responsible Individual is Veronica Marsh. The home is situated in the quiet country village of Bradpole, a short drive away from the town of Bridport. The home is close to a bus route, with a bus stop within walking distance for buses to and from Bridport. The accommodation is arranged over three floors and a passenger lift
Annual Service Review Page 2 of 7 1 3 1 0 2 0 0 8 provides access to all floors of the home. Currently available for use are 30 single and six double bedrooms; most have en-suite facilities. (Some rooms registered for use as bedrooms are not routinely used for this purpose.) Communal rooms include a lounge, library, conservatory style dining room, three communal lounges (including one with a large dining area), five assisted bathrooms and one assisted shower. Laundering of clothing and household linen is carried out at the home and arrangements can be made for chiropodists, opticians and other health and social care professionals to visit individual residents. Fees are charged weekly and range between £544 and £800 per person. Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained from the web link: www.oft.gov.uk A report entitled Care Homes in the UK - A Market Study is available on web link http:/www.oft.gov.uk/NR/rdonlyres/5362CA9D-764D-4636-A4B1A65A7AFD347B/0/oft780.pdf 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 which took place on 13 October 2008. 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. 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. Relevant information from other organisations. What other people have told us about the service. 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 detailed and gave us all the information we asked for. We also received several completed surveys from people at the home. Most people were assisted by a family member or staff member to complete the forms. The surveys tell us that people are generally satisfied with the care and support they receive at the home. Surveys say that most things are run well, especially when the manager is present. The AQAA tells us that the following changes have been made to the service, from listening to residents views: Residents and relatives involvement in care planning. Regular communications and newsletters produced to keep residents and relatives informed of the choices and developments in the home. A new Chef Manager has been appointed who continues to improved menus. Themed lunches are now offered which residents confirm, in their surveys, are enjoyed. A new activities coordinator has been appointed to develop a more varied programme of activities following discussion with the residents. Surveys tell us that there is usually Annual Service Review Page 4 of 7 something available for residents to get involved with. Bupa Care Services has a clearly defined complaints policy with agreed time scales for managing complaints. In the last year a new Customer expectations system has been introduced which allows residents and families to raise concerns and these are documented and acted upon. The home recognises that complaints and concern might be better managed by ensuring staff refer all concerns, and that each issue is evaluated and act on. 2 complaints were received during the year. One complaint was upheld. Both complaints were investigated and resolved within 28 days. Most people responding to our survey say they know who to talk to if they have any concerns or wish to make a complaints, but some people said there were not sure what they would do. 2 safeguarding investigations were conducted. We received 9 completed surveys from staff employed at the home. Everyone says that they are given up to date information about the needs of the people they care for. Staff confirm that they meet frequently with the manager to discuss working practice. Staff say they work well as a team, supporting one another constantly and that everyone is friendly and kind. The use of agency staff is kept at a minimal level. 3 shifts were covered by agency staff in the the three months prior to completing the AQAA. 21 full time care/registered nurses are employed at the home and 6 part time staff. There are 31 permanent care staff employed at the home. 21 have completed induction training and 4 who have achieved an NVQ level 2 or above. 10 staff have receive training in malnutrition care and assistance with eating. 42 staff have received training in the control and prevention of infection. Some of the registered nurses have completed Palliative Care Training enabling the home to accept residents for end of life care. Staff surveys confirm that new staff receive induction and that other relevant ongoing training is provided. 20 staff have left their employment at the home over the past twelve months. Surveys from people living at the home tell us that the staff are friendly and helpful. Some surveys noted the need for more staff at mealtimes. In particular to assist those, unable to feed themselves. A number of comments were received from residents about having to wait too long, after asking, to go to the toilet or to their rooms after meals. Comments referred to waiting times caused by staff smoking. Staff responding to our survey say that there are sometimes enough staff available to meet the individual needs of people living at the home. Several staff think the service
Annual Service Review Page 5 of 7 could be improved by employing more staff to have the opportunity to spend time more directly with individual residents. Bupa Care Services has a comprehensive suite of policies and procedures that are regularly reviewed and updated when required. All policies in operation at the home were reviewed in February 2009. There were 17 new admissions to the home in the last year and 7 short term admissions. 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. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. There is no evidence to indicate that outcomes for people who use the service have changed since the last inspection of the service. 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 12 October, 2011. 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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