Latest Inspection
This is the latest available inspection report for this service, carried out on 7th 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. Marks Nursing Home.
Annual service review
Name of Service: St. Marks Nursing Home The quality rating for this care home is: The rating was made on: 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 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: Jacqueline Herring Date of this annual service review: 0 3 1 1 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service
Address of service: 1 Hartburn Lane Hartburn Stockton-on-Tees TS18 3QJ 01642670777 01642671365 sherwinb@bupa.com www.bupa.co.uk BUPA Care Homes (GL) Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 39 39 39 0 Age category for individuals with dementia or mental disorder is aged 60 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 Marks is situated between Stockton and Eaglescliffe and is within easy reach of shops, parks and other amenities. It is a modern purpose built home in its own grounds. The home has been designed to provide care to elderly people, mainly with an Alzheimers diagnosis and other dementia related conditions and also older people with mental health disorders. The accommodation is on two floors, accessed by a lift and provides a choice of lounge and dining areas. There is also an enclosed patio garden at the rear of the home, which is accessible from the ground floor lounge. Annual Service Review Page 2 of 5 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. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Information we have about how the service has managed any complaints. The previous key inspection report of 10 March 2008. The previous annual service review of 18 March 2009. Brief discussion with the manager of the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was very well completed and returned in good time. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and other information we had about the service and our judgement is that St. Marks Nursing Home continues to provide a good service to people who live there. The AQAA detailed improvements that had been made within the last twelve months. These include improvement to training with a number of trainers such as Load Handling Trainers, Personal Best Facilitators and Infection Control Trainers as well as a Dementia Champion now being in place. Other improvements include a more person centred approach to activities. The AQAA also clearly details areas that could be developed further, plans underway include the development of a quiet/relaxation room and more organised activities at weekends. We sent surveys to the home to distribute to people who live their, to staff and to visiting health professionals. Five completed surveys were received from staff working at the home. They confirmed that appropriate recruitment took place and that they had sufficient information in which to support people and meet their needs. Annual Service Review Page 3 of 5 Of what could be improved, one person said that they would benefit from further training to help support people with more challenging needs. The manager confirmed that this training had already been sourced and they were waiting for training dates. Of what the service does well, staff said, We, the manager and staff, all work hard to provide the best care for our residents. We make them feel happy, safe and they they belong in our home community as part of our family. Another person said, Provide a friendly happy atmosphere for residents, relatives and visitors. Good communication between staff, relatives and visitors. Another member of staff said, Works as a team and gives the elderly we look after the support and dignity they deserve. The AQAA detailed that there had been two complaints within the last twelve months, both of which were investigated within the twenty-eight day timescale. It was detailed in respect of complaints that a monthly audit is carried out in respect of complaints and that there are regular one to one meetings with relatives to discuss any issues they may have. The manager has been in post for some time and there is the need for them to register with CQC. This process is now underway. St. Marks 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. This annual service review has shown that St. Marks Nursing Home continues to offer the people who live there a good 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 9 March 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 4 of 5 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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