Care Home: St Mary`s Haven

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Annual service review Name of Service: St Mary`s Haven The quality rating for this care home is: The rating was made on: two star good service 0 6 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: Diana Penrose Date of this annual service review: 0 6 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: St Marys Street Penzance Cornwall TR18 2DH 01736368585 01736368585 mountthehaven@hotmail.com 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 old age, not falling within any other category Conditions of registration: The Presentation Sisters Number of places (if applicable): Under 65 Over 65 0 0 0 3 3 26 The maximum number of service users who can be accommodated is 26. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP - maximum 26 places Dementia aged 65 years and over on admission - Code DE(E) - maximum 3 places Mental disorder, excluding learning disability or dementia, aged 65 years and over on admission - Code MD(E) - maximum 3 places Have there been any changes in the ownership, management or the Yes 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 None 0 6 1 1 2 0 0 8 Annual Service Review Page 2 of 7 St Marys Haven is a residential care home registered to accommodate twenty-seven residents over sixty-five years of age. The home is also registered to accommodate three older people who experience dementia. Sanctuary Housing Association along with the home is run by the Presentation Sisters of Penzance and the Sanctuary Housing Association owns the building. Within the grounds is another registered home for nine residents, a day centre for up to fifty older people as well as a group of terraced flats. St Marys Haven is an inter-denominational home working in a Christian atmosphere. Opportunities are provided for regular Christian services, Catholic, Anglican and Methodist Ministers may also attend to the spiritual needs of the people using the service. St Marys Haven is located near the town centre of Penzance and has access to local amenities with good transport links. The home is furnished and maintained to a good standard and is accessible for people who experience disabilities. A passenger lift is also provided at the home to allow easy access throughout. Communal space is situated on the ground and first floors. There are twenty single rooms and three shared rooms and a high percentage of the bedrooms have en-suite facilities and been personalised by the occupants.Information about the home is available in the form of a residents guide, which can be supplied to enquirers on request. A copy of most recent inspection report is available in the home. Fees range from £375 to £425 per week according to the manager, who supplied this information during this inspection. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. 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 we have received, or requested, since the last key inspection. This included the annual quality assurance assessment (AQAA) that was sent to us by this service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. We looked at surveys returned to us by staff, healthcare professionals and people using the service. We have considered things that the manager has told us about what has happened within the service, these are called notifications and are a legal requirement. we have also looked at any other information from external organisations we may have received. The previous key inspection report was taken into consideration as well. What has this told us about the service? This service sent us their annual quality assurance assessment (AQAA) when we requested it. It was clear and detailed. We looked at the information in the AQAA and our judgement is that the care home is still providing a good service and that they are continually making improvements to maintain this. The AQAA told us that there have been difficulties in recruiting and retaining staff which has had a knock on effect throughout the home. They have tried to continue to provide meaningful activities and some entertainers have visited the home. The manager has told us she would like to have two care staff responsible for organising activities in the home. We were told that people are assessed prior to being admitted to the home and each person has a written care plan to direct staff on the care provision. There is a system for the administration of medicines and staff receive appropriate training on medication. Good food is provided which people enjoy. St Marys Haven provides a clean, warm, comfortable and safe home for elderly people. The home is kept in a good decorative state with a continuing programme of maintenance and refurbishment. There has been further re-decoration in the home with some bedrooms being updated. The dining room and downstairs corridors have been painted. The 5 year electrical hardwire test has been completed. There have been no complaints to the home or the Commission and no safeguarding issues. 70 of care staff have achieved an NVQ qualification to at least level 2 in care. This is an increase of 14 since the last key inspection. The home has quality assurance systems in place and measures to ensure compliance with health and safety legislation. The manager intends to maintain the high standards of care already provided to people using the service. Annual Service Review Page 4 of 7 We have received eleven surveys from people using the service and these have all been positive about the home, staff and the care provision. Seven people did not know if they had a contract and this should be clarified with them. Four people said there are usually suitable activities that they can join in with, one said sometimes and the others said there are always suitable activities. When asked what the home does well the comments include, The home is well kept and the food is good, The place is a dream to live in, beds are comfortable and you have everything you want - no complaints, Care staff are all friendly and I like being able to go out. Other comments include The attention given to anyone who is ill or unable to feed themselves is really good. In this matter they have my complete admiration. Patience and understanding with dementia sufferers is quite excellent., Everyday needs - laundry, meals etc - again exceptionally good and reliable. When asked what they could do better the comments include, Bring some men in! and My personal feeling is that the younger staff members should be encouraged to be less boisterous and a little more sympathetic, but youngsters today seem to be very hide bound and cocky with it. However after a few weeks here they do appear to quieten down. When asked if anything else we received this comment I feel that when someone has passed away it would be nice to be told. It would give us an opportunity to think of the person quietly and respectfully. Eight staff returned surveys to us and again they were very positive about the home. Three said the way that information is shared is usually good whereas others said always. When asked what the home does well the comments include Staff work well as a team to ensure the home is run smoothly and everything is covered each shift, The home provides outstanding care for the residents. They have a variety of different things to do. The staff are brilliant with the residents, support and consideration for the residents always comes first, The home caters well for individual needs, whether it be care, health, religious or diet. It treats every person as an individual. The home is their home and within reason they can bring their own personal items with them. All dietary requirements are also catered for well. Residents have the option of the day centre and hairdresser, and Working as a team. When asked what they could do better the comments include More days out for residents and I think some of the staff could work better as a team rather than individually. If they worked as teamwork more the shifts would be a lot better and everybody would be happier in their work. No surveys were returned from healthcare professionals. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 We are not going to change our inspection plan, and will do an Key inspection by 06 November 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 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: Telephone: 03000 616161 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 copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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