Care Home: Stanway Green Lodge

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Annual service review Name of Service: Stanway Green Lodge 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: Diane Roberts Date of this annual service review: 1 8 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Heath Road Stanway Green Colchester Essex CO3 0RA 01206330780 Telephone number: Fax number: Email address: Provider web address:   laura_kanitkar@hotmail.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Laura Kanitkar Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 27 persons) 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 Stanway Green Lodge is a large detached property situated in a quiet semi rural area about three miles from Colchester. The home is registered to accommodate 27 older people who need residential care. This does not include care for any specific category of service, such as dementia. Accommodation consists of fourteen bedrooms on the ground floor, eight of which have en-suite WC facilities and ten on the first floor, three of which are shared rooms. There are two lounges and a large dining room. There are Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 0 27 No. various bathing and WC facilities throughout the home and a passenger lift that provides access to the first floor. There are ample car parking facilities at the front of the house in well-established grounds. Access to the house and gardens is good. Patio areas are available at the rear of the house for people to use. As at 18th November 2009, the owner advised that the fees for accommodation ranged from £393 to £450 per week. Items that are extra to the fees include private chiropody, hairdressing, toiletries and newspapers and are listed in the homes service user guide, which is available from the home. CSCI inspection reports are also available from the home. 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 about Stanway Green Lodge, since the last key inspection. We looked at any correspondence that we received outlining any event that may have affected the running of the home, including complaints. We asked the manager to complete an Annual Quality Assurance Assessment (AQAA) form. This form is for the manager to consider and report on how well the service they provide meets the expected outcomes of the people using the service. We sent surveys to the manager to give to service users, relatives, staff and social and health care professionals, asking them to tell us their views on how they think the home is run. We looked at the report that was written about the homes last key inspection. An Inspector went to the home as part of that key inspection and spent time with the residents, manager and staff team. What has this told us about the service? No correspondence relevant to this report was received by the Commission since the last key inspection. The manager, in her AQAA, confirmed that they have had to deal with 23 complaints in the last year, 20 of which were upheld. On discussion with the manager, it is clear that she has an objective approach to complaints and records all comments/concerns etc. however minor, as complaints to ensure that any issue is addressed. All the residents and relatives who commented in the surveys we received said that they knew how to make a complaint and that any issues raised are dealt with appropriately. The manager refers any adult safeguarding matters appropriate and always seeks guidance from the professionals concerned. The manager sent us a completed Annual Quality Assurance Assessment (AQAA) when we asked for it. Whilst it had been completed, the information provided in many of the sections was limited and therefore did not give a full picture of the home, systems used and evidence available. It is clear that there is ongoing development work being undertaken in the home but the information is limited. This was discussed with the manager and guidance given. The manager then submitted additional evidence. There is evidence that the team have consulted with residents and relatives, both via meetings and feedback questionnaires. The manager then uses this information to partly inform her annual development plan, which on review shows that she continues to develop the services offered and further improve standards in the home. Following feedback they have worked on improving systems/facilities in the laundry, they have decorated bare walls and put up pictures chosen by the residents and they have increased the profile of residents dignity amongst the care staff. Should planning and finances allow, an extension to the home is planned in order to reduce the number of double rooms, provide more en suites and increase the communal space. Turnover of staff at the home is low and the staff are well trained with 66 of them having achieved an NVQ qualification. No agency staff have been used at the home in the past year. From the training matrix submitted compliance with mandatory training Annual Service Review Page 4 of 7 is good and from further evidence the manager continues to develop the staff team by providing training on dementia, nutrition, end of life care, catheter care and diabetes. Staff are supervised regularly and supervision also includes observational work as well as meeting with the care worker. The manager has senior staff working at the home who are trained NVQ assessors and manual handling trainers. The manager has an up to date workforce development plan in place to support the ongoing development of the team at the home. Staff at the home, who commented in our surveys said they felt supported and informed and that the training was good. They also felt that the residents had a lot of input into the running of the home, which was good. The manager says that she continues to develop the care planning system used by the team and these are now person centred and they are using records such as This is me, this is my life to support this approach. Since the last inspection the staff have also been trained in care plan evaluation. The District Nursing Team speak positively about the home and say that the level of care provided is good and that staff always seek their advice on any matters of concern. They also said that the team were always striving to give their residents the best environment and care that they could and often asked the District Nurses how they could improve further. Social care in the home has developed and residents are actively encouraged to make choices in this aspect of their lives. Residents have chosen, for example, to have a tea party to raise money for cancer research. The home has links with local Beaver Groupd and the team also plan to develop further links with local schools. Social events are put on in the home and external entertainers are also brought in. The service users surveys we received showed that people were happy with the services and care offered by the team at the home. They said they always felt they had the care and support that they needed and that the staff were available to them. They said that activities were always available and that they usually liked the meals served. Comments included they treat us as individuals. Relatives who commented said we are more than happy with the care our relatives receives, being a small home, they treat people as individuals, a barbecue was held recently which was brilliant and very well organised, they could use the garden more and overall a very pleasant home that I would find difficult to fault. The last key inspection judged the agency as proving a good service. The report said People at the home continue to be enabled to make choices about where they spend their time; several choosing to stay in their private rooms where they take their meals. People spoken with again said they liked the food and the choices available and were happy being able to stay in their rooms if they wished. The office records and procedures are readily available and up to date. The overall atmosphere within the home is warm and welcoming. Many of the bedrooms have been personalised by residents and their families and appear homely and comfortable. Any complaints/compliments received are well recorded with good explanations about the action taken and the outcomes. 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 a key inspection by the 17th 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 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). 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. 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