Care Home: Stoneacre Lodge

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Annual service review Name of Service: Stoneacre Lodge The quality rating for this care home is: The rating was made on: two star good service 1 1 0 2 2 0 0 9 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: Jayne White Date of this annual service review: 1 2 0 3 2 0 1 0 Annual Service Review Page 1 of 9 Information about the service Address of service: High Street Dunsville Doncaster DN7 4BS 01302882148 01302882178 NONE NONE Seth 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 Number of places (if applicable): Under 65 Over 65 0 31 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 Stoneacre Lodge is registered to provide accommodation and care for up to 31 people. The home is owned by Seth Homes Ltd and is managed by Mrs. L. England. The home is situated in the village of Dunsville, which is approximately 5 miles from Doncaster town centre. The building consists of a large detached house that has been extended. The accommodation is provided on two floors and there is a stair lift to facilitate access between the floors. The communal areas are located on the ground floor and consist of three lounges, one of which is a sun lounge and a dining room. The kitchen, laundry facilities and office are also on the ground floor. There is car parking to the front and a garden at the rear of the building. 1 1 0 2 2 0 0 9 Annual Service Review Page 2 of 9 The information about fees was provided on 10 March 2010. These ranged from £398.72 to £410 per person per week. Additional charges are made for private chiropody and hairdressing. For further information about fees and charges please contact the home. Annual Service Review Page 3 of 9 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 unannounced inspection on 11 February 2009. 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 gives us some numerical information about the service. Three surveys (out of ten sent out) returned to us by people using the agency. One survey (out of ten sent out) returned to us by a representative of a person using the service (this could be someones relative or friend). Two surveys (out of five sent out) returned from a member of staff. Four surveys (out of five sent out) returned from social and healthcare professionals. What the service have told us about things that have happened at the service. These are called notifications. The previous key inspection. Relevant information from other organisations. As well as the above we completed a risk assessment of the service to ensure we had enough information about the service to determine the quality rating made at the last inspection has not changed in the past twelve months. What has this told us about the service? The agency sent us their annual quality assurance assessment (AQAA) when we asked for it. However, the information it contained was not comprehensive in demonstrating to us, full and accurate information about what had happened at the service in the last twelve months, to show how the service was maintaining good outcomes for people. There were some gaps in the dataset of the AQAA. In addition, the AQAA identified as something they could do better keep better informed of latest best practices in infection control, yet hadnt reviewed their policy and procedure since February 2008. This also applied to all policies and procedures. However, a discussion with the manager told us as a result of a referral to public protection because of an outbreak of an infectious disease, there had been great improvements at the home in the prevention and control of infection. Furthermore, information from the environmental health authority told us the service were issued with requirements to take action from both a food safety and health and safety inspection. The service hadnt told us of improvements they had made to meet those requirements in the AQAA, although they had sent a letter confirming the Annual Service Review Page 4 of 9 requirements had been met to environmental health. The service, therefore, need to improve how they maintain adequate records to demonstrate they are providing good outcomes for people. Also, they need to be more proactive in continuing to meet the requirements of all regulators, as expected of a registered care service. We looked at the information in the AQAA. It told us the views of people were promoted and incorporated into what they do by conducting questionnaires and residents meetings and recording the results of these. As a result of listening to people they state they have upgraded two of their communal lounges to colour schemes chosen and approved by the residents. Further plans will include upgrading the third lounge. Improvements the service told us in the AQAA they have implemented include: Creating a regular newsletter and the ability to provide a large print version of the statement of purpose. Provide daily activities on a consistent basis and introduced remembrance activities. Upgraded some bedrooms and furniture. The AQAA told us plans for improvements in the next twelve months include: Providing a Braille version of the statement of purpose, including the complaints procedure. Upgrade the dining area and extension corridor. Have training completed for dementia and the Mental Capacity Act. The surveys returned by the people using the service told us: Two felt they always received the care and support they needed, one that they usually did. Two stated the staff were always available when they needed them, one stated they usually were. Two stated the staff always listened and acted on what they said, one stated they usually did. All of them stated the home always makes sure they receive the medical care they need. Two stated the home always arranges activities they can take part in if they want, one that they usually did. All of them stated they always liked the meals at the home. Annual Service Review Page 5 of 9 All of them stated there was someone they could speak to if they werent happy. Two stated they knew how to make a formal complaint, one didnt. Two stated the home is always fresh and clean, one that it usually was. In what the home did well people commented, care for me, provide nice food, this is a clean, comfortable and friendly home and I would not like to leave. The staff are very kind to visitors and residents, they provide good meals and keep my room nice and clean. One person commented in what they could do better, I would prefer to walk more, so I can exercise my legs more, rather than using a wheelchair and I prefer to look out through the window rather than facing a wall and prefer to move to different positions in the rooms. It would be nice to receive gentle physiotherapy to help me keep more mobile. The survey returned to us by a relative told us: The service usually meets the needs of their relative and gives the support they expect. They are always kept up to date with important information affecting their relative. Care workers usually have the right skills and experience to look after people properly. The service usually support people to live the life they choose. They knew how to make a complaint if they needed to and stated that the service had always responded appropriately if they had raised any concerns. In what the service did well they commented, meals and choice for residents is very good. Clothes and laundry are taken care of. Exercises and games are provided. Staff are caring and hard working and I feel I was very fortunate to find a nice, caring environment where my mother is well looked after. In what they could do better they commented, lighting in lounge could be better as some residents dont have very good sight. The surveys returned by health and care professionals told us: Three stated peoples social and health care needs are always properly monitored, reviewed and met by the service, one that they usually were. Three stated the service always seeks advice and acts on it to meet peoples social and health care needs to improve their wellbeing, one that they usually did. All of them stated the service always respects peoples privacy and dignity. Two stated the service always supports people to live the life they choose, two that Annual Service Review Page 6 of 9 they usually did. Three stated managers and staff always have the right skills and experience to support peoples health and social care needs, one didnt answer. Two stated the service always responds appropriately if they have raised any concerns, one that they usually did. One stated it wasnt applicable. In what the service does well they commented, client care, individualised, assists the team to carry out our treatment. Report any concerns they have about service users, client care and all aspects of care. One commented in what they could do better, more staff. The surveys returned by staff told us: One felt they were always given up to date information about the needs of people they cared for, one that they sometimes were. Both stated their recruitment was done fairly and thoroughly and their induction covered everything they needed to know to do the job when they started, very well. They both stated they were given training relevant to their role, which helped them understand and meet peoples needs, kept them up to date with new ways of working and gave them enough knowledge about health care and medication. They stated they felt they usually had the right skills, experience and knowledge to meet the different needs of people using the service. Both stated they knew what to do if someone had concerns about the service. In what the home does well they commented, gives excellent level of care to suit all patients and Im impressed by the majority of what I see. I have worked in various capacities with the elderly over a number of years, including managerial and rate it highly. The food is good, old fashioned recipes, well cooked and presented. In what the home could do better, one commented, better lighting in the lounges, repairs to or a new TV in the lounge and a staff room. The home continues to let us know about things that have happened since our last key inspection and they show that they manage issues well. The manager in the AQAA told us they had not received any complaints. In the dataset in the AQAA, information about safeguarding referrals had been left blank. When we rang the manager to ask about this, it told us there had been an adult safeguarding referral (this means concerns that have been made about keeping people safe). We spoke with the person who investigated the referral and they said after an initial investigation no further action was taken. The outcome was that record keeping needed to improve. The service work well with us, but need to expand information in their AQAA, so that it Annual Service Review Page 7 of 9 gives an accurate reflection of what has happened at the service in the last twelve months. In addition, be more proactive in meeting the requirements of all regulators so that outcomes for people are met, without intervention. They also need to act on what people, relatives, health and social care professionals and staff have said to improve the service. This will demonstrate they do listen to stakeholders, in order to improve the service for people. What are we going to do as a result of this annual service review? It is our statutory responsibility to inspect all care services at least once every three years. The completion of the risk assessment and annual service review has not changed our view of the quality rating of the service, therefore, we are not going to change our inspection plan and will do a key inspection by 10 February 2012. However, we can inspect the service at any time if we have concerns about the quality of service or the safety of the people using the service. Annual Service Review Page 8 of 9 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. 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