Latest Inspection
This is the latest available inspection report for this service, carried out on 26th January 2010. 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 Tandridge Heights, Memorial Care Home.
Annual service review
Name of Service: Tandridge Heights, Memorial Care Home The quality rating for this care home is: The rating was made on: three star excellent service 1 7 1 2 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: Mary Williamson Date of this annual service review: 1 8 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Memorial Close off Barnetts Shaw Oxted Surrey RH8 0NH 01883715595 01883713990 tandridge@barchester.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mr John Lavan Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Barchester Healthcare Homes Limited Number of places (if applicable): Under 65 Over 65 75 0 0 75 The maximum number of service users who can be accommodated is: 75 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Dementia - DE 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 1 7 1 2 2 0 0 8 Annual Service Review Page 2 of 7 Tandridge Heights Memorial Care home is a new home, and was registered with the Commission for Social Care Inspection in April 2005. It is owned by Barchester Healthcare Homes Ltd. It is registered for seventy-five older persons, to include service users with dementia, and the provision of 10 beds for intermediate care. Accommodation consists of three floors, the ground floor for service users requiring personal and nursing care, the first floor for service users with dementia, and the second floor for service users requiring intermediate care. A passenger lift accessed all floors. All the bedrooms are single and ensuite. There are large communal areas on all floors, consisting of dining and lounge facilities, and several smaller sitting areas at the end of each wing. There are pleasant secure garden areas with garden furniture, and there is adequate car parking facilities at the front of the property. The fees for the home range between £650 - £1,200. ICT beds are £542. 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. 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 people with an interest in the service. Information we have about how the service has managed complaints. what the service has told us about things that have happened in the home. these are called notifications and are a legal requirement. The previous key inspection report. 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. This was clear, detailed, and provided us with all the information we asked for. We looked at the information in the AQAA and it is our judgement that the home is still providing a good service and that they know what further improvements they need to make. The home operates a robust admission procedure that includes a pre admission needs assessment, total care assessment, and development of person centred care plans. The AQAA explained how specialist support is available to meet individual needs. This includes a continence link nurse, and an infection control link nurse to promote good nursing practice. The service has also identified a senior nurse to attend a workshop in palliative care and pain management to enhance the care provided. Since the last inspection the home has developed a welcome pack for residents in the convalescence unit highlighting key aspects of the home. Privacy and dignity are promoted with staff receiving training regarding this during induction. Residents are given choice in all aspects of their daily lives including the room they occupy, menus, activities, and how they wish to receive personal care. The home is pro-active in seeking views of residents and relatives. There is a suggestion box at the reception that residents and relatives are encouraged to use, annual customer satisfaction surveys are circulated, evaluated and changes made Annual Service Review Page 4 of 7 when necessary. The chef makes time to seek views of residents to ensure that the food offered in accordance with their choice and expectations. As a result of feedback from relatives of residents on Memory Lane smaller portion sizes have been introduced and finger food is also available. A programme of activity meet individual and collective needs. A wide variety of activities are in place, and following a residents request a Nintendo Wii computer console was purchased as part of an activity programme. The AQAA stated that the interior design and estates team provide support and guidance on environmental issues. Further investment in the fabric of the building has been identified for action. A dedicated housekeeping team ensure the home is kept clean and hygienic. Residents needs are being met by a team of skilled and competent staff. All staff undertake induction training in accordance with Skills for Care and the Barchester induction policy. Staff also receive specialist dementia training to help them undertake their roles. The learning and development team support access to NVQ training and advanced training. The organisation is committed to providing opportunity for qualified nurses to further their learning and development, in accordance with NMC (Nursing and Midwifery Council) guidance. The home has sponsored one staff member to undertake an MA in Dementia Care. The manager of the Memory Lane Unit has been awarded Surrey Nurse of the Year 2009. The home has a complaints procedure and safeguarding procedure in place. All residents have access to the complaints procedure. There have been no complaints received by The Care Quality Commission since the last inspection. All staff receive training in the safeguarding of vulnerable adults and no referrals have been made under these procedures since the last inspection. The home is well managed in the best interest of the residents. The AQAA indicates that the heads of department meet every other day to discuss operational needs and the requirements of the residents. The home promotes the health, safety and welfare of the residents and the staff. Regular health and safety audit are undertaken. The AQAa outlines all the required safety certificated in place and their renewal dates. The home continues to inform the Care Quality Commission of any relevant events that have occurred since the last inspection and they have shown that they have managed issue well. They work well with the Care Quality Commission and have shown that their service continues to provide good outcomes for people who use it. 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 18th December 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the people using the service. Annual Service Review Page 5 of 7 Annual Service Review Page 6 of 7 Reader Information
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