Care Home: The Chapel House

Annual service review Name of Service: The Chapel House The quality rating for this care home is: The rating was made on: two star good service 2 8 0 1 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: Julie Porter Date of this annual service review: 0 1 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: Chapel House Lane Puddington South Wirral CH64 5SW 01513362123 01513363833 cathrina.moore@btconnect.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia Conditions of registration: Mrs Imelda Moore Number of places (if applicable): Under 65 Over 65 35 0 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia Code DE. (The maximum number of service users who can be accommodated is 35). 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 The Chapel House is located in the village of Puddington to the north west of Chester, and is surrounded by farmland and countryside. The home is a family business, with the proprietors involved in the day-to-day running of the home. The building is a three storey detached country house which has been extended and adapted by the present owners. The home has two lounges each providing access to conservatories that are used as dining rooms and for social activities. There is a passenger lift providing access to all three floors, however six of the bedrooms can only be accessed by a short flight of steps on the first floor. There are enclosed and secure gardens with access for ambulant residents and wheelchair users. The home is registered to provide nursing 2 8 0 1 2 0 0 9 Annual Service Review Page 2 of 6 care for 35 older people with dementia related needs and also provides day care services for up to three people. At all times there is a registered nurse and care staff on duty. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at the information that we have, 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 document that focuses on how well outcomes are being met for people who live at the home. It also gave us some numerical information about the service. Surveys sent out to people who live at the home and staff members to find out their views. Information we have about how the service has managed complaints. What the home has told us about things that have happened at the home; these are called notifications and are a legal requirement. The previous key inspection which was carried out at Chapel House on 28 January 2009. Relevant information we have received from other organisations. What other people may have told us about the home. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us the information we asked for. We looked at the information in the AQAA and our judgment is that the home is still providing a good service and that they know what further improvements they need to make. The manager told us that there is information available about the home and this is provided verbally and in writing. People are assured that their needs can be met when they move into the home because there is a thorough assessment which continues during trial visits, link visits and when the person moves in. The manager tells us that the prospective new resident their family and other interested parties are all involved in the planning of care and support. The manager told us, we invest a lot of time gaining information and assessing new service users and work hard to ensure they feel happy in the home. The manager told us that the home has a highly skilled workforce who have made a positive commitment to dementia care. Also that the nursing staff in the home either have or are studying to degree level and sixteen of the eighteen care staff have achieved a National Vocational Qualification (NVQ) in care. These are nationally recognised qualifications for staff working in care and show they have been assessed Annual Service Review Page 4 of 6 as competent to provide good quality care. We were provided with many examples on the AQAA when we are told that people are encouraged to be as independent as their condition will allow, or where people are given the opportunity to make the most of their abilities, whether that be through personal care or stimulating activities. The manager told us that additional financial resources have improved staffing levels and the ability to provide individual support. The people living in the home are encouraged to follow personal interests and activities and each person has information about their activities programme in their bedrooms. The home employs a full time activities coordinator and a part time driver and as a result of listening to people in the home activities have been varied across the whole day. The AQAA said that the home has a complaints procedure. There had been one complaint made to the home and this was resolved within an appropriate timescale. The manager told us that she encourages people to speak up when they are dissatisfied, as she finds it helps her in providing the best possible service. No complaints have been received by the Care Quality Commission about The Chapel House. Staff working in the home receive training in protecting vulnerable adults and one referral has been made to the local authority safeguarding team in accordance with guidance. The AQAA told us that since our last visit to The Chapel House there had been a plan to upgrade the facilities and structure of the home with the addition of new windows, gutters and fascias and a new central heating system. There is an on going refurbishment plan for the home and the home employs a handyman. Some extra safety arrangements have been put in place and the home is looking to refurbish the kitchen. We were told that the home has thorough recruitment processes and induction so that suitable people are employed to work with the people who live there. The manager also told us that there is a low turn over of staff so that people living in the home are supported by a consistent staff team known to them and their relatives. The manager said she would like to have more relatives meetings and in the new year we will formalise quarterly meetings at the moment they are a little ad hoc. She also told us that they had improved the service in the home by having better staff induction procedures, improved management structure and allocation of responsibilities. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and we will do a key inspection within three years of the previous inspection being carried out. 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 5 of 6 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. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Annual Service Review Page 6 of 6 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!