Latest Inspection
This is the latest available inspection report for this service, carried out on 5th June 2009. CQC found this care home to be providing an Good service.
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 The Jacob Centre.
Annual service review
Name of Service: The Jacob Centre 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: Claire Farrier Date of this annual service review: 0 5 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: High Wych Road Sawbridgeworth Herts CM21 0HH 01279600201 01279603866 rita.mccarthy@ramsayhealth.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : physical disability terminally ill Ramsay Health Care UK Operations Limited Number of places (if applicable): Under 65 Over 65 60 60 60 60 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 Jacob Centre is a care home with nursing, providing accommodation and care for sixty adults with a physical disability or terminal illness. Specialist services are provided for people who have survived a traumatic brain injury or spinal injury, including tracheotomy care and respiratory ventilator support, and for people with complex neurological conditions. It is owned by Ramsay Healthcare Ltd. The home was opened in April 2004 and consists of a two-storey purpose built building. It is situated in a complex of services that includes a private hospital, The Rivers, and another home, The Gardens. The service is divided into 2 units each with it?s own manager and staff group. The home is located in a rural setting on the outskirts of Sawbridgeworth, not far from the outskirts of Harlow. There is a shop in the home, and a pub that also serves food
Annual Service Review Page 2 of 6 across the road from the complex. Other community amenities, including shops, banks, cafes and leisure facilities, can only be accessed by use of the homes transport. All the bedrooms are single with en-suite facilities. There is a passenger lift. The home has a patio garden accessed from the ground floor dining room and decking areas outside the ground floor lounges. The home is fully accessible for people living there. The Statement of Purpose and Service Users Guide provide information about the home for referring professionals and prospective clients. The current charges ranged from £985 to £4000 per week as at 9th June 2008. 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? The last key inspection took place on 9th June 2008. We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. 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 who use the service and by the staff who work in the home. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. 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 all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. We received surveys from eight people who live in the home. Most people gave positive responses to all the questions about the quality of their life in the home. Two people said they make decisions about what they do each day only Sometimes. One person said that the people in the home are happy, and the staff look after them well. We also received two surveys from people who live in the home that were sent last year, but arrived too late to be included in the last inspection report. One person was unhappy with the choices they had had about moving to the home. We also received three surveys from relatives of people who live in the home. Their comments include, In general I feel the staff are amazingly cheerful and caring in their treatment of the residents. Care staff have improved and NVQ training supported. We find them cheerful, caring and supportive. They have now taken the time to get to know my relative which has improved their interaction. Provides generally very good nursing care and has a very friendly staff - this covers nurses, carers and cleaners (and therapists). But all three felt that there were problems with staff shortages, and one said, There could be more activities, being sat in front of the TV is not good. Four surveys that were sent last year but arrived too late to be included in the last inspection report also commented that there was a need for more stimulating activities for their relatives. The five staff who completed surveys feel happy and supported in their work in the home. One person said,The home enables residents to progress through rehabilitation. It also lets residents and their loved ones review and have their say about their care. It also provides staff with a variety of training courses to improve Annual Service Review Page 4 of 6 their practice within the centre. Some of the staff would like more training on peoples specific needs and conditions, and more staff. The information in AQAA shows that the management and staff are constantly seeking ways to improve the involvement of the people who live in the home. There are regular meetings for the people who live in the home and for their relatives, and regular surveys. The last survey in June 2008 gave overall satisfaction with the service at 94 . However in the last inspection report we said that there were discrepancies between the survey responses received by the Commission and the Jacobs Centre customer satisfaction surveys. This was specifically in areas of satisfaction with the quality of food and how complaints were dealt with by the home. This year there were no particular comments about the quality of food in the home, and although some concerns were expressed, one relative said that they had made a complaint, which was dealt with and responsibility accepted. The AQAA stated that in order to address the concerns about how the home deals with complaints, they have produced a leaflet entitled we value your opinion that encourages residents and relatives to tell them about their comments, compliments and complaints. The leaflet includes clarification on the complaints procedure including verbal, written and options if the complainant remains unsatisfied. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. The manager is aware of the changes and improvements that are needed in the home. In the AQAA she wrote, Our ambitions exceed our capacity! We are actively committed to continual improvements and as we achieve our goals, we have further ones to work towards. Our work focuses on both necessary and aspirational improvements and we see goals as part of a journey not a destination. We often have to work hard with funders to achieve their commitment in supporting residents to maximise their opportunities e.g. supporting discharges home with complex packages of care; supporting regular visits home. Resistance is usually due to funding constraints and perception of risk - with persistence and evidence we have usually been able to overcome these barriers. In the next year the manager plans to build on existing strengths and areas for development in all areas, including a new IT system, which will include enquiry handling, clinical administration and clinical documentation modules. The home works well with us and have shown us that their service continues to provide excellent outcomes for the people who use it. What are we going to do as a result of this annual service review? We can inspect The Jacob Centre at any time if we have concerns about the care, welfare or safety of people living there. There is currently nothing to indicate that an inspection is required in the immediate future. We are not going to change our inspection plan, and will do a key inspection by 8th June 2010, unless information is received that suggests an earlier one is necessary. 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:
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