Care Home: The Laleham

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Annual service review Name of Service: The Laleham 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: Mark Hemmings Date of this annual service review: 0 8 0 5 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 117/121 Central Parade Herne Bay Kent CT6 5JN 01227363340 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 Conditions of registration: Kent County (Residential Homes) Ltd Number of places (if applicable): Under 65 Over 65 0 75 The maximum number of service users to be accomodated 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). 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 Up to 75 older people can make their home in The Laleham (the Service). In practice, a number of bedrooms that can be shared by two people each are normally used as singles. This means that the Service can only accommodate 59 people. The premises are five older properties that have been converted into one building. The accommodation is arranged on three floors. Theres a passenger lift that gives stepfree access to each of the levels. Each bedroom has a private wash hand basin. Three Annual Service Review Page 2 of 7 of them also have their own toilet. Theres an adequate number of bathrooms and toilets. The bathrooms have hoists in them so that people can get into and out of the baths without too much difficulty. There are also mobile hoists that can be used in the bedrooms and in the lounges. Theres a call bell system with call points in each of the bedrooms and in the bathrooms and toilets. The Service is close to the centre of Herne Bay. The front of the building looks out over the sea front. Theres a small garden at the back but this isnt used much. The weekly fee runs from £308.00 to £400.00. The actual amount charged depends on the source of funding and the particular bedroom that is occupied. 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 (the Assessment) that was sent to us by the Registered Provider. 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. Information that the Manager has recently told us about how things are going in the Service. What the Registered Provider has told us about things that have happened in the Service. These are called notifications and are a legal requirement. The previous Key Inspection that was completed on 16 May 2008. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The Registered Provider sent us its Assessment. It gives us the information we asked for. The Assessment and what the Manager has told us, show that various improvements have been made since the last Key Inspection. These include things that make a direct difference to peoples everyday lives. For example, all of the windows at the back of the property have been replaced with new uPVC double glazed units. The old wooden window frames were a bit draughty and they looked rather unsightly. A new set of scales have been bought. These enable people to sit down in comfort when they are checking their weight. Another improvement has been the provision of a cordless phone. This means that people can do their telephoning in private and while they are sitting down. Other improvements are planned for the forthcoming year. These include trying to get planning permission from the local authority to allow the Registered Provider to replace the wooden windows at the front of the property. Another development is the plan to create a wet room. This means that there will be a special walk in shower. Therell be no shower tray to have to step into and therell be plenty of space to turn things like wheelchairs and walking frames. This means that people who have difficulty getting about will be able to use it without too much trouble. Another development involves replacing the Services small car with a larger vehicle. This vehicle is used to to take people to things such as hospital appointments. Again, this should be a helpful development for people who have limited mobility. At the previous Key Inspection, the Registered Provider was not required to undertake any particular improvements. We thought that things were going well. Previously, the Annual Service Review Page 4 of 7 people who live in the Service have told us that theyre happy there. Theyre pleased with the help they receive. They think that they have good quality meals. The Assessment says that people are regulalry asked what they think about how things are going. The Manager says that the people who live in the Service continue to think that their home is how they want it to be. People are assisted to stay healthy and they are helped to seek medical attention as and when it is needed. Sensible arrangements are in place to assist people to take medicines in the manner intended by their doctors. These include the safe storage of medicines. Also, there are systems to ensure that medicines are given to the right person at the right time. Since the last inspection, there has been an incident when the wrong medicine was given to one person. The records show that medical attention was immediately sought and that the person in question was okay. The Manager says that she has looked into how the mistake occurred. Also, she has taken steps to reduce the chance of it happening again. The accommodation is presented to a comfortable domestic standard. The Registered Provider has kept us informed about significant events that involve the people who live in the Service. For example, things like accidental falls. There havent been that many. Theyre the sorts of things that youd expect to happen in the course of everyday life. However, there have been two incidents when Kent County Council looked into concerns that were raised about the wellbeing of two people who lived in the Service at the time. In relation to both matters, Kent County Council concluded that the Service had acted appropriately. During the morning, there are seven care workers on duty. This number reduces to six in the afternoon and four in the evening. There are waking care workers on duty at night. There are also special security arrangements at night. We think that enough members of staff are around. The Manager says that suitable security checks continue to be done on new members of staff. This is to help make sure that they are trustworthy people. She also says that care workers continue to have the training they need and that they know what theyre doing. Sensible things are done to help keep people safe. The Assessment says that good standards of hygiene are achieved in the kitchen. When the local Department of Environmental Health last called it gave the kitchen 2 out of a possible 5 stars. It asked for some improvements to be made to parts of the system used to handle food. The Manager says that all of the requested improvements have now been made. The premises are fitted with an automated fire detection system. This provides a high level of protection. The Manager says that the fire safety equipment and other things such as gas appliances are regularly checked. She says that they remain in good working order. Our overall judgement is that the Service continues to provide a good quality of care for the people who have made The Laleham their home. 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 we are going to complete a Key Inspection by 15 May 2010. However, we can inspect the Service at any time, if we have concerns about the quality of the Service or about 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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