Care Home: The Lawns Residential and Nursing Home

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Annual service review Name of Service: The Lawns Residential and Nursing Home 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: Jane Greaves Date of this annual service review: 1 1 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Lawn Lane Springfield Chelmsford Essex CM1 7JB 01245450101 01245464123 haguet@bupa.com www.bupa.com BUPA Care Homes (BNH) 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 physical disability terminally ill Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 14 8 14 52 0 Old age, not falling within any other category - 14 Persons of either sex, aged 18 years and over, who require general nursing care by reason of a physical illness/disability -14 Persons of either sex, aged 18 years and over, who require general palliative care - 8 Persons of either sex, aged 65 years and over, who require general nursing care by reason of a physical illness/disability - 52 Total number of persons accommodated not to exceed 52. 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 Annual Service Review Page 2 of 7 The Lawns provides accommodation in a modern and well maintained, purpose built two storey brick building. The home has nineteen single bedrooms and two double bedrooms on the ground floor and twenty-nine single bedrooms situated on the first floor. both floors are accessible via a passenger shaft lift. The home is situated in the grounds of Springfield hospital, within three miles of Chelmsford town centre and mainline train station. There is a bus stop outside of the home. The Lawns caters for a variety of people including Older People, Younger Adults with Physical Disabilities and people who have a diagnosed Terminal Illness and the fees paid range from £527.31 to £1009.87 per week. These figures were correct at the previous key inspection of this service, people may wish to contact the home for more up to date information. A copy of the Care Quality Commission report is available at the home on request. 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 other people with an interest in the service. 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 of 30th January 2008 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What has this told us about the service? The manager sent us a completed Annual Quality Assurance Assessment when we asked for it. Much of the information provided was carried forward from the previous years AQAA including information to indicate that they have encouraged the residents and their relatives to become more involved in Personal Care Planning and have ensured the focus is on the residents day. Regular communications and newsletters are produced to keep residents and relatives information of the choices and developments in the home and the views of residents have been more consistently sought in order to directly influence menu choices. The managers AQAA for 2008 and 2009 both stated that when redecorating residents rooms the resident or family choose the colours and the service has introduced a feature wall to some rooms at the residents request. We noted that, for 3 outcome groups of the AQAA, the manager had not identified where the home could improve the service provided for the people living there. One of these areas was the environment. In completed surveys returned to us 5 people said the home was always fresh and clean and 5 people said this was usually the case. Comments received in surveys included: Bed linen is well worn and sometimes grubby and Rooms need decorating and updating and Rooms could do with re-decoration the home is looking tired! The AQAA went on to say that by listening more to the resident means that our thinking has changed. Instead of thinking we cant do that we now think well lets try this and evaluate the outcome. Annual Service Review Page 4 of 7 The manager said that they continue to try and improve upon the activities programme offered and this is always ongoing. In the AQAA the manager said We have been able to take a very diverse group of residents out this summer, who have enjoyed the company, the sun, the smell of the sea, flowers etc. These are residents who often spend most of their time in their rooms because of their disability. Relatives have been involved and carers have noticed that residents are more stimulated when outside. It gives a resident a better sense of independence and control. Relatives and residents meeting minutes showed that people at The Lawns were offered a varied selection of social and mental stimulation including trips out, consideration was being given to a trip to Clacton Air day for the summer of 2010. Craft activities included a Christmas card competition and residents cutting and collecting lavender to make lavender bags. The meeting minutes also showed that some residents enjoyed a gardening club. People responding via surveys had varied opinions on the activity provision. 4 people said there were always activities arranged for them to take part in, 3 said this was usually the case, 1 said sometimes and 2 people said they did not take part at all. The meal service at the home did not feature in the managers what we could do better plans for improvement in the forthcoming year. Of the 10 survey responses we received one person indicated they enjoyed the meals at the home, 5 people said they usually liked the meals and one person said this was sometimes the case. Comments received included: Could serve hot dinners on hot plates and Food is always served hot and fresh and The food is plentiful but either undercooked or overcooked. The Yorkshire puddings on a Sunday are always burnt black! No correspondence relevant to this report was received by the Commission since the last key inspection. We have not received any complaints about the home and the managers AQAA shows that they have received 3 complaints. The AQAA shows that these were dealt with in accordance with the homes policies and procedures and that 2 were upheld. There has been one adult safeguarding alert made by the service since the previous inspection, this was found to be unsubstantiated. Eight people who commented in the surveys we received indicated that they knew how to make a complaint, one person indicated they did not know how to do this and one person said Never had an occasion to find out. The managers AQAA showed that the home seldom needed to use agency staff. There was no information included within the AQAA to show how many staff had achieved a minimum of NVQ2 in care or how many had completed the Common Induction Standards to ensure they had the basic core skills to provide safe and effective care for people. We noted that the staff team had received training in infection control and nutrition. Comments relating to the staff provision in survey responses included: From time to time the staffing levels are less than ideal and Appears to be a shortage of staff and The staff are very amiable and kind. There were no outstanding requirements from the last report produced where an officer visited the home. In survey responses people told us: Generally gives a good service and care and Cares for me well, keep me clean and tidy and well dressed. Always there when I need Annual Service Review Page 5 of 7 help and Attends to (relatives) needs and keeps us in touch What are we going to do as a result of this annual service review? At the previous key inspection we judged this was a good service. We do not believe anything significant has occurred to change our view, therefore we will continue to gather information about this service and to monitor outcomes for people living there. 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