Latest Inspection
This is the latest available inspection report for this service, carried out on 8th February 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 Good.
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 Mount And Severn View Nursing And Residential Home.
Annual service review
Name of Service: The Mount And Severn View Nursing And Residential Home The quality rating for this care home is: The rating was made on: two star good service 0 3 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: Becky Harrison Date of this annual service review: 0 7 0 1 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service
Address of service: 41-43 The Mount Shrewsbury Shropshire SY3 8PP 01743232228 01743236832 Telephone number: Fax number: Email address: Provider web address:
www.barchester.com/oulton Barchester Healthcare Homes Ltd Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 11 0 2 0 45 0 The home may accommodate a maximum of 58 elderly persons. Of these a maximum of 28 persons may require Nursing Care and 11 may be suffering from Dementia. The home may accommodate within the total of 58, two younger adults with Physical Disabilities. The home must comply with the Staffing Notice as issued by the Shropshire Area Helath Authority. 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 Mount House is situated on the outskirts of Shrewsbury and is close to the town centre and local facilities. It is an adapted old house with an annexe. The residents can enjoy a well maintained garden. There are car parking facilities for visitors. The service
Annual Service Review Page 2 of 8 0 3 1 2 2 0 0 8 provider is Barchester Healthcare Ltd. Information about the home is available in the statement of purpose and service user guide. Inspection reports for this service are available direct from the provider or can be obtained from www.cqc.org.uk Annual Service Review Page 3 of 8 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 completed by the manager and sent to us prior to this Annual Service Review (ASR). The AQAA is a selfassessment tool 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 6 representatives of people who use the service and 3 members of staff. 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 report. What other people have told us about the service. What has this told us about the service? The manager sent us the annual quality assurance assessment (AQAA), which was clear and gave us information about what they are doing now and what they want to do in the future. The last key inspection of this service was undertaken on 3rd December 2008. The manager told us that the following improvements have been made: A gardening club has been introduced and a vegetable patch provided. Parts of the home have been improved and refurbished for the benefit of residents to include the dining area and the kitchen, a new shower room, new carpets fitted in bedrooms and furniture in the dining room and bedrooms upgraded. New equipment has been purchased to include profile beds, air flow mattresses, a new washing machine and sluice machine. Staff have been provided with further training opportunities in dementia care, first aid, medicines and adult protection. Meetings have been held with residents and their families to discuss their needs and wishes and these have been listened to and acted on. Several areas of documentation relevant to Barchester have been developed and updated. Annual Service Review Page 4 of 8 Regular visits from support staff within the company have continued and improved the service. We did not receive any completed surveys from people who live at the home however we received six surveys from representatives who have an interest in the service. They told us that they are always or usually given enough information about the care service and that the service always or usually meets the needs of individuals, that the home usually helps residents keep in touch with those close to them, that staff usually have the right skills and experience, that the service usually supports people to live the life they choose. All six representatives indicated that they are aware of the complaints procedure and the service has responded appropriately if any concerns have needed to be raised. They told us that the home does the following well: Provides a warm and comfortable home My husband is very well looked after and contented. They treat the residents with kindness and considerable care. I have no complaints whatsoever The general care is good. Few complaints, the staff do the best they can. Provides the appropriate care for our relative in correlation with her individual needs. They provide good nursing care for individuals with diabetes/specialised diets and good quality food. There is a good range of activities It is unfailingly kind. In general I am very satisfied with The Mount and my relative is as happy and settled as she can be in the circumstances. All homes are less than perfect but I feel they do a good job Representatives told us that the service could do the following better: Provide more staff so they can respond quicker and on a more personal level More one to one care or just companionship by sitting and talking More individualised time with carers who always have something else to do. I feel my mother needs a bit more personal care than she receives My general observations are that there are some staff that are clearly more capable of understanding the needs of dementia patients. When they are on duty my relative appears more settled, when they are not she is more agitated Almost impossible to provide the care my mother needs in view of her severe dementia. I believe she is cared for as well as possible given the fact that she needs constant attention for very little reward. Therefore I dont see what could be done to improve her care short of a dedicated one to one carer which is improbable We received surveys from three members of staff and their feedback was generally positive. Staff told us that they are usually given up-to-date information about the needs of the people they care for, that their employer carried out the necessary checks to make sure they were safe to work with vulnerable adults, that they receive training
Annual Service Review Page 5 of 8 that is relevant to their role, helps them understand and meet the individual needs of people they care for and keeps them up to date with new ways of working. They indicated they often receive enough support from the manager and that there is usually enough staff on duty to meet the individual needs of the people using the service, although one staff member indicated there is never enough staff on duty. Staff told us that the service does the following well: Staff create an atmosphere of love and acceptance and make certain everyone feels valued. Ideas are usually attempted in a positive manner and there are plenty of activities to accommodate the various needs represented Variety of food, fund raising and general events. A vast improvement made with purchasing new electric beds which are very good and other furnishings etc have been improved. There is ongoing training for staff who all work well as a team. We provide a welcoming atmosphere; great nursing staff and some of the care staff are fantastic! Generally a high standard of care is provided. The whole nursing team seem to work well together and the home is much better run by Barchester...The general level of care and the environment has improved dramatically over the past few years. I think its a good home We received the following comments from staff about what the service could do better: More care staff are needed in order to improve the quality and quantity of time with the residents. The laundry department needs vast improvement - currently clothes go missing, often woollens shrink in the wash and often care staff waste their time looking for clothes instead of being with residents. Some immobile residents with poor communication skills dont have enough time out of their rooms or 1:1 time with anyone Possibly reaching out to the needs of family members and providing support when its necessary to leave a loved one in the home. Perhaps respect the service times and ensure there is sufficient consideration when walking through the room where the services are held. This is mainly visitors who turn up the television and then talk above it making it impossible for others to hear the service The AQAA states that 26 of the 55 permanent care staff employed hold a national recognised qualification known as NVQ at level 2 or above in Care or Health and Social Care. We have not received any correspondence or concerns from the Environment Health Department or the Fire Department about the service in the last twelve months. The manager has ensured that we are notified of any event that has occurred affecting the health and wellbeing of the people living at the home since our last visit. The AQAA indicates that the service has received six complaints in the last 12 months, all were upheld and responded to within the required timescale. Feedback in surveys completed by representatives of people who use the service indicate they are aware of the complaints procedure. Staff surveys indicate staff know what to do if someone has concerns about the home. In August 2009 we received a concern about staffing levels
Annual Service Review Page 6 of 8 and the concern was passed to the manager to investigate. We received a satisfactory response from the manager to the issues raised. There have been no referrals or investigations triggered under safeguarding adult procedures. The last key inspection of the service concluded that people living at the home receive good outcomes. We looked at the information in the AQAA and the rest of the information we hold and our judgement is that the home continues to provide a good service to the people living at the home and the manager has identified areas for continued improvement. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and may do a key inspection by 3rd December 2010. 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 7 of 8 Reader Information
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