Care Home: The Suffolk Private Retirement Home

Annual service review Name of Service: The Suffolk Private Retirement Home The quality rating for this care home is: The rating was made on: two star good service 0 1 1 0 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: Julie Small Date of this annual service review: 0 5 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 9 Sea Road Felixstowe Suffolk IP11 8BB 01394282972 01394274485 daverai138@aol.com 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 SJR Care Limited Number of places (if applicable): Under 65 Over 65 0 23 Have there been any changes in the ownership, management or the Yes 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 Suffolk Private Retirement Home is a care home for older people. The home is located on the sea front at Felixstowe. It can accommodate up to a maximum of 23 older persons. The home has no garden area for recreational purposes, but there is a small paved area immediately outside the front door, where service users sit in fine weather. Immediately opposite is the sea front, which includes an esplanade, seating, and gardens. The home is spread out over five floor levels - a basement comprising laundry, staff area, and storage. The ground floor comprises of a kitchen, 2 lounges, dining room, 2 toilets, and a small office. A further three floors have bedrooms, bathrooms, toilets, a sluice room, and the managers office. Access to the floors above ground level was provided by a staircase and shaft lift. Details of current fees were noted from the Service Users Guide during the last key inspection and ranged from £341 to £420 per week. None 0 1 1 0 2 0 0 8 Annual Service Review Page 2 of 7 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 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 using the service and from other people with an interest in the service. We received surveys from nine people who live at the home and four staff members. 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. What other professionals have told us about the service. The previous key inspection and other visits that we have made, which included a random inspection 1st July 2009. What has this told us about the service? Prior to the last key inspection 1st October 2008 the home was rated 0*, which means that they provided poor outcomes for people. Suffolk County Council suspended the homes accreditation following the poor rating and support had been provided by the organisations Outcomes and Quality Monitoring Team to improve the service provided to people. There had been improvements at the home and at the last key inspection 1st October 2008, the rating for the home was a 2* good service and the accreditation with Suffolk County Council was reinstated. There were a number of safeguarding alerts made which identified concerns about the service that was provided at the home and the accreditation with Suffolk County Council was suspended 23rd March 2009. A number of safeguarding strategy meetings were held, investigations to the alerts were undertaken and the Outcomes and Quality Monitoring Team continued to provide support to the service. We undertook a random inspection 1st July 2009 and it was noted that the home continued to make improvements. Two requirements were made at the random inspection, which identified that there were unpleasant odours in the home and the required documentation regarding staff recruitment were not available for inspection, the AQAA informed us that the appropriate recruitment checks are made and that offensive odours are managed. Suffolk County Council informed us that they had reinstated the homes accreditation 31st July 2009 and due to concerns in relation to the sustainability of the Annual Service Review Page 4 of 7 improvements made, they will suspend accreditation if further concerns are received and the Outcomes and Quality Monitoring Team would continue to offer their support in maintaining the standards of the service provided at the home. 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. The AQAA told us that there had been three complaints made since the last key inspection, which had been resolved within twenty eight days and that there had been five safeguarding alerts made. The AQAA stated that they take all complaints seriously, safeguarding alerts if needed. Complaints procedure given to staff, visitors and residents. Seven service user surveys said that they knew who to speak with informally if they were not happy and two said that they did not. Four surveys said that the knew how to make a formal complaint and five said that they did not. Four staff surveys said that they knew what to do if a person had concerns about the home. At the random inspection 1st July 2009, we viewed the training records of five staff members, which showed that they had been provided with safeguarding training. During the inspection we spoke with two staff members and the inspection report stated they had a knowledge of the whistle blowing procedure, their roles and responsibilities in safeguarding people.... The AQAA told us that they had made improvements in the environment and that there were plans to continue with the refurbishment of the home. The service user survey asked if the home was fresh and clean, seven answered always and two answered usually. At the random inspection it was noted that there had been improvements in the environment and the report stated since the last key inspection there had been improvements in the communal areas of the home, such as the dining room had been redecorated, there was a new carpet in the entrance hall and stairs, a fire door had been fitted on the back door to the home, the milk dispenser had been cleaned, the front lounge had been decorated and there were new chairs and tables, on which people were observed to play dominoes. In each of the lounges it was noted that there was a selection of cold drinks and cups, which people could help themselves to. People that were in the lounges were observed to have drinks either in their hands or on tables in front of them, which showed that they were provided with drinks to ensure that they did not become dehydrated. The AQAA told us how they met peoples needs and stated that they did well by staff interaction with residents and visitors, good home cooked food, friendly atmosphere and malnutrition universal screening, reviews on care plans, regular visits from health professionals. The service user survey asked is they were provided with the support that they needed, seven answered always, one answered usually and one said that they did not know. The survey asked if they were provided with the medical support that they needed, seven answered always, one answered usually and one answered sometimes. Nine surveys said that the staff were available when they needed them and seven said that the staff always listened and acted on what they said, one said that they usually did and one said that they did not know. The survey asked what the service did well Annual Service Review Page 5 of 7 and comments included clean, tidy, well kept, helpful and I think the home does well in all the meals we have. All members of staff wash my hair very good as I cannot do it myself. The survey included areas that they thought that the home could improve, which included support with meals for people with sensory loss and staff spending more time with people. Four staff surveys said that they were always provided with up to date information about the needs of the people that they supported. The survey asked if the ways that they passed information about people who use the service worked well, three answered always and one answered usually. The survey asked what the service did well and comments included environment had improved, residents seem happier, the home has a good rapport with anyone who visits and I think the home does well with the training we get and the support by management. The home continues to let us know about things that have happened since our last key inspection and they have shown us that they work with us to ensure that their service continues to provide good outcomes for people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 31st September 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 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. 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