Latest Inspection
This is the latest available inspection report for this service, carried out on 7th December 2009. 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 Thornebury Nursing Home.
Annual service review
Name of Service: Thornebury 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: Peter Illes Date of this annual service review: 0 4 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 5,7 &9 Langthorne Road Leytonstone London E11 4HL 02085399443 02085399443 helens@outlookcare.org.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Outlook Care Number of places (if applicable): Under 65 Over 65 16 0 The maximum number of service users who can be accommodated is: 16 The registered person may provide the following category of service only: Care Home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD 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 Thornebury Nursing Home is registered to provide care for up to 16 service users of either sex who have enduring mental health problems. The aim of the home is to provide rehabilitation and to enable service users to move to more independent living facilities. For the majority of residents this is a long-term aim. The building is comprised of three two-storey buildings, which have been adapted and converted to provide single rooms and communal areas for service users and office space for staff. The home is situated in a residential area of Leytonstone with easy access to local Annual Service Review Page 2 of 6 facilities and public transport. The home is adapted for wheelchair users and those with limited mobility, including four of the bedrooms. A statement of purpose is made available to all service users in the home and is kept in the main Office. A service user guide is also given to each service user upon admission to the home. Fees for the services provided range from £900 to £1250. Service users have to pay extra for personal effects such as toiletries and clothing - the prices of which are variable. 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? 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 report. What has this told us about the service? At the last key inspection on 08/11/2007 the service was assessed as being a good service. Two potential safeguarding incident have recently been reported to the Commission by the home and these have been properly investigated under the relevant multi-disciplinary procedures. No complaints about the service have been reported to the Commission since the last key inspection. The service sent us their annual quality assurance assessment (AQAA) when we asked for it. The AQAA contained a range of detailed information and indicated that the home continues to provide a good service. The AQAA told us of the improvements the service had made in the previous twelve months. These have included: empowering residents to gain independence and be able to move onto less supported placements; introducing a local mental health forum; more residents attending the local gym; residents benefiting from the part time activity officer assisting with structured activities and also some activities from an occupational therapist; improved recording of the outcomes from healthcare appointments; more support around the safe administration of medication with the development of the provider organisations medication champions; staff attending training in safeguarding adults and positive behaviour/ anger management; the installation of a stair lift; on going decoration of the home; residents being involve in staff recruitment and also joining staff for in-house fire training and by the homes manager registering as such with the Commission and completing her registered managers award (RMA). The AQAA told us that planned improvements to the home over the next twelve months would include: ensuring that admissions to the home continue to be appropriate; to continue to support and empower those residents who wish to move on to less supported placements; to continue to develop person centred plans for Annual Service Review Page 4 of 6 residents; to undertake an audit on dignity and care standards; to plan more individual holidays for those residents that choose not to go on group holidays; to continue to support more residents to manage their medication in preparation to moving on to less supported placements, including residents keeping their own medication in their rooms where appropriate; further training in safeguarding awareness and deprivation of liberties safeguards (DOLS); to continue to maintain a homely and safe environment; to investigate new training for staff to assist them further in being able to empower residents and for the registered manager to continue to update her knowledge. The AQAA also told us that the home continues to listen to the views of residents, including through: weekly residents meetings where residents are encouraged to express their views and are supported by staff to chair and minute the meetings; through key workers working with each resident to compile an individualised care plan and person centred plan; and, through annual satisfaction surveys where residents are encouraged to comment on the service. We received returned survey forms from seven residents, which indicated through the tick box responses that they were generally satisfied with the care they received. However, none gave us any additional comments, either positive or negative. We received survey forms from eleven staff that indicated they felt generally well supported. Comments included: The home gives good care to the service users; another commented, Care policies and procedures are adhered to properly, service users get the best quality care and staff are committed; and another commented, Good management (manager competent and assertive), good environment and training given accordingly. However, a member of staff also indicated that more staff at weekends would be beneficial to be able to give (more personalised) care effectively. 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. They work well with us and have shown us that their service continues to provide good outcomes for the 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 1st November 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 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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