Care Home: Tristford

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Annual service review Name of Service: Tristford The quality rating for this care home is: The rating was made on: three star excellent service 1 2 0 2 2 0 0 9 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: Penny McMullan Date of this annual service review: 0 5 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: 7 Radnor Park West Folkestone Kent CT19 5HJ 01303241720 01303241720 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : physical disability Conditions of registration: MNP Complete Care Group Number of places (if applicable): Under 65 Over 65 12 0 The maximum number of service users who can be accommodated is: 12 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: Physical disability - PD 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 Tristford is part of the MNP Complete Care Group. It is a residential home providing care and support for up to twelve people with physical disabilities. It is a large, detached house that overlooks a local park. It is close to all local amenities in Folkestone. The accommodation for residents is arranged on two floors, the upper floor being accessed by a spacious lift. There are twelve single bedrooms that are comfortably furnished, light and airy. The communal space is large and well decorated. There is easy access to a safe, well-maintained and enclosed garden. On the third floor there is a large administrative office and a training room for staff. The MNP Group are Annual Service Review Page 2 of 8 1 2 0 2 2 0 0 9 the registered providers for the home. The registered manager is Mrs Lorraine Harrington who is a registered nurse and has many years experience in care. 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 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. 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 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 other people have told us about the service. What has this told us about the service? The home returned the Annual Quality Assurance Assessment (AQAA) when we asked for it. This was clear and comprehensive. It identified areas that have improved in the last year and others where further developments are either planned or would benefit service users. This included evidence that the service seeks the views of residents and other stakeholders. The last inspection was carried out on 12th February 2009 when the judgement rating for the home was three stars, excellent. This means that the people who live in the home receive excellent care outcomes. Postal surveys were forwarded to the agency to distribute to the people who use the service, staff and health care professionals. We sent eight surveys to the people who use the service, eight to the staff, five to relatives, three to the care management team and three to health care professionals. Eight surveys were received from the people who use the service, four from relatives, seven from staff, none from the care management team and three from health care professionals. Comments made in these surveys have been included in this report. The last inspection report was very positive about the home and the outcomes for the people living there. All the people living in Tristford have lived there for some time and no one has moved out or in since the last inspection. There is evidence from the AQAA that the home is continuing to look at ways of improving what it does to ensure excellent outcomes for those receiving a service. For example they talk with the people Annual Service Review Page 4 of 8 living in the home on a daily basis and have one to one and group meetings on a regular basis. Quality assurance surveys are completed on a six monthly basis. Once collated, the information is used as a basis to improve the service. The manager told us in the AQAA that there is a high level of need with regard to health care and personal support. She said that the home is well supported by District Nurses and Multiple Sclerosis Specialist Nurses for all related health care issues in the peoples day to day care and medical conditions. Some staff have already received palliative care training and it is intended that all staff complete the course so that the home is a home for life. The manager feels that the staff team are now more confident in their responsibilities, and their practice has improved when providing moving and handling. The seating in the dining room has been re-arranged to allow better manoeuvrability around the lounge whilst meals are being served. They have also installed an additional doorbell at wheelchair level a metre away from the front door for easy access for the people who live in the home. The AQAA told us that the garden continues to be well maintained and the pond has been re-lined. Redecoration and refurbishment of the house and garden continues, improving the environment for all who live and work there. The manager told us in the AQAA that they are continuing to provide a range of training to meet the individual needs of the people living in the home. Two senior members of staff have also achieved NVQ Level 3 and two staff are working towards achieving NVQ Level 2. When asked what the home does well the people living in the home comment: Everything. I dont think they could do any better. I think the home provides good food. I think my clothes and bedroom are always tidy. It is a happy home. I am looked after very well, the food is very good and my bedroom is clean and tidy. They are good at looking after me and caring for my every day needs. Everything is fine. Everything is OK. They are good at providing everyday care, they could not do anything better. They are good at cooking and looking after my needs. Relatives comment: The day to day care and attention to the resident is very good. My relative appears to be as happy as he can be and my family and I are very happy with the care he receives. The home has a warm, friendly atmosphere with very helpful staff. My family and I are very impressed with Tristford and consider the owners and staff deserve high praise for the service they provide. They keep my relative motivated and interested. There is always someone to talk to and arrange outings and social events. The home provides love and care. Tristford gives compassionate care and a quality life to my relative which he has never experienced anywhere else since his parents were not able to look after him. When asked what the service does well health care professional comments: Individual client care, promoting independence and integration into the community. The care home always provides a safe and responsible home for the clients. The medical records are current and are always available. They very appropriately manage the day to day care of the clients. They treat people as individuals, respecting both Annual Service Review Page 5 of 8 their wishes and their dignity. They offer a good standard of care at all times. I visit the home regularly and staff are dedicated to the care of their residents and it is a pleasure to work with them. It is my experience that the care staff seek prompt and appropriate treatment from the District Nursing service whenever a resident requires it. The residents are always well cared for. I have found Tristford to be a well run residential home which is staffed by competent, friendly and well trained people. Staff comments: Care for the residents and keeping staff informed most of the time. We care, offering support to the clients in their daily lives. Their needs are met to a high standard and we work well with the District Nurses. The standard of care in the home is kept to a high standard. I just love it. We care for residents and their everyday needs and problems, and keep a clean and friendly environment. In my opinion this home is run very efficiently in all areas. It is a very friendly homely home. I am happy here. Tristford always aims to give a good standard and quality of care. When asked what the service could do better, comments are as follows: A relative comments: As far as we can see there is very little they could do better. It is comforting to know my relative is being very well looked after. Staff comment: More training for those who need it. Provide more staff and a pay rise. In my opinion the home is running well at the moment. I dont think there is anything at present. Employ people who have common sense and a bit of life experience so that they can treat people with respect and the greatest level of care they can. The Registered Manager told us that the home has employed new staff who are in the process of being trained and supported to gain the required experience to do their jobs well. She told us that all staff have received supervision and appraisal and are given the opportunity to raise any issues and concerns. There have been no issues or concerns/complaints raised with regard to any incidents of a lack of respect. In view of these comments it is her intention to hold a staff meeting to reiterate the importance of raising concerns so that they can be addressed and if required any action can then be taken to improve the service. 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 excellent outcomes for the people who use it. There have been no complaints since the last inspection and no issues or concerns have been forwarded to the Commission. 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 12th February 2012. 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 8 Annual Service Review Page 7 of 8 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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