Care Home: WCC - Lower Meadow

Similar services:

• Maple Lodge
• Heathlands
• Aston Court Nursing Home
• Breme
• Ravenhurst
• Bank House
• Inspirations
• Ashcroft Hollow Nursing Home

Annual service review Name of Service: WCC - Lower Meadow The quality rating for this care home is: The rating was made on: two star good service 2 7 0 1 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: Sandra Wade Date of this annual service review: 0 8 0 1 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: Drayton Avenue Stratford upon Avon Warwickshire CV37 9LF 01789268522 01789414521 paulgaskell@warwickshire.gov.uk 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 Conditions of registration: Warwickshire County Council, Adult Health & Community Services Number of places (if applicable): Under 65 Over 65 0 35 The maximum number of service users who can be accommodated is: 35 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 35 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 Warwickshire County Council manages Lower Meadow. The home is a Local Authority care home registered to provide personal care and support for up to 35 Older People. Lower Meadow is situated about one mile from Stratford Upon Avon town centre where all community and health facilities offered in the town can be found. There is a bus service to the town every 15 minutes. The entrance to the home is though the main lobby which is spacious and accessible for people with mobility difficulties or Annual Service Review Page 2 of 8 2 7 0 1 2 0 0 9 wheelchairs. There are 15 bedrooms on the ground floor and 20 on the first floor, all bedrooms have ensuite facilities consisting of a wash-hand basin and toilet. Two of the bedrooms have a shower facility. There are several communal bathrooms with mechanically assisted baths but no showers. There is a shaft lift for people to access the first floor. There is one large dining room where all meals are served and this has recently been refurbished to a high standard. There are three lounges that people can choose from and all of these have facilities to make a drink. One of the lounges is on the ground floor and the other two are on the first floor. All lounges have a television and music system. There is a dedicated hairdressing salon on the ground floor and the hairdresser visits twice each week to provide this service to people. Day care for older people living in their own homes is provided within a dining/sitting area with an attached conservatory area. There is a car park to the front of the building with six car parking spaces, there is also off road parking if required. The home is surrounded by an extensive open plan garden the rear of which, is suitable for wheelchair users. At the time of the key inspection the fees were confirmed in the Service User Guide as a maximum of 387.00 pounds per week. This amount can be subject to change and the service should be contacted directly to confirm these. 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. The previous key inspection report. Surveys returned to us by people using the service. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. What has this told us about the service? There was some delay in the service returning their annual quality assurance assessment (AQAA) but this was received by the second requested date. We found this to be clear and sufficiently detailed in relation to 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. They told us how they had met equality and diversity needs, comments included:Everyone who lives at Lower Meadow has an individual care plan which reflects who they are and how they want to spend their lives. This is informed by their history, faith, culture and values and helps staff to appreciate and understand how residents needs can be met. Equality and diversity values underpin all the training and development commissioned by the organisation and specific training is also provided for all staff. Staff are undertaking various development sessions which include life story work, end of life and person centered working. The local church Vicar attends those residents who wish to participate. Recruitment procedures are in accordance with equal opportunities and employment legislation. They told us how they have improved the service in the last twelve months including:- Annual Service Review Page 4 of 8 Care plans being reviewed to ensure appropriate reflection of individuality. Encouraging prospective residents to stay overnight before making a decision to move in. Accessing community activities within the locality such as the Jubilee Club, Libraries and offering residents an opportunity to link into community events and groups within the surrounding area of the home. Increased training provision for all staff. Re-opened the upstairs Tea Bar on Rainbows End for residents and relatives. Created a comfortable seating area in the front entrance which allows residents to sit and watch what and who goes by. Introduced sofas which allow and encourage people to sit together. Reduced agency staff and employed more bank staff to support the team. Residents personal money is now managed in accordance with last years inspection recommendations. Senior staff rotate areas of responsibility which ensures if someone is absent that the knowledge is still within the team so as not to disrupt service delivery. They have told us about the plans they have for the next twelve months and these include:Participation in Dementia Champions group, Mealtime Champions group and the Dignity in Care delivery plan to underpin future planning and consultation with the residents and relatives in Lower Meadow. Reviewing staffing capacity and activity to improve service delivery and seamless engagement with residents. Consulting with residents and staff on the use of current communal rooms and potential options available. Creating a secure patio garden for residents who enjoy sitting in Brooke End. Replacing some/all dining room chairs as too high for some residents. Encouraging residents to pursue individual rooms and door identity. Improving signage across the home for communal facilities. Considering sexuality and intimacy needs of people with dementia in the context of safeguarding and wellbeing. Annual Service Review Page 5 of 8 Creating meaningful risk assessment/screening tools for nutrition & hydration through the Mealtime Champions group. Ensuring what we write is what we do. The care plan must be applied not simply written well. We received three survey responses from people who use the service. People told us what the service does well :good food look after you and see that you are well enough and if you need to see a doctor the staff, they are the best to help you in any way they can I am happy with the home and staff Two people stated they usually receive the care and support they need and one person stated they always do. Two people stated staff are usually available when they need them and one person stated they always are. Two visiting GPs told us in surveys returned:Very caring diligent staff, well organised Staff know their residents well Happy atmosphere Staff contact GP surgery appropriately Very impressed with homely, caring environment for residents Excellent residential home Both GPs stated that peoples social and health care needs are always properly monitored, reviewed and met by the care service. Two relatives told us in surveys returned:Wonderful care and what they do well Care for its patients Both relatives told us that they feel the service meets the needs of their relative. Four staff told us in surveys returned:The home feels very homely, it is bright, lively, full of happy staff and makes residents feel special. Annual Service Review Page 6 of 8 The home provides opportunities for residents to go out whether shopping, to a play or performance or just for a walk and change of scenery. Look after service users well in the home Areas they told us could be better included:Better communication within the home, with staff and family Use less agency carers Maintain records in the required manner Our care planning system still needs to work To have enough staff to perform daily home maintenance Since the last inspection we have received four concerns about the service. Two of these relating to injuries people have sustained from accidents and one about the way a member of staff managed this process. The service has been co-operative in investigations undertaken relating to these accidents. A concern was also received about staffing levels in the home. We are told in the AQAA for the service that this is an area where improvements have been identified as required and these are being carried out. We were also told by the service of medication errors on two occasions. Appropriate actions were taken by the service to help prevent these errors again. We continue to receive notifications of accidents and incidents from the home although some of these have required us to follow-up additional information to be clear appropriate actions have been taken to safeguard people. This matter will be subject to ongoing monitoring. 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 27.1.2012. 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 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. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!