Latest Inspection
This is the latest available inspection report for this service, carried out on 19th January 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 West Hallam Residential Home.
Annual service review
Name of Service: West Hallam Residential Home The quality rating for this care home is: The rating was made on: two star good service 2 7 1 1 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: Susan Richards Date of this annual service review: 2 4 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 8 Newdigate Street West Hallam Ilkeston Derbyshire DE7 6GZ (0115)9440329 01159440329 Telephone number: Fax number: Email address: Provider web address:
www.ashmere.co.uk Mr Gerald Poxton,Mrs Sandra R Poxton,Mrs Ann Theresa Poxton,Dr Michael G Poxton,Ashmere Care Group,M Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Older Persons, not falling within any other category - Code OP Dementia, not falling within any other category - Code DE The maximum number of people who can be accommodated is 31 The registered person may provide the following category of service only: Care home only - Code OP to people of the following gender: - either, whose primary needs on admission to the home are within the following categories: 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: Major variation approved for increase in maximum numbers from 17 to 31 male or female, personal care only. With change of category to include OP (older persons) 31 and with additional categories DE (E) - dementia aged over 65 years, maximum 12 places and DE dementia, maximum 12 places. 2 7 1 1 2 0 0 8 Number of places (if applicable): Under 65 Over 65 31 0 0 31 Date of last key inspection: Annual Service Review Page 2 of 6 Date of last annual service review (if applicable): Brief description of the service The West Hallam is a Care Home providing personal care, accommodation and support for up to 31 older persons, both male and female, including for the category dementia, DE and DE(E). The Home is situated in a village location close to the town of Ilkeston, and a few miles from Derby. A range of private and communal accommodation is provided, including a number of bedrooms with en suite facility. A choice of lounge areas, including a smaller quiet lounge and a separate dining room and communal bathing and toilet facilities. There are also some environmental aids and adaptations to assist people who may have mobility problems, including an emergency call system. People are provided with personal care and support from a team of care and hotel services staff led by the registered manager and with outside external management support. Fees charged per week are in accordance with individuals assessed needs. These are determined either by way of individual privately agreed contracts. Or for those who may be eligible to assistance with funding, via individual agreements between the home and the local authority. Up to date information about fees charged and what they cover may be otained directly from the home. 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 of this service on 27 November 2008. This included, The annual quality assurance assessment, know as the 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. Any surveys returned to us by people using the service and from other people with an interest there. Information we have about how the service has managed any complaints. What the service has told us about things that have happened there. These are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we may have made for this service in the last 12 months. Relevant information from other organisations and what other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment, know as the AQAA, when we asked for it, although it did not give us all of the information we asked for. However, following discussion with the service, this has since been provided. We looked at the information in revised 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. People living in the home usually tell us that they are happy there. Although on this occasion, we did not receive any survey returns from the ten that we sent out for the manager to distribute to service users and relatives. However, we did received all five staff survey returns. Information provided in the AQAA tells us that the home regularly consults with people about what the service does well and what could be improved. We saw from this that people who use the service say they enjoy good relationships with staff and enjoy their meals. The service also told us about some of the improvements they have made over the last 12 months. These include, ensuring consultation and personal choices for people for the decoration and furnishing of their own rooms. Regular formal consultation with Annual Service Review Page 4 of 6 people about meals to ensure their preferences are catered for. Developing the concept of Home Life. Implementing social and recreational activities in consultation with people, including excursions out and continuing with themed evenings, which people are said to particularly enjoy. Staff told us that they receive the support they need to perform their role, although all felt that further improvements could be made to increase opportunities for service users to access to local community. The AQAA also told us that there have been two complaints made directly to the service. These were investigated by them and were not upheld. Both are reported as resolved wthin 28 days of their receipt. The home has continued to let us know about things that have happened there since our last key inspection and they have shown that they manage issues well. They work well with us and have shown us that their service continues to provide overall good outcomes for the people who use it What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fees and Frequencies Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. However, we can inspect the home at any time if we have concerns about the quality of the service or the safety of people using it. Annual Service Review Page 5 of 6 Reader Information
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