Care Home: York House

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Annual service review Name of Service: York House The quality rating for this care home is: The rating was made on: three star excellent service 2 6 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: Paula McCloy Date of this annual service review: 0 5 0 1 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: Old Bank Road Dewsbury West Yorkshire WF12 7AH 01924459574 01924463332 yorkhouse@orchardcarehomes.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Tri-Care Ltd Conditions of registration: Category(ies) : old age, not falling within any other category Number of places (if applicable): Under 65 Over 65 0 36 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 York House is a private care home, registered to provide care and accommodation for up to 36 older people. It is situated in a residential area of Dewsbury, in close proximity to Dewsbury town centre and a variety of community facilities. There is parking available in the grounds for visitors, and people can enjoy the views across Dewsbury and the Calder Valley from the gardens, bedrooms and the main lounge/dining area to the rear of the home. The home has been purpose built and is well designed in relation to meeting the needs of the people who use the service. The standard of accommodation and facilities remains high. Annual Service Review Page 2 of 8 2 6 0 1 2 0 0 9 Information is available from the home about the service by way of the homes Service User Guide. 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 that took place on 26 January 2009. 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. 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 has this told us about the service? The service 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 service is still providing an excellent service and that they know what further improvements they need to make. In the AQAA we asked them what changes they had made to their service as a result of listening to the people that use it. These are some of the things they told us: We have improved our activities programme. There is a daily activities programme on display and we have visiting outside entertainers and a monthly exercise class. Residents asked for a pantomime and we have now found a touring theater company to come in and deliver a performance in the home. We also respond to peoples requests that are made from our quality assurance surveys for example: Residents requested snacks in the afternoon so the manager now provides crisps and other snacks for residents. Key Workers were not known by some residents and relatives so we re-launched this Annual Service Review Page 4 of 8 programme. The Key worker for each resident was re-introduced and their name placed on a poster which is placed in their wardrobes with a photo and small introduction written by the key worker . Each resident can now identify their own key worker and build relationships. We received feedback about the facilities provided for residents with sight and hearing difficulties. We now have a large 42 inch television and installed a hearing loop system in the large upstairs lounge area. We have also got new flat screen television for downstairs lounge. These examples show that people living in the home are listened to and their suggestions and views are acted upon. In the AQAA we asked the service to tell us what they do well. These are some of the things they told us: Prospective residents are given the opportunity to spend some time in the home as this will enable them to enjoy our meals and activities and see how they feel about the environment. We normally invite them to come at 11am and stay until 3pm. We also determine if we can meet the ethnic and diversity needs of the person, for example, if they need specific facilities for the disabled, in which certain equipment is required. Also is they are of a particular ethnic background we will seek information on local services available, for example the provision of Muslim worship and Halal meat. We believe that our care plans are vitally important as they are critical to us being able to administer safe and efficient care. A detailed plan of care is created for residents following admission. This is created using pre-assessment information, information received from other professionals and continual assessment of the resident. The home has systems to ensure that the care plans are consistently kept up to date. An audit is conducted by the care manager with 4 care plans audited per month. The home encourages residents and their representatives, if consent is given, to be involved in this process so that all are aware of what the plan of care is, how it may have been changed or updated and how it will be delivered. Staff respect peoples preferences and have expert knowledge about individual personal needs when providing support, including intimate care. Our meals are all prepared and cooked in-house. The menus have been devised by a nutritionist and are supported by detailed recipe books for kitchen staff to follow. The fresh provisions ordered are delivered three times a week to ensure maximum freshness of vegetables and meat. This consists of a choice of hot and or cold breakfast. 3 course lunch menu with a choice of two main hot dishes and a further 3 alternatives. 2 course evening meal which is a lighter menu again offering a varied choice. Supper is also offered along with milky drinks. Snacks are offered twice daily or on request. Annual Service Review Page 5 of 8 We welcome feedback, complaints and suggestions. The information from our complaints help us to change our operations and procedures. The home is a purpose built building with furnishings and equipment of the highest specifications. Every bedroom has an en suite toilet and telephone line. Most rooms are single rooms. We have two double rooms with en suite facilities, both are filled with married couples. This is their home. Residents are encouraged to bring whatever furniture and ornaments they would like in order for them to settle in easily and be comfortable in their environment. In keeping with this, we listen to residents and relatives ideas of home improvements and implement changes. All staff undergo a thorough induction programme including the Skills for Care Induction. All staff are given access to a copy of a training manual and access to the companies policies and procedures file. Staff are regularly updated on mandatory training throughout their employment and the company offers more specific training when requested and required. All staff are supported to attain NVQs (National Vocational Qualification) and a personal development plan and any training required to support this is provided. The company encourages internal promotion and supports staff to achieve this. We provide a monthly communication to all residents and their families in the form of a newsletter. The manager has an open door policy and is available at all times. We also asked them what has improved in the last 12 months. These are some of the things they told us: The home has structured the care planning process so that each resident has the same senior carers who are involved in writing and maintaining care plans. To improve quality and increase communication. We have provided individual person centered choice of meal (Where reasonably Practical). We have developed a quality assurance system to ensure robust monitoring of systems takes place/including monthly surveys. Developed administration procedures freeing up more time for managers to spend with staff/visitors/residents. We have received no complaints about the home and staff continue to tell about the things that they need to. The home has a strong management team who run the home in the best interests of the people living there. Annual Service Review Page 6 of 8 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 25 January 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. 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