Annual service review

Transcription

1 Annual service review Name of Service: St Ronan s Nursing and Residential Care Home The quality rating for this care home is: two star good service The rating was made on: 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: Date of this annual service review: A. Tengnah Annual Service Review Page 1 of 5

2 Information about the service Address of service: St Ronan`s Road Southsea Portsmouth Hants PO4 0PP Telephone number: (023) Fax number: address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Conditions of registration: Category(ies): Mr John Pattison, Ms Jane Helliwell Number of places (if applicable): Under 65 Over 65 dementia 33 0 mental disorder, excluding learning disability or dementia 33 0 old age, not falling within any other category 0 33 Additional conditions: The maximum number of service users to be accommodated is 33 The registered person may provide the following category of service: Care home with nursing (N) 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) Dementia (DE) Mental disorder, excluding learning disability or dementia (MD) Have there been any changes in the ownership, management or the service s registration details in the last 12 months? If yes, what have they been: No Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service: Annual Service Review Page 2 of 5

3 St Ronans is a care home registered with the Care Quality Commission providing nursing and personal care for up to 33 older people. The home is three large, four storey Victorian houses that were converted to a care home a number of years ago. The home is located in a residential area of Southsea in close proximity to the seafront and local shops and is within easy access to Portsmouth city and the local hospitals. Annual Service Review Page 3 of 5

4 Service update since the last key inspection or annual service review: What did we do for this annual service review? We have sent out the Annual Quality Assurance Assessment (AQAA) to the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service once completed and returned to us. 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? We sent out the AQAA that the registered person is required to return to us on completion within a stipulated time frame. We received the AQAA at the time of sending out the final review. The AQAA contained good information about the service and their plans for the next twelve months. The registered person sends us notifications to keep us informed of incidences that are detrimental to the welfare of people accommodated at the service. This included a safeguarding referral that was made to the appropriate authority for investigation. The AQAA shows that some of the improvements that the service has achieved in the last twelve months include the statement of purpose, service users guide and the care needs assessment tool that have been reviewed. This states that the computer system for care planning is fully utilised by all staff. All care needs assessment visits are carried out by two registered nurses to ensure no information is overlooked during the visit. The service has introduced a nutritional assessment tool. The AQAA states that the assessment documentation has been improved and is now more personcentred. Changes have been made to the medication and infection control procedures. At the last inspection the home was rated as good and there was one requirement relating to the management of the service users medications. The AQAA shows that the home has in place an ongoing training programme for the staff and staff have undertaken an update on legislation regarding medicines. The service has a registered manager and registered nurses providing cover twenty four hours to support the service users care needs. What are we going to do as a result of this annual service review? We are keeping to our plan and will do a key inspection as per our scheduled inspection plan. 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 4 of 5

5 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review Care Quality Commission General Public (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act The content of which can be found on our website. Helpline: Telephone: Web: 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 5 of 5