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Inspection on 26/01/10 for Eastry House

Also see our care home review for Eastry House for more information

This is the latest available inspection report for this service, carried out on 26th 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 Excellent.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Eastry House The quality rating for this care home is: The rating was made on: three star excellent service 0 8 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: Julie Sumner Date of this annual service review: 1 5 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: High Street Eastry Sandwich Kent CT13 0HE 01304613791 01304612411 rosemarychapman@fchltd.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Family Care Homes Ltd Number of places (if applicable): Under 65 Over 65 22 0 The maximum number of service users who can be accommodated is: 22 The registered person may provide the following category 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 category: Learning disability - LD 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 Eastry House is a big old house in the centre of Eastry village. Up to 22 people with learning disability live there. People have their own bedrooms and there is one shared room. There are slopes and a lift in the home for people with wheelchairs to be able to live there. The home has a minibus. There is a bus stop near the house and buses run regularly through the village. Sandwich train station is a few miles down the road. The village has some shops, a post office and 2 pubs. 0 8 0 1 2 0 0 9 Annual Service Review Page 2 of 7 Annual Service Review Page 3 of 7 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. 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 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 home is still providing a good service and that they know what further improvements they need to make. The last inspection report was very positive about the home. There were no requirements or recommendations made. The registered manager and staff team demonstrate their ability to determine what improvements may need to be made and to put them into practice. The manager explains in the AQAA that they have improved with various assessments, since the last report resulting in four admissions and they say that very good communications with the external agencies have been maintained throughout. The manager also explains that All About Me, the individual support plan, has demonstrated the need for change and the implementation of these has been well received by all. They have received some positive feedback from care managers. They tell us the Health Action Plans, health risk assessments and epilepsy profiles have been further developed and well received by the community health services and the local GP. They have organised bespoke training in Dementia and cerebral palsy for all staff, as recent changes in some individuals required specialist interventions to best support. Annual Service Review Page 4 of 7 The manager tells us that they have replaced items of furniture, which have been damaged or needed changing. They have changed some of the flooring to meet individual changing needs. They have personalised some of the bedrooms with the peoples involvement and provided personal aids and adaptations as necessary. They have also redecorated the conservatory, training room and hobbies room. They have made sure that people have been offered the opportunity for a variety of activities including attending college courses and going on holiday. They tell us they have maintained good contact with training providers, who have returned on a regular basis. They have had good feedback from staff and as much of the training has been given on site this has also helped with team building. They have continued to give night staff the opportunity to work during the day to get to know the day to day lifestyles of the people living in the home and also to understand the running of the home. Potential new staff are given the opportunity to work alongside established staff to give them an idea of the working environment and as part of the interview process. Night staff, will continue to have an opportunity to work on the day shift to help with their introduction to the home, this has provided an opportunity for the service users to meet them in the day time hours, whilst they are still awake. The manager said this has confirmed the suitability of the person. They also tell us that they have improved the communication between themselves and other professionals by the use of emails. And they say that the monthly audit has proven to be very useful in monitoring the service. It has resulted in good practice being maintained and in some areas improved. The manager explains, in the AQAA, some of the plans for further improvement that include continuing to look at individual health needs and provide relevant training and guidance for staff who care on a daily basis. They plan to provide training on nutrition and end of life care. DISDAT communication assessments are being introduced for their non-verbal service users, working in partnership with the local learning disability team. They are going to continue to support staff development through regular supervision and training. They are going to commence an appraisal procedure for all staff. They have implemented additional levels of the management team to make sure concerns and complaints are dealt with quickly and plan to continue to raise awareness amongst the staff team of their duty and responsibilities with regard to safeguarding. They plan to continue with the decorating in the house. Wallpaper has been purchased for the main stairwell, and landing. The lower bathroom will be refurbished next. They are building a pergola in the garden for additional sensory stimulation with the planting of plants that will give off a scent. The AQAA indicates they have not received any complaints. There has been one safeguarding alert raised that has been closed. The investigation revealed that the home had done everything correctly and were not at fault. The providers work well with the local safeguarding team. Annual Service Review Page 5 of 7 The service 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 good outcomes for the people who use it. 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 January 2011. 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 7 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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