Annual service review
Name of Service: Ashton Lodge The quality rating for this care home is: The rating was made on: three star excellent service 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: Lesley Garrett Date of this annual service review: 0 8 0 7 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service
Address of service: Spelthorne Grove Sunbury On Thames TW16 7DA 01932761761 Telephone number: Fax number: Email address: Provider web address:
ashton_lodge@yahoo.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Ashton Lodge Limited Number of places (if applicable): Under 65 Over 65 100 0 0 100 The maximum number of service users to be acommodated is 100. The registered person may provide the following category of service only: 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 category : Old age,not falling within any other category(OP) Dementia (DE) 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 Ashton Lodge is a purpose built home providing nursing care and accommodation for one hundred service users. The home is arranged in two units, one providing nursing care and the other providing nursing care to people who also have dementia. The bedrooms are en-suite and are situated on both the ground floor and the first floor. The home also benefits from secure gardens which service users have access to. Annual Service Review Page 2 of 5 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 and 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 had been returned to the commission 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, 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 and relevant information from other organisations. 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 AQAA which told us that people wishing to use the service are assessed prior to admission by a nurse to ensure the home is able to meet their needs. The manager states that the home ensures that all their needs, no matter how diverse, can be met prior to accepting them for admission. People who wish to use the service are also invited to visit the home before admission if their condition allows this. The AQAA told us that people who use the service benefit from person centred care plans which are discussed and agreed with them and their families and representatives. The care plans also contain risk assessments which include manual handling, nutrition and bed rails. All care plans and risk assessments are reviewed monthly. we were also told in the AQAA that the home employs two activity organisers who develop the activity programme for the home and record the involvement and participation of the people using the service. The home has a formal complaints procedure. Six complaints have been received by the home within the last 12 months, which the AQAA indicates have been satisfactorily Annual Service Review Page 3 of 5 concluded. The home has been subject to two safeguarding vulnerable adult referrals of which have both been resolved.Two people had contacted the commission raising concerns about the home and the manager was asked to investigate both of these complaints. The AQAA advises that the home has continued its programme of refurbishment and decoration which included decorating some more bedrooms and communal areas. We were also told that the home has built raised flower beds in the garden and installed outside lighting. We received completed survey forms from some of the people using the service, staff members, relatives and healthcare professionals. We received a couple of negative comments and these included the poor service given by the laundry and a request for the home to provide more one to one activities. We spoke with the manager about these issues who told us that the home has recently introduced an identity button service for personal clothing items. This button contains the room number for people using the service and is placed on each item of clothing therefore less items should go missing. The activities have resumed in the unit where there was a staff shortage and the people using the service are now much happier. Some comments received by us from people using the service said:The home is always clean and tidy and the staff helpful. Good activities and good food is provided here. All people that completed the survey commented that the staff were friendly and many stated they enjoyed the food. Comments from relatives included:Always clean and tidy and staff helpful and considerate. Ensures all residents have their dignity kept. The home is clean, with good food and friendly atmosphere. Staff confirmed in their completed surveys that necessary checks were carried out before they started their employment and all had received an induction. The management of the home is consistent and the home continues to let the commission know about things that have happened since the 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 excellent 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 20th August 2010. 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. The last key inspection for the service was the 20th August 2007 and the last ASR was August 2008. Annual Service Review Page 4 of 5 Reader Information
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