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Inspection on 28/10/09 for Clovelly House Residential Home Ltd

Also see our care home review for Clovelly House Residential Home Ltd for more information

This inspection was carried out on 28th October 2009.

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: Clovelly House Residential Home Ltd 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: Daniel Lim Date of this annual service review: 2 1 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 83-89 Torrington Park London N12 9PN 02084456775/1175 02084457651 clovellyhouse@tiscali.co.uk www.clovellyhouse.com Clovelly House Residential Home Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 39 39 0 0 0 39 Six service users. A maximum of six service users aged 40 years and over, can be within the category of mental disorder, excluding learning disability or dementia. 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 Clovelly House is a care home registered to provide personal care for a maximum of 39 residents who are over 65 years of age and who may have dementia. The homes conditions of registration had also been varied to allow it to provide care for six adults with a mental disorder who are over forty years of age. The stated aims of the home are to provide a secure, relaxed and homely environment in which care, personal well being and comfort are of prime importance. The home consists of four adjoining houses, which have been converted to their present use. Bedrooms are situated on all three floors of the home. The lounges and dining room are on the ground floor. All Annual Service Review Page 2 of 7 floors are served by a shaft lift. There are thirty six single bedrooms and three shared bedrooms. The home has five lounges and a dining room. Clovelly House is located in a residential area within walking distance of shops, cafes, and other community facilities located along the high road in North Finchley. The details of fees charged by the home may be obtained by contacting the home. The provider must make information about the service available (including reports) to service users and other stakeholders. 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? This annual service review include a review of information that the Commission has received about the home since the last Annual Service Review of 28 November 2008. The last key inspection of the home was completed on 3rd September 2007. We looked at all the information which we have received. These included the completed Annual Quality Assurance Assessment form or AQAA which 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. Completed questionnaires were returned to us by 23 residents, 17 staff and 8 professionals. We also looked at the information that we have about how the service manages any complaints and what the service told us about things that have happened. These are called notifications and they are a legal requirement. We also looked at the previous key inspection report and the results of any other visits that we have made to the service since the last inspection. Relevant information from other organisations and what other people have told us about the service were also considered as part of this review. What has this told us about the service? The home sent us their annual quality assurance assessment or AQAA when we asked for it. It was clear and gave us the necessary information. The home tells us in their AQAA that they strive to provide care that is responsive to the individual and diverse needs of residents. They indicate that they ensure that residents needs are met without discrimination. Their AQAA states: We adhere to our Equal Oppertunities Policies and Procedures. All staff have training in the above. Complements from visiting care managers on the quality of our care plans and delivery of care details are contained on the service users files. In the area of Personal and Healthcare Support, they indicates that staff provide a high quality of care and their individual needs are recorded and attended to. Their AQAA made the following comments: We have now joined the Gold Standards Framework to promote quality end of life care. We are striving to achieve this award within the next 12 months. Our service users have care plans and advanced care plans which are reviewed monthly or more frequently as required. All staff are familiar with the care plans which are drawn up with the service users, relatives and advocates. They contain detail of the service users background, medical history, likes and dislikes, personal and social care needs and interests, cultural religious and spiritual needs, mobility needs, emotional needs, mental functioning,and list the aims of the care plan and the plan of action. It also contains a night care plan as well as a detailed risk assessment. The advanced care plan contains the details of the service users wishes for end of life care. In the area of Complaints and Protection, they indicated that residents are well treated and protected from abuse. The AQAA states: Annual Service Review Page 4 of 7 Service users receive a service users guide on admission to the home. This contains details of our complaints procedure. A copy of the complaints procedure is also displayed in the reception area. This has been reviewed to provide details of the Care Quality Commissions contact details. Our complaints book contains logged complaints and details of action taken within an effective time scale. Our policy on abuse is reviewed regularly. Our staff recruitment policy is robust and references, employment history and CRBs are thoroughly checked prior to offer of employment. All staff receive training at induction on our policy on complaints and protection of vulnerable adults on whistle blowing. Staff receive regular supervision on the protection of vulnerable adults. In the area of Management of the Home, the AQAA indicated that there is strong leadership and the home is well managed. It states : The home has a strong leadership and management team. The home has an experienced and competent manager and head of care and team leaders. The staff are competent, well trained and supervised. Our ethos and policies and procedures safeguard the service users rights, interests and finances. At the time this report was written, completed survey forms were received from twenty three residents. These indicated that they were satisfied with the care provided at the home. Comments made included the following: Everything is excellent. The home is exceptionally well staffed and well supervised. We all have lots of activities that we enjoy. The atmosphere is homely but professional. My relative is extremely well cared for. The staff take me to the garden on a sunny day. The staff are very nice and helpful. Seventeen staff returned their completed survey forms.These indicated that the staff concerned were satisfied with the management of the home and had been provided with appropriate induction and support. Comments made included the following : The home is resident orientated. Care plans are up to date. Good standard of care. Clovelly House delivers quality care to all the residents. We do all the best we can to meet the needs of residents. Annual Service Review Page 5 of 7 Eight completed questionnaires were received from professionals involved with the home. These were positive and indicated that they were of the opinion that residents were well cared for. Comments made included the following : High standards of care. Everything is first class. Effective sympathetic attitude to residents with challenging behaviour. They are caring and sensitive. Suggestions made have been relayed to the manager. These included the following: 1. A relative would like to have updates on health, medication and well being on a regular basis. 2. A relative said it would be nice to see his or her relative being dressed in co ordinating outfits which she has. There was an occasion when she was not. 3. More outings for residents. 4. Can visits from others be organised for residents with families far away. 5. More information to be given to new staff, residents and their representatives. 6. Staff suggested provision of an additional hoist. We have since been informed by the manager that a new hoist had been purchased. What are we going to do as a result of this annual service review? Based on information available to us, we are are of the opinion that the home is still providing an excellent service. We are not going to change our inspection plan and will do a key inspection by 3rd September 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 who use 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. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk 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 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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