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Inspection on 02/06/09 for Douglas Close (19)

Also see our care home review for Douglas Close (19) for more information

This inspection was carried out on 2nd June 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: Douglas Close (19) 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: Lisa Johnson Date of this annual service review: 0 2 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 19 Douglas Close Jacobswell Guildford Surrey GU4 7RB 01483537181 F/P01483537181 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Mrs Pamela Mary Eales Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category/ies 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 categories: 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 19 Douglas Close is a care home registered for provision of personal care for up to three adults with learning disabilities over the age of 45 years, of either gender. The building is an attractive detached bungalow situated in a quiet residential close in Jacobs Well village, Guildford, Surrey. Guildford town centre is a short distance away and has a large range of public services and amenities. The village has a thriving community spirit and the residents of 19 Douglas Close are very much at the heart of it. Annual Service Review Page 2 of 7 Bedroom accommodation is all single occupancy. The bedrooms are large and have washing facilities. Communal areas include a large combined lounge/ dining room, fitted kitchen, utility room, bathroom, separate shower room, and an activity/visitors room in the garden. There is a terraced area in the garden for eating out in the summer, and parking spaces in the drive and on the road. Fees range from £47,129 to £71,822 per annum. 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 including 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, 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. This was clear and gave us all the information we asked for. We looked at the information in the AQAA, the service history, and additional information we have received since the previous key inspection carried out June 8th 2007. An annual service review, was also carried out 6th June 2008 and it is our judgement that the home is still providing an excellent service. The AQAA states that that there is a clear admission process and the service is planning to implement the use of use of symbols to make documents easier to understand. Care plans are person centred in approach , which are based on Quality of life assessments and are completed in consultation with people and their families. A social care professional surveyed said, The service always works in a person centred way and communication is always excellent. Another social care professional said, The residents are all treated as individuals, they respect their needs, beliefs and suggestions and they enable residents to access the local community and beyond, they are an excellent team and we enjoy working with them. The home continues to support people in making decisions and choices in their daily lives and have provided some examples in the AQAA including, personal decor preferences, the purchase of a mobile phone where people can have more privacy when making phone calls, menus are more flexible and shopping locations have been increased to meet peoples expressed preferences. One person will be participating in Annual Service Review Page 4 of 7 staff recruitment and has devised their own questions that they would like to ask. People living in the service continue to tell us they are happy living there and they are able to make choices and decisions about their daily lives. Comments included, The home is lovely and the staff are very kind;We go out a lot and I am very happy here and I am able to do what I want . We received surveys from two relatives and an advocate who spoke positively about the care and support provided including, They treat my client with respect and consideration;The home provides an excellent environment and care that enables my relative to live a happy and safe life and The service covers all aspects of home care very well. People living in the service continue to participate in a range of recreational and social activities and they are fully involved in local community life. One person receives visits from a local neighbour and another person delivers leaflets on behalf of the vicar. This year people have also participated in a charity walk. People are able to invite their friends for meals and visits to the pub and social club take place. Information supplied in the AQAA states that the newest person who had moved into the home was reluctant in going out and about , but now participates in activities. People continue to be involved in shopping for meals and the menus are formulated in picture format. A person surveyed said, I like the meals and we go on lots of holidays. People continue to be supported by a range of health care professionals including the community learning disability team and diabetic specialist team and the service continue to maintain detailed health records. Since the last annual service review staff have received up to date medication training. A health care professional surveyed stated that the service always seeks advice and acts upon to meet peoples health needs and stated, I am invariably impressed by the staff Since the last Annual service review no complaints have been received by the service and none have been brought to the attention of the Commission. People and their key worker have a monthly meeting where complaints is discussed as part of the agenda. Staff use a pictorial complaints procedure to help people gain confidence and remind them of the procedure. Information in the AQAA states that all staff have received safeguarding vulnerable adults from abuse training. Over the last year there have been no safeguarding matters. The AQAA states that there is a rolling maintenance programme and painting to the outside of the house is scheduled for this year. Other environmental improvements have taken place including the recent redecoration of an adjacent studio room, new curtains have been purchased, improvements made to carpets and an ariel has been installed to improve picture quality for two peoples televisions in their bedrooms.A person living in the service said, I have my own room, my own space,my room is decorated nicely with lots of pictures and we have a beautiful garden. People continue to be supported by a stable staff team who know their needs well and two new members of staff have been recruited . All staff hold National Vocational Qualifications (Level 2) or above. Staff continue to receive updated statutory training and training in equal opportunities is being planned for the summer. Annual Service Review Page 5 of 7 There have been no changes to the management arrangements in the home which is run by an experienced manager. The home continues to be run in the best interest of people living there. Regular meetings take place and a quality assurance pictorial questionnaires are undertaken with people to gain their views and feedback. Health and safety has been considered in the AQAA and information supplied indicates that all routine servicing and maintenance of equipment is up to date. The home continues to inform the Commission of any relevant events that have occurred since the last inspection and they have shown that they have managed issues well. They work well with us and have shown that their service continues to provide excellent outcomes for people living there. 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 8th June 2010 However we can inspect the service at any time if we have concerns about 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!