Inspection on 02/03/10 for Heath Lodge
Also see our care home review for Heath Lodge for more information
This inspection was carried out on 2nd March 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 Good.
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.
Annual service review
Name of Service: Heath Lodge The quality rating for this care home is: The rating was made on: two star good service 2 9 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?
Yes 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: 2 7 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: St Georges Avenue Weybridge Surrey KT13 0DA 01932854680 01932851792 Telephone number: Fax number: Email address: Provider web address:
www.surreyresthomesltd.co.uk Surrey Rest Homes Ltd Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 26 0 0 26 The maximum number of service users to be accommodated is 26. 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 categories: 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 Heath Lodge is a registered care home for up to 26 older people. It is one of four homes owned by Surrey Rest Homes Ltd. The home is a large detached house with a purpose built extension, set in a large garden in a residential road close to Weybridge railway station and town. The accommodation is on two floors with a chair lift that falls short of the last few steps to the ground floor. The home has single and double rooms, some with en-suite facilities. There is a garden to the rear of the premises and parking
Annual Service Review Page 2 of 6 2 9 0 1 2 0 0 9 to the front of the building. Annual Service Review Page 3 of 6 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. 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 did not send us their annual quality assurance assessment (AQAA) when we asked for it. A telephone call to the home was made by the inspector. We spoke to the person in charge who was asking the assistance of a manager from another home in the group to help with the completion of the document. The reason for this is that the home still does not have the benefit of a registered manager. The completed AQAA contained very brief information only. Surveys were sent to the home for distribution to the people who use the service, staff and health care professionals. We only received one completed form therefore comments cannot be included in this report. The AQAA told us that a comprehensive pre-admission assessment is always completed by the manager and a senior health care assistant before an admission can be considered. The Statement of Purpose has recently been updated to reflect the changes that has been made to the admission procedures. All people wishing to use the service are invited to the home where they are able to meet other people living there prior to admission. Each person using the service has a care plan which is reviewed every month. The AQAA tells us that the care plans relate to the risk assessments that are also in place Annual Service Review Page 4 of 6 for the people who use the service. Since the last inspection the care plans have all been audited so that they are clearer. The AQAA also told us that there is an open door visiting policy and family members and friends are encouraged to visit whenever they can. When arranging activities the preferences of the people using the service is taken into account. Their plans for improvement in the next twelve months is to recruit an activity organiser. The chef at the home provides a balanced nutritious diet and choice is offered at mealtimes. The person who completed the AQAA told us they did not know how many complaints the home had received in the last twelve months and they think that there have been two safeguarding adult referrals. We received one complaint which we passed to the relevant social care team for investigation. This complaint was found to be unsubstantiated and therefore closed. We are aware of one safeguarding alert that has been resolved and currently there is one ongoing. The current safeguarding alert is being led and investigated by social services. A copy of the complaints procedure is displayed on the wall in the reception area and we have been informed that all staff have received safeguarding adult training. The AQAA does not detail that any routine maintenance has taken place in the home. The AQAA does tell us their plans for improvement in the next twelve months which is to continue with the refurbishment and decorating. It states the manager will liaise with the provider in the planning of this. We were told that the staff team is stable and the home does not use agency staff. The person that had been in charge and was the proposed manager for the home left last year and a new person has been recruited. We were told that they will begin their registration process soon. The home has now been without a registered manager for two years. The person that had been in charge at the home was replaced just before Christmas when she returned to her original work place, another home within the group. This left the staff over the Christmas period with another change of management. What are we going to do as a result of this annual service review? CQC will hold a management review meeting to discuss some of the issues that have been highlighted in the safeguarding meetings. This may change our inspection activity plan for Heath Lodge. Annual Service Review Page 5 of 6 Reader Information
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