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Inspection on 16/11/09 for Kepplegate House

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

This inspection was carried out on 16th November 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: Kepplegate House 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: Jennifer Hughes Date of this annual service review: 0 6 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Sandy Lane Preesall Poulton-le-fylde Lancashire FY6 0EJ 01253811957 01253813862 Kepplegate@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Kepplegate Ltd Number of places (if applicable): Under 65 Over 65 0 16 The registered person may provide the following category/ies of service only: Care home only - Code 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 - Code OP The maximum number of service users who can be accommodated is: 16 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 Kepplegate House is a purpose built two-storey home, located in the village of Preesall, just a short drive from the sea front at Knott End. The home is within close proximity to shops and local amenities. Residents are encouraged to retain their links within the community and every effort is made to ensure that relationships, hobbies and interests are pursued. Annual Service Review Page 2 of 6 Kepplegate is registered with the Commission for Social Care Inspection to provide personal care for a maximum of 15 older people of both sexes. There are attractive garden areas at the front and rear of the home which residents can use weather permitting. Car parking is available either at the side of the home, or in the road alongside the home. The home provides personal care for older people, and is equipped to suit the needs of its residents. For example, there is a stair lift to the upper floor, grab rails, raised toilet seats and ramps for easy access. All of the rooms are single rooms, and toilets and bathrooms are conveniently situated. There is sufficient communal space, with a large lounge/dining room and conservatories at the front and rear of the home. Relatives, friends and visitors are made welcome at the home at any time. Activities are organised within the home and outings are arranged for residents who wish to participate. There were 14 residents living at the home at the time of the inspection. There was a good compliment of staff on duty. At the last visit fees were between £360 and £380 dependent upon assessment of needs. Additional extras like hairdressing and newspapers are paid for by the residents. Further up to date information regarding fees can be obtained from the manager. 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, such as numbers of staff and what qualifications they hold. Any surveys returned to us by people living at the home, and from other people with an interest in the service. What the service has told us about things that have happened in the service. These are called notifications and are a legal requirement. The inspection record. This is a document where we record any activity or information that we receive about the home. Information we have about how the service has managed any complaints. The previous key inspection report and annual service reviews. What has this told us about the service? The home sent us their AQAA when we asked for it. It was very clear, and gave us all the information we asked for. The information showed us that the service is continuing to make sure the people who live at the home are well looked after. There is continual self monitoring to make sure good standards are kept. The management of the home is open, and residents, staff and relatives are encouraged to help in developing the home. The manager told us about improvements made to the environment, with a new conservatory, new windows, decorating in the hall, stairs and landing, and the ongoing work to install en-suite facilities where possible. She also told us of plans to install a wet-room in the future. The service has developed by providing Intermediate Care, which is a service that helps to rehabilitate people in daily living skills, to enable them to return home and live independently if possible. Three rooms in the home have been fitted with appropriate facilities to enable the home to provide this. Service user surveys indicated there were usually activities to take part in, and the manager told us that the home tried to accommodate everyones choice of activities. A notice of daily activities, photographs of recent events, and information on the Annual Service Review Page 4 of 6 activities and who took part gave relatives and other visitors a good picture of life in the home. She told us about a quarterly newsletter from the home for the service users and their relatives, giving information about events at the home, and other information that would be useful to older people. Surveys told us that the service users knew who to speak to if they were unhappy, and how to make a complaint. The manager told us that both service users and relatives readily informed her if they felt things could be better, and also if they felt things were going well. The service users indicated that staff were available when they needed them, and staff stated that there were usually enough staff to provide the care. Both the manager and staff continue with training programmes to ensure they are updated in best practice. The manager told us that 78 of staff held National Vocational Qualifications (NVQ), with three staff due to attend NVQ Level 4 training. She told us that staff retention at the home was good, so providing the service users with consistency of carers. Staff all made positive comments about the home, such as Kepplegate is a very lovely home to work in. It has a warm and friendly atmosphere and is like a home from home and It meets the different needs of staff and service users as best as possible. We were provided with clear plans the manager had for further development of the service, and a staff member confirmed I feel the service works well at most things, but there is always room to improve, which is what the home tries to do on a day to day basis. One service user commented I am happy living here. We have received no complaints about the home in the last twelve months. The provider works with us, and has demonstrated that their service continues to provide very good outcomes for the people who live at the home. 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 continue to monitor the service. 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 5 of 6 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 6 of 6 - 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!