Annual service review
Name of Service: Malvern House The quality rating for this care home is: The rating was made on: two star good 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?
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: Peter Illes Date of this annual service review: 2 6 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 271-275 Hale End Road Woodford Green Essex IG8 9NB 02085315081 02085315084 info@malvernresthome.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Malvern House Retirement Homes Ltd Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is: 34 The registered person may provide the following category 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 Dementia - Code DE Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: New manager appointed who is in the process of registering with the Commission. Number of places (if applicable): Under 65 Over 65 34 0 0 34 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 6 Malvern House is a privately owned care home offering residential accommodation and support to 34 elderly people, including those with dementia. There are 2 double bedrooms and 30 singles. All have wash hand basins and several have ensuite toilets. There are two lifts and access is suitable for those with limited mobility. There are three bathrooms, with assisted baths. There is a conservatory, patio and attractive garden planted to lawn and flowers. The home is situated on a main road in a residential area of Chingford (in the London Borough of Waltham Forest) with access to local shops and transport links. The current fees range from £460- £612 per week. Information about the service is available at the front reception area of the home, including inspection reports, to people living in the home and to other stakeholders. 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. 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. 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 report. What has this told us about the service? At the last key inspection on 26/11/2007 the service was assessed as being a good service and this was still our judgement at the last annual service review that took place on 04/09/2008. In March 2009 the directors of the provider organisation changed and a new responsible individual and manager of the service were appointed. The new the manager is in the process of registering with the Commission. Since March 2009 there has been one complaint about the service that was made to the Commission, which was properly investigated by the home using its complaints procedure. There have also been three safeguarding adults referrals since March 2009, all of which were properly investigated under the L.B. of Waltham Forests safeguarding adults procedure. Two of these allegations were judged to have been substantiated following the investigation by the local authority and improvements, particularly with regard to recording, have been agreed with the home. The service sent us their annual quality assurance assessment (AQAA) when we asked for it. The AQAA contained a range of detailed information and indicated that the home is working hard to develop the service. The AQAA told us of the improvements the service had made in the previous twelve months. These have included: improved work on reminiscence using music; introduction of improved recording for regarding contact with a GP; introduction of coffee mornings to help residents express their opinions about the home; new furniture and equipment for the garden; staff training, including in food hygiene, safe administration of medication and Parkinson disease and introducing six monthly reviews of policies and procedures. The AQAA told us that planned improvements to the home over the next twelve months would include: redecorating the home; continuing to encourage comments and suggestions from residents regarding social activities; complaints, staffing and the management and administration of the home. Annual Service Review Page 4 of 6 The home continues to let us know about things that have happened since our last key inspection and they have shown that they are working hard to managed the issues properly. The home continues to work well with the Commission, however, given the changes in management arrangements at the home and the recent safeguarding investigations we have decided to bring the next key inspection forward. What are we going to do as a result of this annual service review? We are going to amend our inspection plan, and will carry out a key inspection by 31st May 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. 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:
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