Annual service review
Name of Service: Pendene House Residential Home 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?
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: Diane Butler Date of this annual service review: 1 5 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 15 Pendene Road Stoneygate Leicester Leicestershire LE2 3DQ 01162708911 01162708911 jweston5@hotmail.com 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: Pendene House Residential Home Limited Number of places (if applicable): Under 65 Over 65 0 0 0 6 3 12 Service User numbers No person falling within categories MD(E) or DE(E) may be admitted to the home when 6 persons in total of these categories/combined categories are already accommodated within the home. 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 Date of last Key Inspection 26/09/2007 Date of last ASR 03/09/2008 Pendene House is a care home for older persons, providing accommodation and
Annual Service Review Page 2 of 6 personal care for up to twelve people. It can also care for up to six older people with dementia and/or a mental disorder. It is situated in a quiet cul-de-sac in the Stoneygate area of Leicester and is within walking distance to the local amenities and close to a local bus route. Accommodation is on two floors, which can be accessed by a shaft lift. There is a large dining room and lounge on the ground floor, which are furnished and decorated to a high standard and further seating can be found in the entrance hall. There is a large well-maintained garden at the rear of the home accessed by the shaft lift, which goes down to garden level. All rooms are single, some of which are ensuite. Current charges can be obtained from the registered manager. Additional charges are in place for hairdressing, chiropody treatment and transport to appointments. Details of all charges can be found in the Statement of Purpose document (a document which provides relevant information about the service), which is given to anyone interested in living there. A copy of the latest Inspection report is available at the home, or it can be accessed via the CQC website: www.cqc.org.uk. Further information about the service is available from the registered 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. 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? An annual quality assurance assessment (AQAA) was received on the 15th July 2009. The AQAA told us of improvements that have been made to the service in the last year. It told us of how it had listened to the views of people using the service and working for the service. It also told us of the improvements planned for the next twelve months to further improve the service being provided. The AQAA told us that the service had received no complaints in the previous twelve months, however, an anonymous complaint was received by the CQC in October last year, regarding staffing numbers and moving and handling training. This was passed to the registered provider, who provided us with relevant information including copies of staff rotas and training certificates. We have been told by the registered manager that a number of training courses have been provided to both new and existing staff since the complaint was received, these include first aid, infection control and moving and handling. The staff rota showed that on a small number of occasions only two members of staff were on duty, particularly at the weekends. The registered provider must ensure that appropriate numbers of staff are on duty at all times to meet the needs of the people living in the home. We sent Have your Say surveys to eleven people living at the service, six had been returned at the time this annual service review took place. Comments included in the surveys informed us that people remain satisfied with the service they receive. Comments received included: Annual Service Review Page 4 of 6 They make you feel at home. They provide very good individual care with sensitivity towards the residents needs. They care for and look after me very well. They could do with providing a space for relatives to sit when they visit. Current arrangements mean you have to sit in their bedroom. I understand there is a good reason for this but am not very happy about it. I am very happy with the care my mother receives. The staff are always friendly, polite and caring towards her. Jan the manager makes sure standards are always maintained and gives support to relatives as well as residents. We also sent Have your Say surveys to four members of staff, all four had been returned at the time this annual service review took place. Comments included in the surveys returned informed us that staff continue to receive training relevant to their role within the service and they continue to be supported by the management team. Comments received included: We provide a clean and homely place. Cater for individual needs in equal ways and fairness. Everybody is welcome at Pendene House. Residents are fed and cared for well. The home is always nice and tidy. Residents are well looked after and their care needs always attended too. We try to run Pendene for the individual as a home from home. They should offer more activities, trips out with residents, this is left to relatives, they could take the residents out more and provide more equipment. I feel that Pendene is a lovely home. The service continues to let us know about things that have happened since our last key inspection and they have shown that they have managed any issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. 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 26th 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 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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