Annual service review
Name of Service: St Mary`s Lodge 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: Alison Ford Date of this annual service review: 3 0 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 81-83 Cheam Road Sutton Surrey SM1 2BD 02086616215 F/P02086616215 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Mrs Marietta Dudhee,Mr Jugdutt Dudhee Number of places (if applicable): Under 65 Over 65 0 0 20 20 The maximum number of service users who can be accommodated is: 40 The registered person may provide the following category of service only: Care Home Only (CRH - 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 (maximum number of places: 20) Dementia - Code DE(E) (of the following age range: 65 years and over) (maximum number of places: 20) 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service St Marys Lodge is situated within walking distance of Sutton town centre, which provides a wide range of transport links, commercial, shopping, entertainment and recreational facilities. The home is a substantial property created from the joining together of two large Edwardian family houses, with two wings of accommodation to
Annual Service Review Page 2 of 6 None the rear subsequently being added. The accommodation is laid out over three main floors, access to which is provided by a passenger lift and stairs; there are, however, many areas of the home that are only accessible by varying numbers of steps and the two sides of the home at ground level are also separated by a step. The home provides thirty single and five double-occupancy bedrooms. Communal space is generous and homely in character, being provided in a range of varying lounge / dining areas throughout the ground floor The home is registered to provide accommodation and care to 40 older people some of whom have dementia, nursing care is not provided. 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 of the information that we have received or asked for since our last key inspection of this service which was on 1/04/2008. At that inspection it was considered that the home provided good quality out comes for the people who lived there and we assessed it as being a two star, good, service. We looked the information that we have about how the service has managed any complaints and what they have told us about things that have happened there; notifications. Also, the information that other people have given us about the service and what we found at our previous inspections. At the time of writing this report we had not yet received an Annual Quality Assurance Assessment (AQAA) from the service. This is a self assessment document that tells us how well they believe that they are meeting the outcomes for the people who live there. In view of this we undertook a short unannounced inspection of the service so that we could talk to the people who use the service and ensure that it was still meeting their needs. What has this told us about the service? When we spoke with the people who live in the home they all told us that it was a nice place to live in and that they were happy there. They were all comfortable and they told us that the meals that they had were good and the staff in the home were very kind to them. A relative that we spoke with also told us that the staff were cheerful and very capable. The manager of the home told us that since our last visit the amount of organised activities for residents has increased and outside entertainers visit on a regular basis. We were able to see that the redecoration and refurbishment programme has continued and further improvements are going to be made to ensure that it remains a comfortable place for people to live in. Training for staff is given a high priority with some staff achieving an NVQ level 4 qualification. This has enabled them to take on increased responsibilities in the home. More training is planned for the future so that staff are able to understand about the problems experienced by this client group and support them. The home always notifies us of anything that has happened there, in line with the regulations and they are able to identify where they could improve their service. We have not received any complaints about the service since our last inspection. What are we going to do as a result of this annual service review? The conversations that we had with the people who live in this home, the information that we have received and the lack of any complaints has supported our opinions that the home is still providing a good service and they know what improvements they
Annual Service Review Page 4 of 6 could make. Therefore, we are not going to change our inspection plan and we will undertake a key inspection before 1/04/2010. We can continue to inspect at any other time if we should have any concerns about the home. 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!
