Annual service review
Name of Service: Talgarth Road The quality rating for this care home is: The rating was made on: three star excellent service 0 5 1 1 2 0 0 7 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: Ann Gavin Date of this annual service review: 2 7 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Talgarth Road 41-43 Talgarth Road West Kensington London W14 9DD 02076038607 Telephone number: Fax number: Email address: Provider web address:
lyris.ofosu@hestia.org www.hestia.org Hestia Housing Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 10 0 The maximum number of service users who can be accommodated is: 10 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: Mental Disorder, excluding learning disability or dementia - Code MD 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 Talgarth Road is a registered care home providing personal care and accommodation for up to ten people with mental health support needs. At the time of this inspection, 5 men and 5 women were living in the home and there were no vacancies. The home is managed by Hestia Housing and Support and the building is owned by the Shepherds Bush Housing Association. The home is situated in the West Kensington area with access to local amenities and good transport links. Each service user has his/her own
Annual Service Review Page 2 of 6 0 5 1 1 2 0 0 7 bedroom and shared use of lounges, kitchen, bathrooms and toilets. There is a large garden. The weekly fees are #970. 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? At the last inspection in November 2007, the project achieved a quality rating of 3 Stars. This means that the people who use this service experience excellent quality outcomes. This annual service review includes a review of information that the Commission has received about the service since the last inspection on the 5th November 2007. This included: The completed Annual Quality Assurance Assessment form (AQAA), which was sent to us by the service in September 2009. The AQAA is a self-assessment by the project, which focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the project, including the number of service users and details about the staff employed in the service. Surveys returned to us by people who use the service (9), the staff (4)and health and social care professionals(3) Information we have received about the service. The previous key inspection report. What has this told us about the service? The Registered Manager of the service sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. The document was clear and detailed, and included all the information we asked for. The Manager is aware of what further improvements are needed. These include staff giving greater evidence of what they do when writing daily progress notes and reports. Also the need to address peoples refusal of keyworking sessions by staff. Changes made to the service following listening to the service users have included changes to how the welfare budget is spent, that is, different outings such as to cinema, monthly pub meals, choice of news paper, more variety of weekly cultural meals, changes to furnitures and fittings to the communal areas and their bedrooms, decoration of the project, introducing relaxation classes and aerobics. We asked people who live in the project what they felt the project does well, one person commented that the project does Relaxation, Sometimes makes lovely meals, another person said Medication,food, activities and support at all times Comments received within the surveys from Social and Healthcare professionals included Gets to know service users very well. Makes individualised support plan, offers regular keyworking sessions and group support. They manage medication well and report changes in mental health status appropriately Another professional commented They provide a unique service for my service users and encourage them to participate. Annual Service Review Page 4 of 6 Asked what the service could do better people who live in the home said More outings making sure that the rooms are kept clean another person said treating more in a kind way The staff felt that there was a need to replace old furniture and participate more in social events and provide enough staff on duty. A social and healthcare professional commented that the project could manage disruptive behaviour with firmer boundaries The AQAA did not address the fact that the Registered Manager has been managing two services for some time.The Organisation requested a temporary variation to their registration to allow the Manager to cover both posts. Although Talgarth Road has an experienced deputy manager who has been covering the post the Organisation must clarify the management arrangements. At the time of completing this review an anonymous concern was raised and is being investigated. What are we going to do as a result of this annual service review? We are going to change our inspection plan, and we will do a key inspection by the 30th September 2010. We can however, 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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