Inspection on 15/12/09 for Thicket Road
Also see our care home review for Thicket Road for more information
This inspection was carried out on 15th December 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 Good.
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.
Annual service review
Name of Service: Thicket Road 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: Rosemary Blenkinsopp Date of this annual service review: 0 5 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 79 Thicket Road Penge London SE20 8DS 02087769569 02087769569 suzi.ferguson@lc-uk.org www.lcdisability.org Leonard Cheshire Disability Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 7 0 The maximum number of service users who can be accommodated is: 7 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: Learning disability - Code LD 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 The home is a seven-bedded facility for those residents with a learning disability including one person with a physical disability. The residents in this home have challenging behaviour and need structured behaviour programmes with on-going support. Staff are provided throughout the 24-hour period with waking night staff. The home is a large detached house in a residential area of Penge. It is well served by public transport and close to local amenities. The home has undergone major refurbishment including a two-bedded extension on the lower ground floor. This has significantly improved the home for residents and staff. Policies, procedures and
Annual Service Review Page 2 of 6 documentation are generated through Leonard Cheshire Foundation with amendments made locally. The fees in this home range between #1,200 and #1969.83 weekly. Once received the report will be made available in a pictorial format, as other documents have already prepared in this format. Staff will spend time going through the elements of the report with residents and facilitate a level of understanding as far as their abilities allow. 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? The annual quality assurance assessment (AQAA) 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. The AQAA was received, fully completed on 18 September 2009. This contained comprehensive information in all of the sections, detailing how the service addresses the standards and how this is evidenced. Other information we have about this service includes notifications under Regulation 37 which advise the CQC of untoward events in the service. These notifications are a legal requirement. The previous key inspection was conducted 29 August 2007, where the home was given a two star rating, a good service service. An annual service review was completed 1st December 2008 and this did not change our opinion of the service. Additional information received about the service was also included. Comment cards were sent out; nine were received completed, five from staff and four from residents. The CQC has been advised of no Adult Protection matters or complaints this year . What has this told us about the service? At the last key inspection the home was given a good rating and one requirement was made regarding record keeping. It was evident at the last key inspection that residents received good care and support. The AQAA was well completed and included the following statements to evidence a good service: Staff are recruited and selected using the recruitment and selection process. Staff are fully trained and developed throughout their career with the service. Consistent staff team and low usage of Agency cover offering service users continuity of care that is important to them. Training matrix updated to track targets to ensure staff access learning and support to develop their skills. Service users have their own key worker. All concerns and complaints are dealt with promptly and followed up by regional complaints coordinator. Residents comment cards had few comments included although they indicated that a good service was provided . The only comment ,was the following They look after me . I go out and visit different places and feel safe . Staff comment cards were also favorable about the service saying we are proactive in supporting service users, the home supports the service users and provides for their needs . One comment card requested more staff meetings and another requested more rescoures for activities and outings . What are we going to do as a result of this annual service review?
Annual Service Review Page 4 of 6 The service will be inspected with in 12 months of this is ASR. 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!
