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Inspection on 12/08/09 for Thistle Hill Hall

Also see our care home review for Thistle Hill Hall for more information

This inspection was carried out on 12th August 2009.

CQC found this care home to be providing an Excellent service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Thistle Hill Hall The quality rating for this care home is: The rating was made on: three star excellent 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: Steve Keeling Date of this annual service review: 1 2 0 8 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Debdale Specialist Care Limited Debdale Lane Mansfield Woodhouse Nottinghamshire NG19 7EZ 01623655100 Telephone number: Fax number: Email address: Provider web address:   skhulpateea@aol.com www.debdalecare.co.uk Debdale Specialist Care Ltd 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 18 0 One named Service User to be admitted above the age of 65. Service User shall be in Category MD. 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: The previous registered manager resigned her post on the 11th May 2009. An acting manager is in post who is currently undergoing the registration process with the Care Quality Commission. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Thistle Hill Hall is a Grade II listed building, which provides residential care for adults who have enduring mental health problems. The accommodation is situated on two floors with the upper floor being accessed via stairs or a passenger lift. The accommodation is spacious with high quality fixtures and fittings, and is tastefully decorated throughout, while still incorporating many of the original features. Outside Annual Service Review Page 2 of 6 there are ample grounds much laid to lawn, although an abundance of shrubs and trees add to the privacy of the house. To the front of the building is a small car park for staff and visitors. All bedrooms have en-suite facilities, and there are two training kitchenettes as well as a central kitchen and dining room. On site, there is a gymnasium, as well as a hobbies/games room, with table tennis, pool and a variety of tabletop games and activities. Thistle Hill Hall has two lounges, a visitors room, and ample bathrooms and toilets in addition to the en-suite facilities. These bathrooms are spacious, and a person with mobility difficulties could be accommodated. The fees at the home are currently £1,400 per week with additional payments for specialist care needs. 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 or annual service review. 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 staff employed at the home. 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. What other people have told us about the service. What has this told us about the service? The home sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. Although the information within the AQAA would benefit from being more detailed but it gave us sufficient information to form a judgement which is that the home is still providing an excellent service and that they know what further improvements they need to make. The Care Quality Commission has not received any complaints about the service in the last twelve months and information within the AQAA confirmed that no complaints have been made to the acting manager at the home within the last 12 months. We received ten completed surveys from people living in the home. The survey asked Did you receive enough information before you moved into the home, Nine people stated Yes and one person did not respond. The survey asked Do you make decisions about what you want to do each day, six people stated Always, two people stated Sometimes and two people stated Never. The survey asked Can you do what you want at the weekends, all ten people who responded to the survey stated Yes. The survey asked Do you know who to speak to if you are not happy, all ten people who responded to the survey stated Yes, although only four people stated that they know how to make a complaint. The survey asked Is the home clean and fresh, Nine people who responded to the Annual Service Review Page 4 of 6 survey stated Yes. The survey asked Do staff treat you well, eight people stated Yes and two people stated Sometimes. The survey asked Do the carers listen and act on what you say, Eight people stated Always one person stated Sometimes and one person stated Hardly ever The Survey asked if there is anything else that you would like to tell us, one person commented The care has been very good, sometimes I have not been well and have been bad but its going well so far. We received five completed surveys from staff employed at the home. The surveys asked staff what the home does well, comments included The home does everything possible to meet the needs of the residents. The training for staff is excellent and support from the senior staff is good which ensures the needs of the residents are met and organised trips out and regular training provides a safe environment for service users. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that the quality rating of the service should remain unchanged. 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 24th May 2010. However we can inspect the service at any time if we have concerns about the quality of the service provision. 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. 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