This inspection was carried out on 14th July 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 Excellent.
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: Tremona Care Home 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: Annie Foot Date of this annual service review: 1 4 0 7 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 18 Parkers Cross Lane Pinhoe Exeter Devon EX1 3TA 01392460945 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Mrs Melanie Louise Brunsdon Number of places (if applicable): Under 65 Over 65 2 0 The manager must obtain the NVQ4 in Care by 2005 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 `Tremona is a care home registered to provide personal care, support and accommodation for two younger adults with learning disabilities. Mr & Mrs Brunsdon live at the premises. No other staff are employed. The home is a detached house in Pinhoe, a residential area on the outskirts of Exeter. There are 4 bedrooms, with an adjacent large bathroom. A lounge, utility area and a shower room are accessed through the kitchen. A conservatory has been built onto the main living room, leading onto a patio with enclosed garden beyond. The home is close to a bus stop, shops, and Doctors surgery. Weekly fees at the time of the inspection were #427.21. Extra costs to these include personal toiletries, hairdressing, some activities outside the home, and use of public transport - all at cost price. People funded through the Local Authority have a financial assessment carried out in accordance with Fair Access to
Annual Service Review Page 2 of 6 Care Services procedures. Local Authority or Primary Care Trust charges are then determined by individual need and circumstances. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk Inspection reports by the Commission for Social Care Inspection (CSCI) are available at the home, or can be accessed through the Commissions website at www.cqc.org.uk. 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 which took place on 4 July 2008 and the annual service review completed on 23 June 2008. 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? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and detailed and gave us all the information we asked for. We also received completed surveys from both people living at the home. Assistance completing the forms was received. Surveys tell us that people are asked if they want to move into the home and receive the right information to help make a decision. All other responses to our survey were positive and tell us that service users continue to be happy living at the home. The AQAA tells us while there are formal quality assurance systems in place, the home finds that discussions around the dinner table are more more effective with service users. As a result of listening to what the service users request more choices are offered which are discussed in detail to ensure full understanding. Questions and suggestions are always supported. The home encourages two way dialogue about every aspect of care and support. People living at the home live as part of the family, participating in day to day living decisions and experiences. Enablers, support service users with accessing community activities eg libraries, cinema, shopping. An open house is provided for family and friends. During the last year the service users have become involved in a singing workshop which resulted in a theatre show at the end of the course, with a CD to mark Annual Service Review Page 4 of 6 the occasion. There have been no changes of service user over the past year, although there is a full assessment process in place if required. The home has an effective complaints procedure which is explained to service users and supporters. The home is confident that people living at the home know who to talk to if they have a concern and how to make a complaint. They are aware of the need to be proactive in this area. No complaints were received in the last year. A comfortable family environment is provided which is kept fresh and clean. In the last year the bathroom has been refurbished to make it more accessible and a simple call bell system installed. A new vehicle has been purchased to enable everybody (service and family members) to travel together. There have been few changes over the year and people living at the home continue to benefit from the care and support provided by the owner and her family. The home is safe and secure providing a comfortable environment for service users to expand their horizons with encouragement from everyone at the home. 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 their service continues to provide excellent outcomes for the people who use it. There is no evidence to indicate that outcomes for people who use the service have changed since the last inspection of the service. 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 22 June, 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
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