Latest Inspection
This is the latest available inspection report for this service, carried out on 5th July 2010. 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.
For extracts, read the latest CQC inspection for 15-17 Kew Gardens.
Annual service review
Name of Service: 15-17 Kew Gardens The quality rating for this care home is: The rating was made on: two star good service 0 5 1 2 2 0 0 8 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: Sheila Gawley Date of this annual service review: 1 0 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: West Mead Drive Bognor Regis West Sussex PO21 5RD 01243830214/830242 01243829017 h4047mencap@mencap.org.uk www.mencap.org.uk Royal Mencap Society Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Miss Michelle Allen Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 8 0 The maximum number of service users to be accommodated is 8. The registered person may provide the following category/ies of service only: Care home only - (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 (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 Kew Gardens is registered to provide accommodation for up to eight residents within the category of adults with a learning disability. The home is situated in a quiet residential area in Bognor Regis. The property is divided into two self-contained houses, which are linked on the first floor. Four residents live in each of the houses. Each house provides four bedrooms, a lounge and dining room, kitchen and bathroom
Annual Service Review Page 2 of 6 0 5 1 2 2 0 0 8 facilities. There is a garden at the rear of the property. Mencap are responsible for the service. The Downland Housing Association owns the property. The Responsible Individual acting on behalf of the organisation is Ms Jan Tregelles. The registered manager is Ms Michelle Allen. 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 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 gave us all the information we asked for. We sent surveys for people to complete to the home and received three completed surveys from people who use the service, four from staff and one from a social care professional. The AQAA told us the the home continues to seek the views of people who live there. They do this by using surveys, having meetings, communication books and a keyworker system. Peoples needs are assessed and kept under review with the full involvment of the person and the family. There have been improvments in the care plans in the past year. The AQAA also told us that people who live in the home live the lifestyle of their choice and that a range of stimulation activities are available. The environment has been maintained and specialist equipment has been purchased, some new double glazed doors have been provided. The AQAA did state that the landlord can sometimes be slow to complete needed work. The surveys we received from people who use the service all expressed satisfaction with the care they receive and the decisions they make on a daily basis. All stated they knew who to speak to if they were not happy. The AQAA stated that the domestic staff has an National Vocational Qualification Level 2 in domestic cleaning but two of the surveys received answered Never to the question Is the home fresh and clean, the third responded Always. Annual Service Review Page 4 of 6 The home had reported to us five medication errors since the last Key unnannounced Inspection. The AQAA told us that medication guidlines have been updated and that there is a new controlled drug cupboard and a new drugs fridge. The provision of the controlled drugs cuboard and the drugs fridge meets a requirement of the last key Unnannounced Inspection. Two of the four staff surveys acknowledged that there had been medication errors and that action has been taken to prevent this in the furure. All four of the staff surveys stated that the home is a supportive place to work and that they receive supervision and training. They stated they were happy working there and that people worked as a team. One commented There is excellent staff training and good communication We received one survey from a social care professional who commented It is clear that the staff invest themselves wholeheartedly into ensuring that the residents are able to lead a full and active life. This survey also commented that some parts of the home were in need of redecoration. 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. 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 before 05/12/2010 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
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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
