Latest Inspection
This is the latest available inspection report for this service, carried out on 2nd March 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 22-25 Trevean Gardens.
Annual service review
Name of Service: 22-25 Trevean Gardens The quality rating for this care home is: The rating was made on: two star good service 1 0 0 2 2 0 0 9 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: Lynda Kirtland Date of this annual service review: 2 7 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 22 Trevean Gardens Alverton Terrace Penzance Cornwall TR18 4JD 01736361369 01736361369 h5012@mencap.org.uk www.mencap.org.uk Royal Mencap Society Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Number of places (if applicable): Under 65 Over 65 11 0 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 Trevean Gardens provides care for up to eleven service users with a learning disability. The registered provider of the scheme is Mencap. The Registered Manager is Mrs. Hilary Reynolds. Mrs Reynolds is currently away on a twelve month sabbatical and has been replaced by Mr. Keith Marjoram. Mr. Marjoram is in the process of submitting his application to be registered.The home consists of two interconnecting houses, and two self-contained flats, in a terrace of properties. The houses each provide accommodation for four service users each and the flats currently accommodate a single person and a married couple. The home is within walking distance of Penzance town centre, and its services and facilities. The houses and flats have their own sitting rooms, kitchens, bathrooms and single bedrooms. The staff support and encourage the service users to be active and independent, and to be involved in the local community. Service users pursue varied day activity programmes. A copy of the inspection report is available in the home, and it is suggested a full copy of the report is requested from management or CSCI if required. The range of fees at the time of the inspection start
Annual Service Review Page 2 of 6 1 0 0 2 2 0 0 9 from approximately 355 per week and increase on an individual care needs assessment. There are additional charges e.g. for hairdressing, newspapers etc. 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? This service 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 looked at the information in the AQAA and our judgement is that the care home is still providing a good service and that they know what further improvements they need to make. The AQAA told us that they believe they do well at: We work in a highly person centred way with our residents and staffing rotas are organised around peoples individual support needs. Residents are fully engaged in the running of their homes and are supported to play a full part. Their views are always taken into account where changes and/or improvements are proposed. Residents are well integrated into the local community and feel comfortable accessing community facilities. The staff team are a cohesive unit and are supportive of one another. They are well-trained on an ongoing basis. We work hard to create a homely, welcoming and comfortable environment, respecting the fact that we are working in peoples homes. We keep on top of running repairs and maintenance issues and are attuned to health and safety issues. We hold regular team meetings where open discussion of issues is encouraged and peoples views are taken account of. Residents feel comfortable about raising issues with staff and management and expect to have their views taken account of. They believe they have made the following imprcvements as Further work has been undertaken with peoples PCPs in liaison with the Foundation for People with Learning Disabilities and Cornwall People First. The range of training for staff has been enlarged, using outside specialists where required. We are continuing to work on simplifying and improving the accessibility of support plans. We have implemented a more efficient resident/staff coordinator system. They would like to work on making the following improvements as; Improve the sense of ownership of the service by the residents by continuing to involve residents in all matters possible. Increase the staffing ratio by further recruitment. Undertake more 1 to 1 work with residents by allocating more on-shift time for this. Annual Service Review Page 4 of 6 The AQAA told us that the home has not received any complaints. In discussion with the temporary maanger, Keith Marjoram he confirmed that two safeguarding refrrals were made in the last year. One is concluded and the other it is hoped will be finalised in the next week. Keith Marojarm is acting temporary manager, covering for the registerd managers absence whilst she has been on sabitical. She is due to return on1 April 2010 and will resume her post. No surveys were recieved for this ASR, however Mr Marojarm said that mencap are undertaking thier own service user survey and will forward to us the findings of this when completed. The people who use the service have all been at the home for some time, and there has been no new people living at Trevean gardens in the last year. The care 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 good outcomes for the people who use it. What are we going to do as a result of this annual service review? The AQAA demonstrated that the management team aims to provide good outcomes for people who use the service and staff team. We will continue to monitor the service through the AQAA and we will also take account of any other information we receive about the service. We are not going to change our inspection plan, and will do a key inspection by 9 Feburary 2011. 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:
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