Latest Inspection
This is the latest available inspection report for this service, carried out on 4th January 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 33 Burgh Heath Road.
Annual service review
Name of Service: 33 Burgh Heath Road The quality rating for this care home is: The rating was made on: two star good service 2 8 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: Kenneth Dunn Date of this annual service review: 3 0 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Epsom Surrey KT17 4LP 01372741025 Telephone number: Fax number: Email address: Provider web address:
jjagutpal@hotmail.com www.Burghheathlodge.Co.uk Mrs Mala Jagutpal Name of registered provider(s): Conditions of registration: Category(ies) : learning disability mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 7 7 0 0 The maximum number of service users to be accommodated is 7. 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) Mental disorder, excluding learning disability or dementia (MD). 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 33, Burgh Heath Road is a large semi detached house situated in a residential area close to the town centre of Epsom. The home is presently registered for six service users. The accommodation is on two levels. There are six single bedrooms on the first floor. There is a large lounge and dining area. There is a large kitchen, which is accessible for service users to make snacks and drinks. There is a large garden, which is well maintained and accessible. There are car-parking facilities at the front of the 2 8 1 2 2 0 0 8 Annual Service Review Page 2 of 6 house. 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 the people who are using the service. The AQAA also gave us some numerical information about the service. Information we may have about how the service has managed any complaints. What the service has told us about things that have happened in the service to tell us about them. The previous key inspection and the result 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 annual quality assurance assessment (AQAA), returned by the manager, provided current details about the home including areas where action had been taken to make improvements. Information contained within the AQAA states that to ensure that the views of people using our services are promoted and incorporated into what we do, we use several methods. Residents will make their views and preference known to staff on a day-today basis and these will be recorded in progress notes or communications book as required. Resident meetings are held regularly to inform of events in the home and residents also make their preferences know about activities, meals and their room. Yearly resident satisfaction questionnaires are conducted to obtain resident views on a range of topics and for residents to make suggestions about how to improve the service the home offers. The results are scored and actions of this survey are passed on to the residents. We ensure that residents have their annual reviews with their named social workers ensuring another opportunity for resident views to be raised. There is a suggestion box in the hall for residents to comment on any aspect of the home. Residents participate in their person centred care plans where their views are recorded. To ensure the views of stakeholders such as staff, health professionals, family and friends are taken into account we send out stakeholder questionnaires to score the quality of the service we provide and hold staff meetings to obtain their views. The AQAA provided evidence that family and friends are encouraged to participate We involve residents families and obtain their views about how they would like a relative to be cared for and decisions concerning a resident. When a resident moves into the home an advocate or family member promotes their views and preferences during the settling in period. Staff, support residents to develop and maintain relationships ensuring that the staff respect service users privacy and dignity Annual Service Review Page 4 of 6 The AQAA stated that service has good staffing levels and a good skills mix. The completed AQAA indicated that the service is aware of the diversity of the residents and is acknowledging the differences between people. This includes race, gender identity, disability, sexual orientation, age, religion and belief. These details are recorded in resident care plans and admission assessment and are kept confidential. Staff are trained in equality and diversity using the common induction standards, and NVQs in health and social care. Recruitment policy takes into account diversity and aims not to discriminate against a particular group. The AQAA stated that the service has has received 2 complaints in the last twelve months, both of these were resolved within 28 days. The service has not made any safeguarding adults referral in the same 12 month period. The Care Quality Commission has not received any complaint for forwarding to the service, since the last inspection. The AQAA indicates a responsive service which seeks to continually develop and improve. Our judgement is that the 33 Burgh Heath Road continues to provide a good service, which is effectively meeting the care needs of the people who use 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 28th of December 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:
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