Latest Inspection
This is the latest available inspection report for this service, carried out on 12th 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 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.
For extracts, read the latest CQC inspection for 4 Malham Drive.
Annual service review
Name of Service: 4 Malham Drive The quality rating for this care home is: The rating was made on: three star excellent service 1 6 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: Sandra Crosby Date of this annual service review: 1 1 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 4 Malham Drive Margate Kent CT9 2LW 01843231359 01843229641 Telephone number: Fax number: Email address: Provider web address:
www.sense.org.uk Sense, The National Deafblind and Rubella Association Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : learning disability sensory impairment Conditions of registration: The maximum number of service users to be accommodated is 2 The registered person may provide the following category 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 category: Learning disability (LD) Sensory Impairment (SI) 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: Registered Manager has left. Acting Manager currently applying to be registered manager. 1 6 1 2 2 0 0 8 Number of places (if applicable): Under 65 Over 65 2 2 0 0 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service
Annual Service Review Page 2 of 6 4 Malham Drive is a small home for two people with a sensory disability and works in conjunction with registered services at 89 Hastings Avenue and 136 Newington Road, part of Sense South East. The home provides ample communal space and single room accommodation for the service users. There is off road parking for two cars and there is a small but pleasant garden to the rear of the property. The home is close to public amenities, shops and public transport. The fees for support from the home are set during the assessment period and are very individual to the needs of the service user, depending on the level of support required and the staffing numbers provided. This home has been chosen specifically for the service users currently living at 4 Malham Drive. 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. 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 twelve months. What has this told us about the service? The registered manager has left, however recently information has been received informing that the person in the role of acting manager is in the process of applying to be the registered manager of the service. The home returned the annual quality assurance assessment (AQAA) documentation completed by the Acting Deputy Manager. The information contained in the AQAA was clear and informative, but needs to be expanded. It identified areas that have improved in the last year and others where further developments are either planned or would benefit the people using the service. This included evidence that the service seeks the views of the people using the service and other stakeholders. The last key inspection report dated 16 December 2008 was positive. Health and Personal Care, Daily Life and Social Activities and Management and Administration standards were quality judgement rated as excellent. Choice of Home, Complaints and Protection, Environment and the Staffing standards were quality judgement rated as good. No requirements or recommendations for good practice were made. People were very positive about the service they were receiving, with positive comments also from relatives and other stakeholders. Since the last inspection the Commission has been notified of significant events at the home. There is evidence from the AQAA that the service is continuing to look at ways of improving what they do, to ensure good outcomes for those receiving a service for example through listening to the views of one service user an eye level cooker has been installed in the kitchen, thereby aiding a persons independence when preparing their own meals. Work experience placements have also been set up for both service users. Themed discos has been successful and continue to be planned. Health action plans have been implemented. Staff training is ongoing, one staff member has achieved NVQ Level 2 in Health and Social Care, one member of staff has commenced NVQ Level 2 in Health and Social Care, and the acting deputy manager has achieved NVQ Level 3 in Management. Annual Service Review Page 4 of 6 There is on going maintenance and redecoration, and improvements made in the last twelve months as stated in the AQAA include for example a new kitchen has been installed and new carpets have been fitted in the communal areas. In relation to equality and diversity the AQAA states the person centred care plans process addresses, race, gender identity, disability, sexual orientation, age, religion and belief in the initial assessment. Gender sensitivity and preference regarding personal care is taken into account. The staff training programme incorporates adult protection and sexuality and relationships. The recruitment process ensures that the equal opportunities policy is taken into account. A staff forum representative is elected by the staff team to represent their views and feedback. The information provided by the home and other sources confirmed our judgement that the home is still providing a good service. The AQAA indicates that the staff at the home work hard to provide a friendly and caring environment for the people who use the service within a person centred framework. They work well with CQC 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? There will be no change to the inspection plan and we will do a key inspection by 16 December 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
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