Latest Inspection
This is the latest available inspection report for this service, carried out on 26th 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 44 Dexter Close.
Annual service review
Name of Service: 44 Dexter Close The quality rating for this care home is: The rating was made on: two star good service 0 9 0 3 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: Alan Thompson Date of this annual service review: 1 8 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 44 Dexter Close Grays Essex RM17 5AU 01375396497 01708851133 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability South Essex Special Needs Housing Association Ltd Number of places (if applicable): Under 65 Over 65 2 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 44 Dexter Close provides care and accommodation for two adults who have a learning disability. The home is owned and managed by South Essex Special Needs Housing Association (SESNHA). SESNHA is a not-for-profit organisation with charitable objects. The home is a three bed roomed house situated in a quiet residential area of Grays, approximately half a mile from the main centre. Local shops and public transport links are a short walk away. The house has a small enclosed rear garden. The home offers 24 hour care, and aims to achieve a small family like environment. SESNHA have another small home nearby which also accommodates two residents. The two homes have the same registered manager, share some staff and maintain close links. The range of fees charged to individual service users is according to assessed needs
Annual Service Review Page 2 of 7 0 9 0 3 2 0 0 9 and the agreed care package provided. Inspection reports can be obtained from the home, or via the Commissions internet website on, www.cqc.org.uk Annual Service Review Page 3 of 7 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. 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. Any surveys that were returned to us by people using the service, their families and from other people with an interest in the home. What the service has told us about things that have happened in the home, 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 home in the last 12 months. What has this told us about the service? Inspection Report: The last key inspection of this home was completed on 9th March 2009. The inspection found that of the eight outcome groups looked at all were judged as Good. The inspector concluded that: This home had a supportive, relaxed and friendly atmosphere. Staff on duty were knowledgeable about service users care needs and the staff team worked together well and were committed to their work. Service users are involved, as appropriate, in the day to day planning of their own care and in the way the home is managed on a daily basis. The home is well managed by an experienced manager who manages in a positive and enthusiastic way. This tells us that overall the home was achieving good outcomes for the people using the service with no statutory shortfalls identified. AQAA: This was sent to us when we asked for it and provided us with a range of information to confirm that the manager had a clear understanding of the service, could identify what they did well and evidence this, and was also able to highlight areas for improvement. Annual Service Review Page 4 of 7 A brief summary of information in the AQAA completed by the manager included: Under what our service does well: Listen to the needs and choices of the residents. Engender a homely atmosphere and maintain privacy of residents. Provide a warm and sheltered environment that allows residents to develop without coming to harm. Facilitate controlled risk taking to expand residents knowledge and experiences. Residents are encouraged to take a proactive stance in their lives thus encouraging them to meet their full potential. Since residents needs and wishes are at the core of the service, as they change, so does the way the service is provided ensuring total flexibility. Support is provided in an unobtrusive way to enable residents to access community resources including, leisure and health facilities, placing the residents best interest at the centre of any activity. Under how we have improved in the last 12 months: Residents have been enabled to become more aware of decisions they can make on their own. This has made them more confident and outspoken and has contributed significantly to their own management of their chosen lifestyle. Whilst the two residents get on well with each other, their increased horizons has contributed to more individual activities being undertaken. The data set provided with the AQAA shows that one complaint had been received by the service in the 12 months leading up to completion of the AQAA in January 2010. The AQAA shows that this was investigated and was not upheld. Information in the AQAA also confirms that all the required recruitment checks had been satisfactorily carried out on new staff, and that all six permanent support workers had achieved their NVQ level 2, or above, awards. This means the service fully exceeds the recommended level of 50 per cent of staff obtaining this qualification. The AQAA also includes information on how the service plans to introduce further changes to bring about improvements to benefit service users. Surveys: Comments in surveys returned to us confirmed that staff support service users to make decisions about what they do each day, that service users know who to speak to if they are not happy and that they know how to complain. People also confirmed that the home is always fresh and clean and that staff treat them well. They also agreed that staff listen and act on what they say and that they can do want they want to do each the day. Annual Service Review Page 5 of 7 Information received since last inspection: As required by regulations, the home has when necessary notified us of any relevant incidents/information that we are aware of since the last inspection. Based upon the information available to us at the time of completing this ASR there is no evidence to indicate that the quality of the service has changed since our last key inspection. What are we going to do as a result of this annual service review? At the present time we are not going to change our inspection plan, and will do a key inspection by 9th March 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 6 of 7 Reader Information
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