Latest Inspection
This is the latest available inspection report for this service, carried out on 15th September 2009. 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 63 Kingsley Road.
Annual service review
Name of Service: 63 Kingsley Road The quality rating for this care home is: The rating was made on: two star good service 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: Judith Brindle Date of this annual service review: 1 6 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 63 Kingsley Road South Harrow Middlesex HA2 8LE 02084224277 Telephone number: Fax number: Email address: Provider web address:
deborahselley@btinternet.com Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Clover Residents Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care Home only - Code 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 - Code 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 63 Kingsley Road is a care home registered to provide personal care and accommodation for three adults with a learning disability. The home is owned by Clover Residents (Organisation). The house is a semi-detached property, located in South Harrow, close to a variety of amenities, which include shops, restaurants and banks. Local public transport facilities include train and bus services. There is a large accessible park located very near to the care home. The premises are in keeping with other houses in the residential area. All the residents bedrooms are single and located on the first floor.
Annual Service Review Page 2 of 7 The communal areas of the care home are situated on the ground floor. There is an accessible enclosed garden located at the rear of the property, and there is restricted parking on the street at the front of the house. The home has accessible information about the care home and the service provided. Information in regard to fees is available from the registered person. 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? For this Annual Service Review (15/09/2009), we looked at all the information that we have received, or asked for, since the last key inspection (10/10/07) and Annual Service Review that took place on the 9th October 2008. This included; The annual quality assurance assessment (AQAA) that was sent to us by the service within the timescales set by us. 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. We looked at 4 feedback surveys from staff that were returned to us at the time of writing this review. We have been told by the manager that the residents have varied communication needs and are unable to complete a feedback surveys. Verbal information and recorded information from the manager informed us that previous inspection requirements, and recommendations from the previous unannounced key inspection had been met at the time of the annual service review that took place in 2008. We also looked at information we have about how the service has managed any complaints, and 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 report, relevant information about the service from organisations, and from other people was also looked at. What has this told us about the service? We received the AQAA (Annual Quality Assurance Assessment), prior to this review. This document had been satisfactorily completed and gave us the essential information about the service that was asked for. The AQAA included examples to demonstrate how positive outcomes, and well being are supported and enabled for the people using the service. Key points within the AQAA included reference to supporting people using the service to make decisions. We were also informed that regular service user reviews take place where care plans and the service is reviewed reflecting any changes in care as and when needed and that annual service surveys, gives the service users, their families and other stakeholders opportunities to express their views. We were told that feedback from these surveys are recorded and an evaluation made of the service, and that views are expressed further through our complaints and comments policy, service user meetings, and informal chats are encouraged to gain service users views. AQAA told us that the care home planned to improve the format of their feedback surveys to make them more accessible to people who have difficulty in reading. Previous inspection, and the AQAA told us that the home meets the equality and diversity needs of people using the service. We were told that service users are supported to celebrate and participate in any religious or cultural festivals that they adhere to, and that 63 Kingsley Road ensures that they liaise with service users and their families to identify what service users would like to eat and that it is in accordance with their cultural and religious needs. The AQAA and previous inspection told us that 63 Kingsley Road has up to date information (Statement of Purpose and Service User Guide) about the service that it Annual Service Review Page 4 of 7 provides, and that this documentation is available to people using the service and to others. We were also told that prospective residents receive a comprehensive assessment of their needs before they move into the home, and are supported and encouraged to visit 63 Kingsley Road before moving in. We were told that the care plans of residents are reviewed regularly. The AQAA and previous inspection told us that the care plans of residents are person centred and are reviewed regularly, with involvement from people using the service and others including family/friends, care managers and others. We were given examples of choices that people using the service make, these include choosing the time when they want to get up and go to bed, what they wish to eat and wear. We were told by feedback surveys from staff that they were given up to date information about the needs of the people that they support or care for, and that they were given enough time to meet assessed needs of the people they support and care for. Comments from staff included Kingsley Road gives support to individuals so that they can live as independently as they can, and the care home helps service users to integrate into the community, and helps them boost their self esteem, and helps them with their everyday living. AQAA told us how contact between family/friends and people using the service is supported in accordance with the persons wishes and their needs. We were also told that residents have a full activity programme which is in consultation with the service user, and that access to community facilities has improved. Previous inspection and the AQAA told us that the health needs of people using the service are met, and that each person has a health action plan. We were told that the home has a good working relationship with health care professionals and that some external treatments such as nail care is provided in the home surrounding, which we were told appears to have been working well in reducing the anxiety that some residents have with regard to health care appointments. AQAA told us that 63 Kingsley Road gives all concerns and complaints serious attention and that keeping accurate records of any concerns/complaints enable us to improve our service. We were told that the home is looking at ways we can make it easier for our service users and others to express their views. AQAA told us that the home had not received any complaints and/or had any safeguarding referrals in the last twelve months. Previous inspection and the AQAA told us that the environment of the care home is clean, homely and meets the needs of people using the service. AQAA told us that we have repainted the house throughout changed flooring from carpet to laminate in the communal areas such as the downstairs passageway, lounge and dining area. We were also told that people using the service are involved as much as they are able to be in choosing the decor and furnishings of the care home. Previous inspection and the AQAA told us that the care home retains staff, and that staff receive appropriate training including an induction to carry out their role and responsibilities in meeting the needs of people using the service. AQAA told us that four out of the five care staff working in the care home have a National Vocational Qualification (NVQ) level 2 or 3 in care. Staff feedback told us that they feel that they have enough support, experience and knowledge to meet the different needs of people who use the service, and that appropriate checks are carried out during the recruitment process. They told us that they receive support and are listened to, and have the opportunity to attend staff meetings. Staff also told us that they are given training that helps them understand and meet the individual needs of people using the service. One staff member commented that there could be more training. The manager told us that the training needs and wishes of staff are discussed in staff
Annual Service Review Page 5 of 7 supervision sessions, and that staff receive varied and appropriate training. AQAA told us that the homes policies and procedures are up to date, that the home carries out all required health and safety checks. The registered manager has managed the home for several years and has the skills and qualifications to run the home. She keeps us informed of changes to the service and ensures that there are on going improvements made to the service provided to people living in the care home. We spoke with the manager who gave us examples of how the skills of residents had improved and developed since their admission to the home. The manager informs the Care Quality Commission of incidents/accidents and other notifications, and has let us know the action that they have taken in response to these concerns. What are we going to do as a result of this annual service review? It is evident from the information received about the care home since the key unannounced inspection (10th October 2007) that our judgement is that the home is still providing a good service to people using the service. 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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