Latest Inspection
This is the latest available inspection report for this service, carried out on 16th October 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 Ascot Lodge.
Annual service review
Name of Service: Ascot Lodge 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: Donna Ahern Date of this annual service review: 1 6 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 17 Ascot Road Moseley Birmingham West Midlands B13 9EN 01212478760 F/P01212478760 lornastreasure@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Dr Kandiah Somasundara Rajah 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 (LD) 3 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: The registered manager left in September 2008. Since she left the deputy has been acting manager and has advised us that she will be making an application to register with CQC. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Ascot Lodge is situated on the ground floor of a three storey Victorian house in a quiet cul-de-sac in Moseley. The upper floors of the property are let to private tenants with a front entrance shared by tenants and the people who live in the care home. Ascot Lodge comprises of three bedrooms, a small kitchen, bathroom and WC, lounge, dining
Annual Service Review Page 2 of 6 area, office and rear garden with a shed and garden furniture. There is off road parking available for three cars at the front of the property, which is shared with private tenants who occupy the rest of the building. The home provides a vehicle, which is used by the people living there to access community based facilities, attend appointments and day trips. All bedrooms at the home are single and there are no en suite facilities. The home provides a service to three adults who have a learning disability and autism spectrum disorders. The home is not suitable for people who have mobility difficulties. The service users guide did not include the fees charged to live there. Inspection reports are on display in the home and available to visitors if they wish to read them. 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. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQQA 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 the previous inspection report dated 7th November 2007 and a Random inspection reported dated 4th November 2008. We looked at what the service had told us about things that had happened in the service. These are called notifications and are a legal requirement. We also spoke to the acting manager by telephone on 16th October 2009 when we were completing this report. What has this told us about the service? The manager left in September 2008. The deputy is now acting manager and plans to register with CQC. The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It gave us basic information about what they are doing now and what they want to do in the future. We did a random visit in to follow up on safeguarding issues and the Home was asked to make improvements to the systems in place to safeguard people and to provide training for staff.These have now been actioned. At the key inspection in November 2007 we made some good practice recommendations that should improve the service for people if acted on. The acting manager told us that all recommendations have been actioned. These include improving risk assessments, providing fee information in the service user guide, ensuring staff are informed about the mental capacity act and improving gas leak detection. There have been no new admissions to the Home the people living there are the same as when we did our last visit. The AQAA told us that new care plans and health action plans are in place so that staff have the information they need to meet people needs.We were told that regular meetings take place with people living in the Home so their views can be promoted and incorporated into what the Home does. The AQAA told us that people take part in a range of leisure activities so they live fulfilled lifestyles. The Home told us since our last visit they have received one complaint and have dealt with one safeguarding issue. The safeguarding matter was referred to Birmingham Social Care and Health. Training for staff in safeguarding took place in April 2009 and staff have been issued with hand books on mental capacity and deprivation of safeguards. Policies and procedures are in place and were reviewed in June 2009. This means that Annual Service Review Page 4 of 6 staff have up to date information about how they should do their job well. Two members of staff have completed NVQ level 3 and one is doing NVQ level 4 . All staff have taken part in the following training sessions first aid, challenging behaviour with autism, basic food hygiene, manual handling, report writing and mental capacity awareness and fire safety. This should ensure that staff have the skills and knowledge to meet people needs and keep people safe. From the information we have looked at our judgment is that the home is still providing a good service and they know what further improvements they need to make. 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 7th November 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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