Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd 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 Ashtead Cottage.
Annual service review
Name of Service: Ashtead Cottage The quality rating for this care home is: The rating was made on: two star good service 0 6 1 0 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: Lisa Johnson Date of this annual service review: 2 5 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 165 Barnett Wood Lane Ashtead Surrey KT21 2LP 01372271792 02086421202 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Mr Bhye Mahmood Shamtally Number of places (if applicable): Under 65 Over 65 9 0 The maximum number of service users to be accommodated is 9. 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). 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 Ashtead Cottage provides care and accommodation to nine adults with learning disabilities. Currently most people living in the service are under sixty five years, although people over this age can be admitted to the home if their primary need is learning disability. The accommodation offered is in a detached property in a residential area of Ashtead. The accommodation provides individual bedrooms over two floors, a dining room, kitchen and two lounge areas. The home has a bathroom on the first floor and some
Annual Service Review Page 2 of 7 0 6 1 0 2 0 0 8 individual bedrooms have en-suite facilities. Car parking is available at the front of the building 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. 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. Surveys returned to us by people using the service and from other people with an interest in 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 12 months. What other people have told us about the service. What has this told us about the service? The registered manager returned a clear and comprehensive annual quality assurance assessment (AQAA). The self-assessment identified areas that had improved in the last year and others where further developments were being planned, which would benefit people using the service. Two requirements were made at the last inspection. Information was provided to us to confirm that risk assessments in respect of the uncovered radiators in the home have been carried out and written records of monthly quality monitoring visits are maintained in the service. The home continues to operate a structured admission procedure. Information supplied in the AQAA states that two people have been admitted to the service in the last year. Pre admission assessments are carried out and since our previous visit the organisation has implemented new pre admission forms. A person living in the service said, I visited Ashtead Cottage many times and I spent an overnight stay, two days and a night before I moved in. The AQAA indicates that people have person centred plans,which include risk assessments for any identified risks. Health action plans have been implemented and the AQAA states that the service has been supporting people over the last year to retain and self administer their medication and good networking and communication with members of the multi disciplinary team have been enhanced. Annual Service Review Page 4 of 7 A health and social care professional surveyed said, The manager has made good links with health and social care teams and The manager is aware of my clients health and social needs and strives to meet them. Over the last year the service has encouraged and supported people to be more involved with choosing their preferences in respect of the homes decor and refurbishment . More documents have been produced to make information more accessible to people living in the service. The homes IT systems include widget symbols and makaton to provide visual aids for better communication with people. More people have been referred to advocacy groups. People using the service and their relatives state that they continue to be satisfied with the care and support provided. Comments included, I like the staff here; I am happy to stay here at Ashtead Cottage; I am so pleased I found such a nice place for my relative to live, all the carers are so friendly;The home caters for my relatives needs and understands them well, they communicate well with the family and we are very happy with the service provided so far. The service continues to support people to access a range of vocational educational, recreational and social activities, which are based on peoples preferences. Information supplied states that community integration for people has increased utilising facilities such as shops, library, cinema, theatre, leisure centres and places of worship. Some people living in the service are now using public transport and the home has acquired new and larger transport. People living in the service state that they are able to do what they like in the day,evening and at the weekend. Comments included, I go shopping and I clean and tidy my room;I go swimming twice a week, I help clean the dishes and hoover the carpet; I go to church on Sundays and I go the pub; I prepare my food and like to play football in the garden; I go to the seaside and go to car boot sales and Staff help me to do my laundry and make my packed lunch. The service provides an accessible complaints procedure, which now includes signs, symbols and pictures. The service has not received any complaints over the last year. Staff have been made aware about the mental capacity act and deprivation of liberty safeguards. Safeguarding vulnerable adults from abuse training has also taken place. There have been no safeguarding referrals made following the local authority safeguarding vulnerable adult procedures. Five people surveyed said that they know how to make a complaint and who they would speak to if they were not happy including, The manager who is very nice; The deputy and carers. Two relatives surveyed also confirmed that they were aware of the homes complaints procedure. The service has rolling maintenance and refurbishment plan in place. Over the last year bedrooms have been redecorated and an additional maintenance person has been recruited to speed up redecoration and refurbishment. The home is intending to install a new kitchen unit and provide a mini snooker room. The home continues to be run by an experienced registered manager who holds
Annual Service Review Page 5 of 7 National Vocational Qualification (Level 4) and is due to complete the registered Managers Award this year. People living in the service continue to benefit from a stable staff team. Staff turnover has been minimal. All staff have either obtained or working to wards completing National Vocational Qualifications ( Level 2) or above . It is intended that the deputy manager and senior staff will commence National Vocational Qualification (Level 3) this year and new staff receive induction following Skills for Care core induction standards. Since the last key inspection the service has obtained Investor in people accreditation . The home has provided more specialised training workshops for staff to gain new knowledge and skills to be able to support the needs of people living in the service such as autism and equality and diversity. Information supplied also indicate that regular statutory training is provided to staff. Two members of staff surveyed said that they feel they have enough support, experience and knowledge to meet the different needs of people living in the home and that there are enough staff. One member of staff commented, We have a qualified and experienced manager and staff are regularly sent on training and seminars. More in house training could be provided by management to update mandatory courses. The AQAA indicates that service continues to have a robust staff recruitment policy and they are intending to involve people living in the service to be involved in this process. Monthly quality monitoring visits are conducted and quality assurance feedback surveys have been carried out to gain feedback from people using the service, families, friends and other stakeholders. Staff surveys have also be carried out. The home holds regular consultation meetings with people to gain their views and feedback. Health and safety has been considered in the AQAA. Information supplied indicates that routine maintenance and servicing of equipment is up to date and a range of risk assessments and audits are conducted ensuring peoples welfare and safety. The service continues to inform the Care Quality Commission of any relevant events that have occurred in the home since the last inspection and they have show that they have managed issues well. They work well with us and have shown that the service continues to provide good outcomes for the people living there. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and we will do a key inspection by 6th October 2010 However we can inspect the service at anytime if we have any concerns about the quality of the service or the safety of people using the service. Annual Service Review Page 6 of 7 Reader Information
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