Latest Inspection
This is the latest available inspection report for this service, carried out on 13th 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 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 Aston Grange.
Annual service review
Name of Service: Aston Grange 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: Peter Illes Date of this annual service review: 1 1 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 484-512 Forest Road Walthamstow London E17 4PZ 02085091509 02085091609 yetty.adepegba@carebase.org.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Aston Grange Care Limited Number of places (if applicable): Under 65 Over 65 0 0 29 16 The maximum number of service users who can be accommodated is: 45 The Registered Person may provide the following categories 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: Old Age, not falling within any other category - Code OP (maximum number of places: 16) Dementia - Code DE(E) (maximum number of places: 29) 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 Aston Grange is a privately owned home registered to provide care to 45 older people, 29 of whom have a diagnosis of dementia. Short-term respite stays are offered where there are vacancies between long-stay placements. The home is purpose built with accommodation on three floors, with all forty-five bedrooms having en-suite facilities. There are sixteen bedrooms on the ground floor, called Daisy unit, providing residential
Annual Service Review Page 2 of 7 care for older people; seventeen bedrooms on the first floor, called Lavender unit, providing residential care for older people with a diagnosis of dementia and twelve bedrooms on the second floor, called Primrose unit, also providing residential care for older people with a diagnosis of dementia. There are additional adapted bath and shower facilities and communal spaces including a lounge/ dining room on each floor and a kitchenette on Lavender and Primrose units. The homes main kitchen and laundry facilities are situated on the second floor. All floors are linked by a passenger lift and two flights of stairs. The home has a pleasant paved patio garden and there is off street parking at the front of the home. The home is situated near the centre of Walthamstow in the London Borough of Waltham Forest and is within easy access of public transport, shops and other community amenities. The stated philosophy of the home is to look after our Resident in the best possible way, in a home from home environment, creating an atmosphere to meet all care, social, spiritual and psychological needs. The provider organisation is aware that it must make information about the service, including the Commissions inspection reports, available to people living at the home and other stakeholders. The current weekly charge is from £650 per week depending on the persons assessed need. 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. 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 report. What has this told us about the service? At the last key inspection on 17/12/2007 the service was assessed as being a good service and this was still our judgement when we completed the last annual service review on 29/07/2008. Since that time there have been 3 safeguarding alerts that have been properly investigated under to L.B. of Waltham Forests safeguarding adults procedures and which the home has dealt with satisfactorily. No complaints about the service have been reported to the Commission since the last key inspection. The service sent us their annual quality assurance assessment (AQAA) when we asked for it. The AQAA contained a range of detailed information and indicated that the home continues to provide a good service. The AQAA told us of the improvements the service had made in the previous twelve months. These have included: improved documentation; improvement to the care planning and risk assessment procedures; improved equipment to assist residents with taking a shower or bath; more robust medication audits; more visits from healthcare professionals such as optician, dentist and chiropodist; improved menus and better cultural diets; recruitment of an activities coordinator; flexible visiting times; more effective liaison with the local safeguarding team; the homes kitchen has now been given a 5 star rating by the local Environmental Health department; a new housekeeper has been employed; update staff training in infection control; supervisory staff have been trained to formally appraise the staff they supervise and management monitoring and improvement of policies and procedures in the home. The AQAA told us that planned improvements to the home over the next twelve months would include: to review and improve daily living records; to contact relatives more frequently to keep them updated; to improve the way residents reviews are carried out, both in-house and multi-disciplinary reviews; staff training in cultural Annual Service Review Page 4 of 7 differences and expectations; to encourage residents to participate in more activities; to organise more extensive staff training to cover all aspects of care and to better understand the behaviour of residents with dementia; to undertake planned improvements to the environment, including replacing carpets and involving residents in improving the garden; to increase staffing levels and recruit more bank staff and to audit all staff files quarterly. The AQAA also told us that the home listens to the views of residents including through monthly residents meetings, questionnaires and quarterly meetings with relatives; a suggestion box and comment card system, which is checked and monitored weekly and through the registered manager having an open door policy. We received survey forms from seven residents, which were positive about the home. Comments included: Very clean, nice food, good service. The home could not do any better, I am lucky to live here; and, I like the home that I am in; and, Well looked after; and A good home. We received survey forms from six relatives, which indicated they were generally happy with the care the home provides their person. Comments included: Care manager and senior staff communicate well with us when we visit; and, I am very satisfied with my mothers care at Aston Grange. I would like to put on record my familys gratitude to managers and staff for all they do there; and I am very happy my mother is well looked after and is given the opportunity to enjoy her life as much as she is able. A great weight off my mind. However, one person commented, Agency staff at weekends are often not as helpful as more regular staff. The registered manager has told us that the home has not used agency staff recently but has had a number of new staff and that she is putting more management time into monitoring the service at weekends. We received survey forms from two staff that indicated they felt well supported. Comments included: The home works well as a team and always support the residents; and, The level of care is very good, good training and (management) listen to concerns. We received survey forms from three health and social care professionals, which indicated they were satisfied with the service the home provides. Comments included: The service has improved very considerably under the present management. I have been worked with the staff over the last 5/ 6 years; and, The management and staff treat matters of medicine management very seriously. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us 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? Annual Service Review Page 5 of 7 We are not going to change our inspection plan, and will do a key inspection by 09/12/2010. 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 6 of 7 Reader Information
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