Latest Inspection
This is the latest available inspection report for this service, carried out on 22nd December 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 Avalon.
Annual service review
Name of Service: Avalon The quality rating for this care home is: The rating was made on: two star good service 1 0 1 2 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: Kenneth Dunn Date of this annual service review: 2 0 1 1 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service
Address of service: 43 Woodfield Lane Ashtead Surrey KT21 2BT 01372278039 Telephone number: Fax number: Email address: Provider web address:
pm-avalon@together-uk.org www.together-uk.org Together Working for Wellbeing Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Number of places (if applicable): Under 65 Over 65 8 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 Avalon is a registered care home for people with mental health needs. Together Working For Wellbeing manages it in partnership with Richmond Churches Housing Trust. The property is located in a quiet residential area in Woodfield Lane, Ashtead and is close to public amenities. Buses run to nearby Epsom, Leatherhead and Guildford that has good shopping and sporting facilities. The property is a large, two storey, detached building and provides accommodation for eight service users. The house has a drive with private parking available and a large garden at the back of the property that is private and secluded. The home has a communal area, a conservatory, eight single bedrooms, adequate bathing and washing facilities, a laundry, a kitchen and dining area. 1 0 1 2 2 0 0 8 Annual Service Review Page 2 of 5 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. 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 and relevant information from other organisations. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. The manager had looked at each outcome area and reported on each standard in turn. The AQAA was informative and relevant to the home and people using the service. The AQAA told us that that the service is open and enclusive they listen to the requests and concerns of Service Users. They hold fortnightly Service User meetings, Service Users are encouraged to make their own agenda and bring this to the meeting. The manager stated that the service had an open door policy where Service Users can talk to staff at anytime and that any issue is taken seriously. All Service users have a copy of the homes complaints policy and the service also has a local policy for Issues raised. If Service Users do not wish to take the issue any further, this is recorded. However, if staff feel action needs o be taken, this will be acted upon. The manager stated that in line with consultation with the service users the home has Daily individual support hours offered to all Service Users. This is bookable time with staff for support within the house or in the community. The service has a range of policies and proceudres to uphold and reinforece the privicy and dignity of the service users. The AQAA states that the Diversity and Equality of our Service Users is respected at all times. All staff work within the realms of Togethers Equal Opportunities policy. Staff receive training during the induction process to ensure a basic level of understanding and practice. The AQAA all staff training is paistated that service has good staffing levels and a good skills mix. Annual Service Review Page 3 of 5 The completed AQAA indicated that the service has received two complaints in the last twelve months and that they were both resolved within 28 days. Avalon has made one safeguarding adults referral in the same 12 month period. The Care Quality Commission has not received any complaint for forwarding to the service, since the last inspection. The AQAA indicates a responsive service which seeks to continually develop and improve. Our judgment is that Avalon continues to provide a good service, which is effectively meeting the care needs of the people who use the service. What are we going to do as a result of this annual service review? We are not going to change our inspection plans and will do a key inspection by 30th 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. The last key inspection for the service was on the 12th December 2008. Annual Service Review Page 4 of 5 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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