Latest Inspection
This is the latest available inspection report for this service, carried out on 5th 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 Avon Lodge Care Centre.
Annual service review
Name of Service: Avon Lodge Care Centre The quality rating for this care home is: The rating was made on: two star good service 1 3 0 1 2 0 0 9 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: Sandra Garrett Date of this annual service review: 2 4 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Southey Avenue Kingswood Bristol BS15 1QT 01179474370 01179474377 avonlodge@lifestylecare.co.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: Life Style Care (2005) Plc Number of places (if applicable): Under 65 Over 65 42 0 0 20 The maximum number of service users who can be accommodated is 62. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Dementia (Code DE) maximum of 42 places Old age, not falling within any other category (Code OP) maximum of 20 places 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 Avon Lodge Care Centre was registered in July 2008. Its owned and run by Life Style Care plc that has been established for over twenty years. The company has many homes nationwide and has lots of experience in running care homes for people with dementia. The aim of the home is to provide a high quality service based on principles of person-centred care, respecting individual choice and dignity. Avon Lodge is located
Annual Service Review Page 2 of 6 1 3 0 1 2 0 0 9 in an area close to Kingswood High street. It can accommodate sixty-two people. Forty-two will have a diagnosis of dementia and the remaining twenty will need general nursing care. The home is set out over three floors. The ground floor is for nursing care and the two upper floors for people with dementia. Each bedroom has its own en-suite toilet and washing facilities. In addition there are several well appointed bathrooms with the most up to date bathing equipment. Other facilities include dining rooms, activity rooms, a hairdressing room and a snoozelen (a specialised relaxation room to help people with dementia). It should be noted that Life Style Care operates a no smoking policy in each of their new homes. This means that people who smoke will only be able to do so outside of the building. This information is included in the Statement of Purpose. Fees payable are between £650 (as a baseline for nursing care) and £680 pounds (for dementia care). Exact amounts payable are worked out following the assessment of need and whether people are entitled to help with nursing or continuing care contributions. People funded through the Local Authority have a financial assessment carried out in accordance with Fair Access to Care Services procedures. Local Authority fees payable are determined by individual need and circumstances. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk /www.oft.gov.uk 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 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 focusses on how well outcomes are being met for people using the service. It also gave us some numerical information we needed, Information we have about how the service has managed any complaints, What the service has told us about things that have happened to people using the service. These are called notifications and are a legal requirement. Evidence from both the previous key inspection and also a random inspection visit that we have made to the service in the last 12 months. What has this told us about the service? We received the completed Annual Quality Assurance Assessment filled in by the manager on the date we asked for it. In it the manager updated us on changes to the service. These include: developing a Guide to living at Avon Lodge in place of the service users guide, recruiting a second co-ordinator to make sure people get good choice and opportunities to take part in meaningful activities, work to make sure peoples end of life care is given greater importance and their wishes fulfilled, planning sessions with staff to help them develop more person-centred care plans for people, plus developing and improving care where possible, after complaints and incidents of abuse are reported. We did a random inspection of the service in September. This was to check care plans, management of complaints and safeguarding adults from abuse. We found that the manager and deputy are clear about promoting good practice and keen to learn from all incidents to improve peoples quality of life and care. From the inspection we were satisfied that the home continues to give good care for people with dementia. We received a few completed Have your Say surveys sent to relatives before writing this report. Comments in the section what does the service do well included: Cares and look after residents and activities are organised to keep most occupied, They are very friendly to the patients, Encourages residents to take part in various activities. Calling in of outside specialist bodies to help deal with some of the issues. Listening to issues of a very delicate situation and checking on progress on a regular basis. Keeping families informed of changes in the centre and forthcoming events at the residents /relatives meeting. Setting up of a support group for relatives, The home is always very clean and the food is very good and: Avon Lodge always tries to achieve high standards of care , hygiene and activities. They do this extremely well. The staff are always very cheerful and will find time to talk about the care being provided for my relative. Two comments were made about what the service could do better: Have more of one to one care for some residents and: Cannot think of anything. Annual Service Review Page 4 of 6 Staff also filled in surveys and commented: In my experience of care homes, few are as dedicated to person-centred care and choice as this one. Where possible service users are given full autonomy and only assisted where they request or absolutely require. Obviously this helps their mobility, independent thought and self-esteem. However, one person stated: On occasions the standard of English of the carers is not good, causing confusion and agitation in the residents. Language training could be offered to competent but linguistically challenged workers. From the AQAA the manager showed a good level of commitment to staff training in all areas including: safeguarding adults from abuse, deprivation of liberty and mental capacity act, continence management and nutrition for older people, among others. Staff have also been given supportive training in how to care for people with dementia. New staff have been taken on and the manager and deputy have worked to make sure the mix of staff skills is right on each floor. We believe all the above shows a continuing commitment by the manager and staff to give good quality care to people with dementia. 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 January 2011 or at the frequency as decided by the Care Quality Commission if changes are made to the inspection programme. However, we can inspect the home at any time if we have concerns about the quality of the service given or the safety of the people living there. Annual Service Review Page 5 of 6 Reader Information
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