Latest Inspection
This is the latest available inspection report for this service, carried out on 10th February 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 Bellsgrove.
Annual service review
Name of Service: Bellsgrove The quality rating for this care home is: The rating was made on: two star good service 1 4 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: Jane Jewell Date of this annual service review: 1 1 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Bellsgrove 250 Cobham Road Fetcham Surrey KT22 9JF 01372379596 Telephone number: Fax number: Email address: Provider web address:
bellsgrove@hotmail.com Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Mr Somasundaram Logathas,Mrs Shyamala Logathas Number of places (if applicable): Under 65 Over 65 15 15 0 0 0 15 The maximum number of service users who can be accommodated is : 15 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: Old age, not falling within any other category - OP Dementia - DE Mental Disorder, excluding learning disability or dementia - MD 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 Number of places at the home has increased to fifteen through the creation of an additional bedroom. 1 4 0 1 2 0 0 9 Date of last key inspection: Date of last annual service review (if applicable): Annual Service Review Page 2 of 7 Brief description of the service Bellsgrove was first opened as a care home in 1982. It is a family based care home which has been owned since 2001 by a husband and wife team Mr and ,Mrs Logathas, who are also joint providers. Although the providers work daily at the home there is a registered manager in post. The home is registered to accommodate up to fifteen older people including residents who have dementia. The home is a large detached converted domestic property situated in the village of Fetcham, with a range of local shops nearby. The home is presented across three floors, with a passenger providing level access to the first floor. The third floor provides office space. Residents accommodation consists of fourteen single bedrooms with half providing en-suite facilities. Communal space consists of a combined lounge dinning room and conservatory. There is a rear garden, which has a patio and seating areas. The front is in the main paved to provided off road parking The fees for residential care are currently £500 to £600 per week, depending on the services and facilities provided. Extras such as: newspapers, hairdressing, chiropody, some transport , toiletries are additional costs. 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? This Annual Service Review was undertaken on 5th January 2010. 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). 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. Any information we have about how the service responded to and manages complaints and safeguarding adults referrals. The previous key inspection which was undertaken on the 14th January 2009 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations, such as the local authority. Information from people that use the service or from those that visits it and work there. This was obtained by the Care Quality Commission sending out surveys to the home and four were returned to the Commission and their contents are included in these assessments. Two from residents who were supported to complete the forms by a relative and two from relatives. In addition the registered manager Mr James Sohun was contacted for up to date information about the service. What has this told us about the service? The home returned the (AQAA) after seeking an extension for its completion. The AQAA gave only limited information about what was happening in the home and their plans for future service development. This included the development of a service user friendly brochure. The AQAA indicated that the there has been significant development of the care planning process through seeking the advice and support from a specialist care consultant. The manager fedback that this has helped to improve the standard of needs assessments, care planning and their review as well as increased involvement of staff in the care planning process. The last report was positive and identified that what the home does well is provides a gentle and relaxed lifestyle, prompt health care intervention from a range of health care professional and a clean and homely environment. One shortfall in practise was noted at this inspection which related to the administration of controlled medication. The manager confirmed that the home does not now use controlled medication but should the situation change then the use of a controlled drugs register would be implemented. Since the previous inspection the loft has been converted into an additional bedroom and staff room. This has increased the registration of the home to fifteen. In addition Annual Service Review Page 4 of 7 the manager fedback that bedrooms have also been redecorated, new flooring throughout and new lounge furniture. Residents continue to feedback their positive experiences at the home. A sample of their comments included provides a safe caring and warm environment plenty of nice food and hot or cold drinks and lovely and warm atmosphere. Two relatives also spoke positively about their overall experiences provides a friendly and caring environment and visitors are always welcome at any time and made to feel welcome. it also looks and smells clean unlike other homes we visited prior to choosing Bellsgrove and it has lived up to our expectations the medical care is excellent and we are very happy with the care our mother is receiving and would be very happy to recommend it to others. Residents and relatives continue to speak positively about the staff commenting nothing is too much trouble and my mother has a very poor memory and they re good at reassuring her. They are very kind and patient and nothing is too much trouble. It is a very happy place run with humour. Where relatives felt that the home could do better was in providing more varied menu and additional outings. This was fedback to the manager who was not aware of any issues being raised regarding the menu and said that they had only ever received positive comments about the food and was therefore unsure on how this could be improved. The manager spoke of their plans to increase the number of outings per year to local places of interest rather than providing one large group outing to a seaside resort, which they have historically done. A relative commented about their relative not being allowed to watch their own TV and instead had to watch TV on another floor. The manager felt that this related to the poor TV reception in some parts of the home which meant that the best reception was in the communal areas. Consistent feedback was received from residents and relatives who all felt confident to raise any concerns that they had with the home. The home continues to notify the commission of certain events that involve and affect residents, this includes accidents. The manager reported that there have been no complaints raised with the home or referrals made to safeguarding adults in the previous twelve months. The manager confirmed that there is a quality monitoring process in place to enable the views of relatives and of residents to be actively sought, listened to and any actions taken to improve service delivery through the use of feedback surveys. Changes to the menu and activities have resulted in response to feedback received. The information provided by the home and other sources confirmed our previous judgement that the home continues to provide good outcomes for residents. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 There will be no change to the inspection plan and we will do a key inspection by the 14th January 2011 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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