Latest Inspection
This is the latest available inspection report for this service, carried out on 19th 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 Excellent.
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 Cavendish Care.
Annual service review
Name of Service: Cavendish Care The quality rating for this care home is: The rating was made on: three star excellent 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: Marion Weller Date of this annual service review: 1 8 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Cavendish Care 10 Cavendish Road Redhill Surrey RH1 4AE 01737760849 Telephone number: Fax number: Email address: Provider web address:
suekesh@hotmail.com Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Cavendish Care Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is: 6 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 Cavendish Care provides accommodation and care to six people with a learning disability. The premises are located in a residential area close to all public amenities. Service user accommodation is provided over three floors of the property, accessed by stairs and comprises a communal lounge, kitchen/dining area, bathrooms, toilets, laundry room, conservatory and six bedrooms with en-suite facilities. There are gardens to the front and back of the property, with a private drive for
Annual Service Review Page 2 of 6 parking. The gardens at the rear of the property are accessible by service users and their visitors. The fees charged by the home range from £1,159 to £2,331 per week. Items not covered by the fee are toiletries, clothing, hairdressing and some extra leisure activities. Please contact the registered manager for more details. 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 we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) 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 gives us some important numerical information about the service. Information we may have about how well the service has managed concerns, complaints and safeguarding issues 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 dated 30th January 2008 and the last (CSCI) Annual Service Review report dated 21st January 2009 Relevant information received from other organisations. What people have told us about the service. We had a brief discussion with the Registered Manager to clarify points raised in the completed AQAA and to further update us. What has this told us about the service? Cavendish Care was awarded the quality rating of 3 stars - Excellent following a Key Inspection of the service undertaken on the 30th January 2008. In line with CQCs current methodology, this is the homes second Annual Service Review. The Registered Manager sent us a completed Annual Quality Assurance Assessment (AQAA) when we asked for it and within the timescale given. The AQAA dated 4th December 2009 contained good quality information, validated by evidence and provided us with an excellent picture of what was happening in the home and indicated development plans for the next 12 months. Based on the available information it has been concluded that the homes operation and management demonstrates ongoing commitment to the provision of individualised quality care and support for the people using this service. Their health needs are monitored and met and staff has the necessary skills and training to support people with learning disabilities. Using tools to overcome communication barriers staff afford people using services opportunities for choice in their daily lives. A consistent approach and reduction in behaviours which challenge services enables people using them to benefit from increased community presence and participation and to develop life skills. The manager records in her AQAA.......staff have training in responding to challenging and aggressive behaviours to ensure physical and verbal aggression by a client is understood and dealt with appropriately. We have remained consistent in our approach Annual Service Review Page 4 of 6 to clients needs and behaviours; this offers a happy and secure environment. Policies, procedures and guidelines are up to date and promote equality and diversity and non discriminatory practise. Staffing levels are monitored and adjusted if necessary to meet individual health, support and engagement needs. Continuous improvement has been sustained in the home environment creating a clean and comfortable, domestic place in which people using services can enjoy their lives. The complaint procedure is accessible and policies and procedures safeguard people using services from harm and abuse. In the past twelve months one safeguarding referral has taken place. Social Services safeguarding team did not feel it necessary to investigate further. The matter is now closed. No formal complaints have been received by the service in the last 12 months. The manager is aware of barriers to improvement and has taken action to reduce and minimise those within her control. The manager highlights throughout the AQAA where improvements could be made and consequently is able to evidence a clear plan of action for the homes continuous development. 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 carry out a key inspection by 30th January 2011. However we can inspect the service at any time if we have concerns about the quality of the service or safety of the people using the service. Annual Service Review Page 5 of 6 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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