Latest Inspection
This is the latest available inspection report for this service, carried out on 15th 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 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 Chalk Hill.
Annual service review
Name of Service: Chalk Hill 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: Lisa Johnson Date of this annual service review: 1 3 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Chalk Hill Waterhouse Lane Kingswood Surrey KT20 6DT 01737354285 Telephone number: Fax number: Email address: Provider web address:
ltharrold@moduscare.com www.moduscare.com Modus Care Limited Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users who can be accommodated is: 3 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 Chalk Hill is a detached property located in Kingswood, Surrey. It is a five-bedroom property which benefits from a large garden to the rear of the property with off road parking to the front. The home currently accommodates three service users with learning disabilities. The home comprises of large communal areas including a lounge and dining room. Each person who lives in the home has his or her own private bedroom, two of which are en suite. The home is situated close to the village stores and benefits from a public transport network with easy access to London and the local
Annual Service Review Page 2 of 7 countryside. A copy of the service and the homes Statement of Purpose, Service User Guide and the moist recent Inspection Report are kept in the office at the home and are available on request. 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 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. 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 and the results of any other visits that we have made to the service in the last 12 months. 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. This was clear, detailed and gave us all the information we asked for. We looked at the information in the AQAA and additional information we received since the previous annual service review, which was completed 2nd October 2008. The last key inspection was carried out 15th November 2007. It is our judgement that the home is still providing an excellent service and they know what further improvements they plan to make. Information supplied in the AQAA states that there have been no new people admitted to the home over the last year , however the service has a comprehensive admission structure in place. Each person has an individual care plan in place and additional information has been documented to include details about deprivation of liberty safeguards. Comprehensive risk assessments are carried out and regular link meetings are being held on a monthly basis, where checklists are completed to ensure that all information including risk assessments are up to date. A health and social care professional surveyed stated, The service has excellent recording and communication with other professionals and there are detailed and frequently reviewed care plans. People living in the service continue to be supported to access a wide range of Annual Service Review Page 4 of 7 activities both internally and externally based on their preferences including, visiting the pub, going to the cinema and bowling ,visiting the cinema and theatre and trips to the seaside and London. One person has just finished several distance learning courses and is now working four days a week at a charity shop. People continue to be supported to build and maintain relationships with friends, family and personal relationships. People are encouraged to take part in looking after their home such as house chores and cooking. The service has a complaints procedure in place , which is given to people and their families. The complaints procedure includes details of response times and investigation procedure. The service also has a complaints and comment book for people , where they can record any concerns.The service has not received any complaints over the last year. The AQAA states that all staff are trained in safeguarding vulnerable adults from abuse and policies and procedures are brought to their attention. The service continues to provide a well maintained safe and comfortable home for people to live in. People have their own bedrooms, which they keep clean . Staff are trained in infection control. Since the last annual service review curtains have been fitted in the hallway. The AQAA has identified that the back garden needs some attention regarding the flower beds. People living in the service continue to benefit from a stable staff team, where staff turnover has been minimal. The service continues to provide ongoing staff training and development , which includes statutory and specialist training such as positive behavioural management, autism and aspergers, mental capacity capacity act and equality and diversity. The AQAA states that all staff working in the unit are working towards completing National Vocational Qualifications (level 2) and some staff who have completed this award and have commenced on the National Vocational Qualification (level 3). The service continues to be run by an experienced manager who has obtained the registered managers award and National Vocational Qualification (level 4) in care. The manager has also obtained a degree in psychology, a diploma in the psychology of challenging behaviour and has recently completed training on deprivation of liberty safeguards. Staff have have also been receiving additional training in the form of long distance learning to help them to keep up to date with new developments and legislation. Staff surveys received confirm that there is sufficient staff, they receive support, and have enough experience and knowledge to meet the differing needs of people who live in the service. A comment included, The home has a well organised team, good support system for staff and service users Quality assurance systems are in place including monthly quality monitoring visits. Quality assurance feedback surveys are provided six monthly to people living in the service, their families and care managers to gain their views and feedback and regular house meetings take place . Health and safety is considered in the AQAA and information supplied that routine servicing and maintenance of equipment takes place .
Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We are not going to change our inspection plan and we will do a key inspection by 13th November 2010 However we can inspect the service at anytime if we have any concerns about the quality of the service or the safety of people using the service. Annual Service Review Page 6 of 7 Reader Information
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