Latest Inspection
This is the latest available inspection report for this service, carried out on 11th 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 Chapel Street Care Home.
Annual service review
Name of Service: Chapel Street Care Home The quality rating for this care home is: The rating was made on: two star good service 0 8 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: Angela Starr Date of this annual service review: 0 9 1 2 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service
Address of service: 3-5 Chapel Street Kirkby In Ashfield Nottinghamshire NG17 8JY 01623757902 01623720988 Denise.Pendleton@mencap.org.uk www.mencap.org.uk Royal Mencap Society Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 9 0 Royal Mencap Society is registered to provide accommodation and care at Chapel Street Care Home for up to 9 persons of both sexes whose primary needs fall within the following category: Learning disability LD (9) 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 3 - 5 Chapel Street provides accommodation for nine service users with a learning difficulty. The accommodation is not accessible to wheelchair users. It comprises two adapted joined houses with three floors, including a self-contained flat. The home is situated in a residential area, with good access to local shops, pubs and transport. There is a garden to the rear of the property. The service users are encouraged to be as independent as possible with staff support. The fees at the time of the inspection were £393.57 to £590.80 per week. None 0 8 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. Surveys returned to us by people using the service and from other people with an interest in the service. We received six completed surveys from people living in the home and six from staff. 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. Relevant information from other organisations. What other people have told us about the service. A telephone conversation with the Registered Manager for the service on 9th December 2009 What has this told us about the service? We received the Annual Quality Assurance Assessment from the manager when we asked for it. It was completed in a very thorough manner and provided us with a lot of useful and up to date information. We also received six completed questionnaires from people living at the service and five from members of staff. We asked people if they knew how to complain and who to complain to. All answered Yes. The replies we received about the level of support people require were all very positive and some of the comments include Its very clean and spotless. They help me with my money. They look after me. Staff commented on the good support they get from the manager and also that they feel the care and support provided for people is of a very high standard. We telephoned the manager and discussed any issues that have occurred. We are aware of two incidents that require reporting under regulation 37 (This is a regulatory process which informs us of any reportable incidents that occur at a service and is a legal requirement.) We were satisfied that these had been dealt with in line with policy Annual Service Review Page 3 of 5 and procedure. We also discussed the two complaints that have been received at the service and were satisfied that they had been thoroughly investigated and resolved. The last inspection report shows that at the time of our visit, people were receiving good quality outcomes. We found that there were good assessments and care plans and people had access to a wide range of activities that helped them to learn new things and enjoy themselves. At the last visit we made a requirement for the service to provide written documentation at the home to confirm that the fixed electrical wiring had been inspected and is in satisfactory condition. The manager assured us that this paperwork is now in place. The most recent information we have received from the service tells us Peoples files are very personalised and reflect individual needs and choices extensively. These are continuously being improved upon, reviewed and updated. We encourage and support people at a level and pace of their understanding and comprehension to achieve independent living skills according to each persons abilities. We have good working relationships and communication with families and other professionals. The service has told us of improvements they have made since our last inspection and these include; Some bedrooms have been redecorated to individual tastes. Communal areas of the house have been redecorated. The garden is currently being re-designed. Staff take more responsibility for their own learning and development since knowledge files were devised. We know that one situation that may have put people at risk has been reported to the Local Authority Safeguarding Adults Team and it has also been managed in the right way. (Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals at risk.) The Annual Quality Assurance Assessment also tells us that the service continue to use a range of communication methods and specialist equipment to help people get the most out of their lives. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fess and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. Annual Service Review Page 4 of 5 Reader Information
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