Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd November 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 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 Charleville.
Annual service review
Name of Service: Charleville The quality rating for this care home is: The rating was made on: two star good service 0 1 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: Ann Gavin Date of this annual service review: 2 1 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 40 Charleville Road West Kensington London W14 9JH 02073856711 Telephone number: Fax number: Email address: Provider web address:
charleville@lch.org.uk Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: London Cyrenians Housing Limited Number of places (if applicable): Under 65 Over 65 9 0 The maximum number of service users who can be accommodated is: 9 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD 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 Charleville Road is a registered home for nine people of either gender with mental health support needs. The proprietors are London Cyrenians Housing Limited. The home is a terraced Victorian mansion block that has been converted with nine bedrooms six with en-suite bathrooms with another three bathrooms for general use. There is a staff sleep over room that also has a bathroom attached for staff use. The home is in West Kensington that is close to local shops, amenities and transport links. 0 1 1 2 2 0 0 8 Annual Service Review Page 2 of 6 The fee for the service is #493.05 per week. 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? At the last inspection in December 2008, the project achieved a quality rating of 2 Stars. This means that the people who use this service experience good quality outcomes. This annual service review includes a review of information that the Commission has received about the service since the last inspection on the 1st December 2008. This included: The completed Annual Quality Assurance Assessment form (AQAA), which was sent to us by the service in September 2009. The AQAA is a self-assessment by the agency, which focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the project, including the number of service users and details about the staff employed in the service. Surveys returned to us by people who use the service ,12 surveys returned from 29 surveys sent. What has this told us about the service? The Deputy Manager of the service completed and sent the Annual Quality Assurance Assessment (AQAA )when we asked for it. The document was clear. We looked at the information in the AQAA and our judgment is that the project is still providing a good service. They are aware of what further improvements are needed. These include to review support plans and risk assessments with the clients and identify any needs to be met. Also to raise service user expectations in line with personalisation agenda. The project made changes after listening to the the people living in the project these included the following. Redecoration of clients room as requested and communal areas, new suites of lounge furniture. Conservatory roof cleaned and stair rails installed. The AQAA also outlined the improvements that have been made to the service within the last twelve months as follows Listening to service users and valuing their opinions, involved them in the decision making process in the home, provided opportunity for activities and outings on a regular basis and promoted the health and well being by having sessions in the home on relevant topics which has had a positive effect, clients feel comfortable in the knowledge that they are supported by a committed team and feel empowered. We have listened to them throughout the year both at house meetings and individual key sessions and actioned requests, clients have had redecoration and furnishings provided, they have been of their own choice and some have gone personally to the stores to choose their requirements. Two clients moved on to sheltered housing in their individual apartments, this has been successful and the desired outcome achieved The project have filled the staff vacancy and now enjoy a full staff team enhancing the performance of the team. Annual Service Review Page 4 of 6 The AQAA confirmed that all staff have been trained in the Protection of Vulnerable Adults. We asked the people who live at the project what they felt the project does well, one person commented that it is a very friendly place, all staff and residents are friendly and treat you well, nice place to live and another person said they look after you, though some of the rules and regulations are silly but as the staff get used to you they ease off. Other comments received within the surveys included The team is already doing well in promoting healthy eating and all the residents learn to cook on a daily basis Speaking with the deputy manager they confirmed that they had met all the requirements from the previous key inspection. This included ensuring that there was a risk assessment and risk management plan in place for all people who smoke in their rooms. The project has shown us that their service continues to provide good outcomes for the people who live there. 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 the 1st December 2010 We can however, 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 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:
Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 6 of 6 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
