Latest Inspection
This is the latest available inspection report for this service, carried out on 12th April 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 Chiswick House.
Annual service review
Name of Service: Chiswick House The quality rating for this care home is: The rating was made on: two star good service 1 9 0 3 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: Dragan Cvejic Date of this annual service review: 0 5 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 3 Christchurch Road Norwich Norfolk NR2 2AD 01603507111 01603507111 HeadOffice@BlackSwan.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Sylvia Annette Shepheard Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: EJP Interests Ltd Number of places (if applicable): Under 65 Over 65 0 20 The maximum number of service users who can be accommodated is: 20 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: Old age, not falling within any other category - Code OP 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 Chiswick House is a large detached property situated adjacent to the centre of Norwich, and is within easy reach of the city centre. The home is set in its own grounds with well maintained gardens containing mature trees and flower beds. Externally the building appears to be in a good state of repair. The home has its own
Annual Service Review Page 2 of 6 1 9 0 3 2 0 0 9 car park at the front of the home, and there is ramped access to the front door. The home can accommodate 20 elderly service users, one of whom can be under 65 years of age with a physical disability. There are 18 single room (two with en-suite) and one double room (en-suite) which is currently in single occupancy. The interior of the home is spacious and comfortable, and there is an air of tranquillity and calmness. The conservatory has additional seating, and provides views out over a pleasant garden. 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 all the information we had received, or asked for, since the last Key Inspection. This included: An Annual Quality Assurance Assessment (AQAA) form. The AQAA is a self-assessment completed by the Provider and the registered manager, which focuses on how well the Provider considers they are meeting the outcomes of people using the service. It also provides information about the service and how they may be intending to improve over the next 12 months. Information from this document filled in in March 2009 has been used in this report where possible. We looked at information received by us, the regulator, since the last inspection in the form of Notifications. These forms are required to be submitted to the regulator to advise of any issues/incidents that may have happened within the home that may affect the residents welfare. Questionnaires were sent to the service to distribute between residents, relatives and staff. Where possible information and comments from these questionnaires have been included in this report. What has this told us about the service? This review has not changed out opinion of the service and it is concluded that Chiswick House is still providing positive, good outcomes for people who use it. There were no events that would trigger an early full inspection of the service and the home continued to provide appropriate care to service users. Changes and events that affected service users were reported in a timely fashion to us, the regulator. A few accidents had been reported, together with the homes plan how for to prevent similar events happening again and the actions taken following each individual incident. The home accommodated 18 service users at the time of their AQAA submission, in March 2009. They dealt with 1 complaint that did not result in referrals to protection of Vulnerable Adults register. Progress of the home was presented in the returned AQAA, (Annual Quality Assurance Assessment) and stated: Improvements have been made in our staff recruitment, induction and training. New quality control audits have been introduced. Facilities within the Home have been improved. Risk assessments have been improved, particularly manual handling and nutrition. Supervision Forms Improved. They explained in more details these improvements that included: Redesigned Annual Appraisal Forms. Redesigned Supervision Forms. Redesigned Annual Appraisal Forms. Introduced new Managers and Cooks Supervision Forms. Introduced new audit methods for Inductions of new staff. From our surveys and questionnaires some comments made by the respondents include: Annual Service Review Page 4 of 6 A very good attitude of concerns is always evident and with those members of staff in close contact with the residents, their enthusiasm for the work is obvious and encouraging. On the question what is good, the respondent, a relative commented: Care for my mother. Provide entertainment, company and good food. The surrounding is clean. The manager reported on environment: The Home is safe and warm providing a comfortable homely environment where residents can individualise their own bedrooms. Communal rooms, bathrooms and toilets are upgraded as required. The Home offers access to local amenities and support services including use of the Homes minibus. The Home provides a range of disability aids and equipment to meet the needs of its residents including mobile hoists, overhead hoists, wheelchairs, stair lift, bathroom and toilet fittings, communication aids and computer equipment. Care planning was appropriate and the home made progress in this area as the AQAA noted and explained: The Homes ethos is to treat all residents with dignity, respect and privacy as per the Homes Aims and Objectives. Each resident has individual care plans based on assessed needs which is driven by the resident. Residents have the right to choose how their personal care is provided. Residents are encouraged to self administer medication following risk assessments. All staff who administer medication are suitably trained. The Homes policy on the safe storage, administration and disposal of medication is adhered to. The wishes of the resident regarding terminal care and death are sensitively dealt with and recorded in their records. With no significant changes in outcomes for service users, apart from the mentioned improvements, and no significant changes regarding the management, the home was considered to continue to meet the needs of service users and complies with the standards. What are we going to do as a result of this annual service review? There will be no change to the proposed inspection plan. However, the Commission may choose to carry out an inspection at any time, if information received indicates that the service no longer promotes the safety and welfare of the people who use it. 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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