Latest Inspection
This is the latest available inspection report for this service, carried out on 29th 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 Consensa Care Limited.
Annual service review
Name of Service: Consensa Care Limited The quality rating for this care home is: The rating was made on: two star good 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: Robert Cole Date of this annual service review: 1 8 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 21-25 Third Avenue Manor Park London E12 6DX 02085145169 02085145169 info@consensacare.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Consensa Care Ltd Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users who can be accommodated is: 14 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: Learning Disability - Code LD 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: The registered manager has resigned since the previous inspection. At the time of this review, the post is vacant. Number of places (if applicable): Under 65 Over 65 14 0 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 21-25 Third Avenue is a purpose built 14-bedded residential unit providing support for up to 14 adults (18-65) of either sex with learning disabilities. It is owned and operated by the Consensa Care organisation that also operates several other
Annual Service Review Page 2 of 6 residential homes in the area. At the time of inspection the home had four residents and the responsible person stated that all new residents would have extended introductions to the home and that it was a matter of policy that the home would not aim for full occupation at any time. The property is very well furnished and the accommodation provided is of a high standard. All service user rooms are single and have en suite facilities. The home is split into two self- contained units with a potential for seven residents to occupy each of the units that are locate on the ground and first floors. There are other communal areas within the building that allow for a range of occupational and recreational facilities such as quiet, games and private meeting rooms as a rehabilitation area including a cooking area. There is also a large court- yard area within the complex providing sports/recreational facilities for residents. The existing staff team has a good level of experience in learning disability and a good level of training is provided for care staff, all those in post either have or are undergoing NVQ level 2 or 3 training. The current fees for the home range between #1500-#3000, the higher end charges reflect the need for the high level of 1:1 or 2:1 support needs. 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 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 last had a key inspection on the 17/01/08. At that time, the overall standard of care and support provided was judged to be good. A total of four requirements were made at that time, none of which were repeated from previous inspections. The home then had an Annual Service Review (ASR) on the 8/1/09. It was judged then that the home continued to provide a good standard of care. The CQC has not received any complaints about the home since the previous ASR. The CQC has not received any safeguarding referrals about the home since the previous ASR. The home has made notifications to the CQC, for example on an aggressive episode from a service user and a small fire in the home (in which no one was harmed). However, the CQC was informed by the local authority in which the home is located that the homes registered manager has resigned. The home itself did not notify the CQC of this information, although they are required to do so under the Care Homes Regulations 2001. This issue will be further looked at during the next key inspection of the home. The home completed an AQAA at the request of the CQC setting out how they are meeting the needs of service users in line with National Minimum Standards. For example, on care planning the AQAA states Individualised care plans which highlight detailed information and level of support that the service user requires, providing consistency and continuity of care. These care plans encourage choice and respect the residents lifestyle. Ensure that all service users have detailed risk assessments, helping our service users to make informed choices wherever possible in line with mental capacity. Annual Service Review Page 4 of 6 Whilst on health and personal care support the AQAA says We support service users to be independent as possible in terms of personal hygiene - staff support where required. The way that this is to be offered is written into the individual care plan so staff are consistent, and provide care in a way that is liked by the service user, showing respect at each stage. All service users are registered with local GPs. All staff trained prior to administering medication. Medication stored safely in separate medication room. Good record keeping. Work with service users for them to understand their medication, what it is for etc. 24 hour staffed unit which enables ongoing supervision to identify any side-effect of any medication. 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 do a key inspection by the 16/01/11. However, we can inspect the service at any time if we have concerns about the quality of the service or of the safety of 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!
