Latest Inspection
This is the latest available inspection report for this service, carried out on 5th 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 Darwell House.
Annual service review
Name of Service: Darwell House The quality rating for this care home is: The rating was made on: two star good service 2 2 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: Jo Mohammed Date of this annual service review: 0 3 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Grange Court Maynards Green East Sussex TN21 0DJ 01435866468 01435867519 darwell@evesleighcaregroup.co.uk springmeadow@ilg.co.uk Evesleigh (Kent) Ltd 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 10 0 The maximum number of service users to be accommodated is 10 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 Yes service’s registration details in the last 12 months? If yes, what have they been: A new Responsible Individual has been appointed. There has been a decrease in registered numbers from 15 to 10. 2 2 1 2 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Since October 2009, Darwell House has reduced its registered numbers from fifteen to ten adults with a Learning Disability. The home is a large detached two-storey property;refurbishment works are nearing completion in respect of changes to the environment. The service stands alongside its sister home Springmeadow and is set in several acres of ground, some of the land is utilised for sports, allotments and garden. The home is located in Maynards Green near Heathfield town centre with shops and
Annual Service Review Page 2 of 7 public transport links nearby. Further information about services provided including current fees and copies of Care Quality Commission [CQC] inspection reports can be obtained directly from the home. 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. -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 Annual Quality Assurance Assessment [AQAA] that we took our information from is dated 26th October 2009. In the summary section and other parts of the Annual Quality Assurance Assessment [AQAA] the home identifies what they do well as providing person centred planning and a friendly approach in supporting residents. That there are good staff ratios and a good balance of staff in respect of age, skills, experience and knowledge in providing appropriate and dignified support to residents. That staff training is generally well managed and there is a training Manager. That all staff have appropriate recruitment checks and staffing is available for activities occurring later in the day to ensure residents are able to access the community at all times should they wish. That each resident receives individualised support for activities, personal development and decision making. The home is described as clean, welcoming and simplistically decorated. The Annual Quality Assurance Assessment [AQAA] identifies how the home has improved over the last twelve months with an improved management structure and appointment of a Deputy Manager. That residents health action plans are working documents which were compiled in conjunction with the local Community Learning Disability Team. That major refurbishment and upgrading of the building is taking place with a reduction in occupancy levels from 15 to 10 rooms. All rooms have increased in size, residents bedrooms now have en-suite facilities, there are three kitchenettes and the home now has a separate visitors room. That seasonal menus and daily diaries have been re-introduced to record residents choices, decisions. A wide range of educational based college courses have been introduced to allow development of Annual Service Review Page 4 of 7 residents personal skills and aspirations. That incidents, accidents and reportable occurrences continue to be low. That staff are open and happy to consult with management to ensure concerns or queries are dealt with and they receive regular supervision. That links are made with a local Advocacy service and residents attend monthly advocacy meetings. They identify how they have made the following changes as a result of listening to the views of residents by maintaining a needs led staffing ratio and encourage residents to live a more independent lifestyle.That they have continued to develop their Horticulture and poultry projects. That they have sourced more college placements to encourage residents to participate in wider and diverse lifestyles. That service user and key worker meetings are held. That comment cards are completed by residents and quality assurance questionnaires sent to relatives and healthcare professionals in order to monitor service delivery. The homes future plans over the next twelve months is such that they want to involve residents in interviews with any new residents and staff. Develop additional methods of communication with residents to gain continued feedback and ensure individual choices are respected. Set and work towards individual goals for residents based on their needs and wishes. Continue to have regular appointments with healthcare professionals. Feedback to care managers and family members to encourage communication across all fields. Continue to use and improve relations with Advocacy providers, to ensure all residents receive and benefit from independent representation. To complete the full refurbishment of the home and decorate communal areas. To reregister the whole site as one property with separate units. In respect of equality and diversity the home identifies that Darwell House does not discriminate against people who live or work in the home. That all residents and staff are given equal rights. That residents will be given the opportunity to attend or celebrate religious ceremonies or festivals and cultural needs are met. The home say they will not treat any group or individual less favorably because of race, age, religion, gender, sexual preference or disability. That they wish to help residents achieve their potential supporting their rights and choices. The company who own the home has introduced new policies and procedures which support equality and diversity. They identify giving a service that provides value for money by receiving positive feedback from care Managers and relatives. That residents behaviours are steady and settled. That the majority of residents attend College with on-site activities completed and residents appear happy. The home was last inspected in December 2008 when a key inspection was conducted. Three requirements and two recommendations were made. Some reference to progress in these matters was possible to extract from the information contained in the AQAA apart from a requirement about the management of residents finances where it has not been possible to judge progress. The AQAA identifies seven staff have obtained a National Vocational Qualification [NVQ] in care at level 2 or above and twelve staff have completed the Skills For Care induction training. Maintenance of equipment, health, safety checks are reported as being in order. Annual Service Review Page 5 of 7 The home identifies in the AQAA that over the last twelve months they have received one complaint; the outcome of which is awaited and made one safeguarding referral. The home has appropriately reported notifications about significant occurrences to the Care Quality Commission [CQC]. What are we going to do as a result of this annual service review? We consider the quality rating of the home remains the same since the last key inspection. We will do a key inspection by December 2010 to review our assessment of the home. However, we reserve the right to re-visit this decision if additional information is brought to our attention. Annual Service Review Page 6 of 7 Reader Information
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