Latest Inspection
This is the latest available inspection report for this service, carried out on 24th March 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 Doubleday Lodge LSC.
Annual service review
Name of Service: Doubleday Lodge LSC The quality rating for this care home is: The rating was made on: two star good service 1 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: Eamonn Kelly Date of this annual service review: 1 1 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Glebe Lane Sittingbourne Kent ME10 4JW 01795423444 Telephone number: Fax number: Email address: Provider web address:
jenny.langthorne@kent.gov.uk Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Kent County Council Number of places (if applicable): Under 65 Over 65 0 36 The maximum number of service users to be accommodated is 36. 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: Old age, not falling within any other category (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 Doubleday Lodge, operated by Kent County Council, provides support and care for up to 36 people. Residential accommodation is provided on two floors with all residents having single bedrooms. Nine bedrooms are on the ground floor and thirty six are on the first floor with thirteen rooms offering an en-suite facility. 1 8 1 2 2 0 0 8 Annual Service Review Page 2 of 7 Residents, visitors and staff have access to gardens and there is car parking at the front of the premises. Information about weekly fees and other charges that may apply can be obtained on request from the manager. Information about services and facilities may also be obtained from the manager via a written resident/admission guide. 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 received since the last key inspection or annual service review. This included: 1. 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. 2. Information about how the service has managed any complaints. 3. What the service told us about things that have happened in the service. These are called notifications and are a legal requirement under care home regulations. 4. The previous key inspection and the results of any other visits we made to the service in the last 12 months. 5. Relevant information from other organisations. 6 What other people have told us about the service. What has this told us about the service? We received a completed AQAA from the manager. Based on the information in the AQAA and other information, our judgement is that the home continues to provide a good service. The current evidence is that staff are continuing to maintain and develop the service to residents. According to our records, there are currently no outstanding requirements from the previous inspection report. Relatives of service users. as far as we are aware, continue to be made to feel welcome when they visit the premises. A Safeguarding Adults inquiry was carried out in August 2009. This related to alleged nedlect of a resident. There have been no safeguarding vulnerable adult alerts raised in connection with the service since then. We continue to be informed by the manager about relevant incidents affecting the safety and health of residents. We acknowledge that the AQAA contains declarations that the necessary safety checks to the premises have been carried out and that all necessary safety certificates for the premises and its equipment are in place and are up to date. The AQAA outlines how residents views are obtained and acted upon. The AQAA indicated that, based on listening to the views of residents, improvements Annual Service Review Page 4 of 7 were made. Examples shown are: 1. Personalised bedroom decor. 2. Menu planning. 3. Monthly music and exercise program provided by Music for Health and 4. Use of outside agencies to provide 1 to 1 time for identified service users as part of their support/care plan. Planned developments for the benefit of residents, relatives and staff were described as: 1. Arrangements for regular themed activity days. 2. One to one staff time to enable clients to go out shopping. 3. Regular monitoring and review of daily routines to meet the changing needs of the diverse client group. 4. Encouraging service user involvement in staff recruitment and 5. Development of a major Annual Quality Assurance Survey involving all stakeholders. Barriers to improvement were identified as: 1. Budget constraints. 2. The changing balance of permanent to respite clients. 3. The increasing dependency of service users and 4. The changing direction of service development within the home. Efforts to reduce the impact of these barriers included: 1. Making staff rotas more flexible. Staffing levels have been adjusted to meet the needs of the client group and occupancy levels. 2. Having regular dialogue with staff and service users to monitor effects of service changes (eg. balance of permanent to respite clients). Monthly care plan reviews and staff supervision contribute to this process. Person-centred planning is constantly being improved. Residents continue to be supported in considering options for life goals and in ways to help them achieve these with the assistance of individual support plans. According to the managers report, examples of planned developments are: 1. To ensure that staff have the skills and experience to deliver the services and care
Annual Service Review Page 5 of 7 required by service users by continued staff training and development. 2. To have more staff as Trained Trainers so that training can be provided in-house to ease the problem of limited training places on the KCC training programmes. 3. To involve those who use our service in the review of content and format of information documentation. There is a declared committment towards continuing progress on risk assessments for staff as part of risk management procedures. There will be continuing involvement with community groups, a review of activity programmes involving residents and a focus on achieving healthy lifestyles for them. The managers report (AQAA) contains a declaration that a programme of decoration and maintenance involving service users will be carried out, that staff will be involved and that an audit tool for prevention of infections will be used. The evidence is that efforts are being made to achieve an improved level of up to date core training for staff, to monitor and improve staff supervision frequency, to increase access to in-house trained trainers and to assess how well the business plan is being achieved with input from the various stakeholders. What are we going to do as a result of this annual service review? We do not intend to change our inspection plan. Our current intention is to carry out a key inspection later in the year or early next year. The last key inspection took place in December 2008. However we can 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 6 of 7 Reader Information
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