Latest Inspection
This is the latest available inspection report for this service, carried out on 29th 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 Ebor Lodge.
Annual service review
Name of Service: Ebor Lodge The quality rating for this care home is: The rating was made on: two star good service 2 8 0 1 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: Angela Tew Date of this annual service review: 2 3 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 92 Westbourne Avenue Hull East Yorkshire HU5 3HS 01482342099 01482342099 cazebor@aol.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Mrs Rosina Clarke Number of places (if applicable): Under 65 Over 65 13 0 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 Ebor Lodge is a large corner house situated in a residential area in the west of the city of Kingston Upon Hull. The house has three floors on which peoples bedrooms are located. There are sufficient bathrooms and toilets available as well as two lounges and a dining room. A patio area to the rear of the house is available for people to use. The home has a laundry and a kitchen and these services are provided. There are car park facilities for two cars. The home is close to shopping amenities in the local area and has access to bus routes to the rest of the city. Ebor Lodge is registered to provide personal care and accommodation for a maximum of thirteen people. The registration category allows the home to care for people with a mental disorder, excluding learning disability or dementia. 2 8 0 1 2 0 0 9 Annual Service Review Page 2 of 6 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 this service. It also gave us some numerical information about the service. Surveys returned to us by people using this 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 care home sent us their annual quality assurance assessment (AQAA) when we asked for it. The AQAA gave us information on what the home does well and what they could do to improve the service it provides. It stated that Ebor Lodge seeks the views of people using the service by holding regular meetings with them and relatives, as part of the quality assurance system surveys are given out to people on a regular basis. The AQAA also stated that people have personal goals and care plans are agreed with the service user. The AQAA told us that equality and diversity is promoted, all residents are consulted about the day to day running of the home and have an input into decision making. The AQAA told us that people are only admitted following a full assessment of their needs. The AQAA told us that where possible people are supported to maintain their independence and make their own decisions on a daily basis. Personal goals and individual plans are developed and agreed with the service user and any changing needs are documented. The AQAA also told us that the home provides information about appropriate activities and this can include further education and distance learning. Service users are supported to attend local events and family links are maintained. The AQAA told us that people have their health care needs met and that personal support is offered in a sensitive manner always maintaining the persons dignity and privacy. The home has a medication policy and procedure and staff receive training in Annual Service Review Page 4 of 6 this area. The AQAA told us that the home has a complaints procedure and there havent been any since the last inspection. The home has safeguarding policies and procedures, training is undertaken by staff. The AQAA stated, we strive to provide a safe environment for service users. There have been two safeguarding referrals made in the last year and they were investigated by the Hull Safeguarding team, the home took appropriate action and made the referrals. The AQAA told us that the home continues to offer a homely, comfortable and a safe environment. Also that some refurbishment has taken place over the past year, including replacing all fencing making Ebor Lodge more secure. A new gardener has been appointed who has commenced the landscaping of the outside area. Other areas of the home has been refurbished and redecorated involving people living in the home in choice of colour and style. The AQAA told us that the recruitment procedure is adhered to and staff do not start work until the appropriate checks have been received. Staff undertake mandatory training that maintains the health and safety of people living in the home. Other training undertaken includes Mental Capacity Act, Alcohol awareness, care of medicines, infection control, deprivation of liberty and safeguarding. The home identifies some barriers to improvement in relation to funding of placements. Eight surveys were received from people who use the service and overall their comments were positive about the service offered. Some comments included, the staff listen, good food, clean home, good cooking and the staff cope very well, the home is clean and tidy, the food is good, the staff are nice, they are very caring, it does a lot of good, look after us very well, I am very happy living here. Four surveys were received from staff and these confirmed that the training and support offered is of a very good standard and people receive support in a caring way. Some comments about what the home does well included, Ebor Lodge always promotes a home from home atmosphere, look after all residents at all times, I have been employed at Ebor Lodge for 20 years and I still enjoy coming to work each day. The home continues to let us know about things that have happened since the last key inspection and they have shown that they have managed issues well. We looked at the information in the AQAA, returned surveys and notifications and it is our judgement that the home is still providing a good service and they know what further improvements they need to make. 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 27th January 2012. 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 5 of 6 Reader Information
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