Latest Inspection
This is the latest available inspection report for this service, carried out on 4th December 2009. 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 Endeavour Residential Home.
Annual service review
Name of Service: Endeavour Residential Home The quality rating for this care home is: The rating was made on: two star good service 1 9 1 1 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: Anita Sutcliffe Date of this annual service review: 2 7 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Endeavour Chudleigh Road Alphington Exeter Devon EX2 8TS 01392250148 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Endeavour South West Ltd Number of places (if applicable): Under 65 Over 65 20 20 0 0 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 either gender whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (Code MD) Dementia (Code DE) 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 1 9 1 1 2 0 0 8 Annual Service Review Page 2 of 6 Endeavour is a detached house situated in the centre of the Alphington area of Exeter. It is within walking distance of local shops, church, health centre, pubs and other facilities. There is a small garden surrounding the house, with a secluded level patio area to the rear. There are 16 single bedrooms and 2 double bedrooms, many with en suite facilities. A passenger lift gives easy access to all areas of the home. There are 2 lounges and 2 dining rooms. The home provides care for up to 20 older people with a dementia type illness or mental health 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 on 19th November 2008. 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. 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. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. The home told us that they intend to further improve by: Continuing to take necessary action from the home survey questionnaire and feed back received from service users and stake holders annual survey results. Also, continuing to work with staff in order to achieve high standards of documentation practices. The information received indicates that staff are valued and supported at the home. We are told that three key members of staff successfully completing relevant courses in palliative care level 3 and 2 members of staff, including the manager, has successfully completed the certificate in Equality & Diversity level 2. Seven of the twelve permanant staff have achieved National Vocational Qualifications (NVQ) to level 2 or above. This is an indicator of competence. We received nine survey responses from people who use the service and one from a G.P. who attends people at the home. The G.P. told us: the home always ensures there is accurate information gathered about people; peoples social and health care needs are usually properly monitored, reviewed and met; advice is usually sought as necessary; staff have the skills and experience to support people and the home always responds appropriately to any concerns. They added: A homely, caring environment. People who use the service told us: they could always, or usually, make decisions about what they do each day; they knew who to speak to if they were not happy, how to make a complaint and that staff treat them well and the home is always fresh and Annual Service Review Page 4 of 6 clean. Asked what the home does well their comments include: Food, cleaning and listening to complaints and Looks after me well. One person told us the home would be better if it had a piano. We spoke with one person who uses the service and he told us: Im quite a gourmet and the quanity of food is fine and the quality excellent. Staff are quite professional. We have received no complaints about the home. 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 19th November 2011. 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
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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