Care Home: Fengates (1)

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Annual service review Name of Service: Fengates (1) The quality rating for this care home is: The rating was made on: three star excellent service 0 3 0 4 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: Marion Weller Date of this annual service review: 1 7 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 1 Fengates Redhill Surrey RH1 6AH 01737778811 01737789608 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: CMG Homes Ltd Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is: 6 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 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 Fengates (1) is owned by CMG Homes Ltd. The home is a detached property providing accommodation for up to six adults who have learning disability. The home is located in Redhill, Surrey and is accessible to local shops and public transport. Redhill town centre is also close by. Service user accommodation is arranged over two floors of the home. All bedrooms are for single occupancy, with en-suite showers. There is a comfortable lounge, separate dining room and a spacious kitchen. There is a patio area and a small garden laid to lawn to the rear of the house. Some limited parking is available at the front of the house. Annual Service Review Page 2 of 7 0 3 0 4 2 0 0 9 Please consult the manager for the most up to date information regarding the weekly fees. 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. This included: The annual quality assurance assessment (AQAA) 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 gives some numerical information about the service. Information we have about how well the service has managed any concerns or 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 report dated 3rd April 2009. Relevant information received from other organisations. What other people have told us about the service. We had a brief discussion with the Registered Manager to clarify points raised in the AQAA and to further update us. What has this told us about the service? This is the first annual service review of this home. Fengates (1) was awarded the quality rating of 3 stars - excellent following their last key inspection undertaken on the 3rd April 2009. In preparation for this annual service review the home completed and returned their AQAA (annual quality assurance assessment) when we asked for it and within the timescale given. The document contained detailed and comprehensive information supported by appropriate evidence and thus provided us with a clear picture of what was happening in the home. It included evidence that the service regularly seeks the views of the people who live there to inform planning. For example, the manager records.... Service users at Fengates have regular opportunities to speak to staff on a daily basis, either through informal chats, planned meetings, or requested private discussion. Key working meetings and service user meetings are provided on a regular basis. Service users also meet weekly to discuss the menu for the following week. This can lead to opportunities to discuss other issues and implement new ideas. As a result of regular sustained contact Fengates can clearly evidence commitment to providing an open and relaxed atmosphere for service users, where they feel able to contribute and influence daily life in the home. Services that provide social care must be sensitive to people of different cultures, age, gender, faith and sexual orientation. Throughout the homes annual quality assurance Annual Service Review Page 4 of 7 assessment it is clear that equality and diversity issues are being promoted and incorporated within service delivery. The manager records.....Service users will always be treated with respect and not discriminated against due to any disability, communication difficulties, their behaviour, race, gender, sexuality, age or class. It is clear from documentation that this inclusive approach to service delivery is given priority by the manager. The home continues to demonstrate a high level of understanding and commitment to good practice in this important outcome area. The home makes contact with the commission if there are any significant events that affect the well being of the people who live there. The home has strategies in place to ensure that those who live there and those that visit can make their views and complaints known. In the last twelve months records show that no formal complaints have been received by the service. The registered manager has a heightened awareness that the quality of the service provided is the responsibility of the provider and all minor concerns and complaints should be raised with the home in the first instance. In addition, the data section of the AQAA records that the home has not been involved in any adult protection alerts and subsequent investigations over the last twelve months. Evidence further shows that robust staff recruitment procedures are in place, which also ensure service users, are safe and protected from harm. In relation to staff recruitment the AQAA evidences people living in the home are involved in the recruitment process. The manager states....Service users remain very much part of the staff recruitment process, and are invited to show potential employees around the home, and ask questions as part of an interview panel. The homes AQAA confirms that ongoing environmental improvement plans are in place. The service records.....A complete maintenance requirement list was completed by the home manager and passed on to the regional director. The regional director and project manager have recently visited the home and work outstanding will be prioritised and scheduled. The manager goes on to record environmental improvements made over the last 12 months.......The home has required a new roof for sometime. This work was recently carried out, and has benefited the home a great deal. Two comfortable arm chairs have been purchased and placed in the dining room. This has provided service users with additional seating in their preferred day area. Service users can now look out onto the garden and watch the wild life as they requested. The back garden space has been further developed by adding new garden furniture, and providing an additional space for service users to use through the summer months. The AQAA records that health and safety records are up to date. Water temperature records are being maintained and monthly health and safety checks are conducted and results recorded. Accident and incident records are being appropriately maintained. The homes current inspection report records in the section entitled, things they could do better.....Service users would benefit further from the home revisiting the risk posed from hot surfaces in the home, based on the assessment of identified need and potential vulnerability of the service users accommodated. Full resolution of this matter remains outstanding. The manager spoke of her intention to revisit this with the providers representative and update the CQC about any proposed action. The registered manager is aware of barriers to further improvement and has taken action to reduce and minimise those within her control over the last year. The Annual Service Review Page 5 of 7 registered manager is likewise aware of where further improvements could be made and has a clear plan of action for the homes continuous development. The home continues to work well with us and have clearly evidenced that the service continues to provide excellent outcomes for the people who use it. What are we going to do as a result of this annual service review? There will be no change to our current inspection plan. Using current CQC methodology, a further annual service review will be undertaken by 3rd April 2011 and a key unannounced inspection will be undertaken of this service by 3rd April 2012. However, we can inspect at any time if we have concerns about the quality of the service or the safety of the people using the service. 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