Latest Inspection
This is the latest available inspection report for this service, carried out on 6th 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 Four Seasons.
Annual service review
Name of Service: Four Seasons The quality rating for this care home is: The rating was made on: two star good service 1 1 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: Mary Cochrane Date of this annual service review: 2 4 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 104 Melbourne Avenue Dover Kent CT16 2JH 01304226434 Telephone number: Fax number: Email address: Provider web address:
gary.thompson847@ntlworld.com fourseasons.highburyhouse@yahoo.co.uk Mr Gary Thompson Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 5 0 The maximum number of service users to be accommodated is 5. 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Four Seasons provides care and support to five people. There is a spacious rear garden, a front garden and a drive at the side with parking and parking is also available in the street. The home is situated on a main bus route to Dover. It is in a good position for people to access local amenities and is in keeping with the local community. The home also has a vehicle for people to go out. At the last key inspection the fees for the service ranged from £460 to £550 per week. No Changes 1 1 1 2 2 0 0 8 Annual Service Review Page 2 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. 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. Surveys returned to us by people using the service and from other people with an interest in the service. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. 5. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. 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 completed to a good standard and contained the information we needed to complete the annual service review. It could have been expanded to give more examples about what people are doing and how they are going to improve the service in the future. We looked at the information in the AQAA and our judgment is that the home is still providing a good service. The home continues to meet the National Minimum Standards. The AQAA told us that equality and diversity is incorporated into all aspects of the service. Race, gender identity, disability, sexual orientation, age, religion and belief are promoted and incorporated into what they do. This means that people will treated equally and as individuals. Each person living at the home has a service user plan, which contains up to date information about what the service users want to do and how they are supported. The plans include a full range of aspects of their lives, from eating, drinking, mobilty, health, social activities, aspirations, holidays and any changes which they wish to make. Service users are involved and supported by staff to develop their own support plans. Annual Service Review Page 3 of 6 Staff are aware of the needs of the service users and are able to support them with their goals and aspirations. The AQAA said, we listen to our individuals and act on any requests. Our service is provided, to meet the individuals needs and not the organisation. People living in the home have things to do. A range of activities are available pending on their interests. People are part of the local community and have regular contact with family and friends. The AQAA said each service user is involved in daily decision and choices about what they want to do inside and out-side the home. The staff are adaptable and flexible so people can do what they want. The service plans to source local colleges and work placements that are of interest to the individuals. At the last key inspection the service said they were going to refit the kitchen and finish work on the laundry area. The AQAA told us this work has been completed. It said, A new main kitchen has been installed and tiled. Kitchen units have been put in the laundry area in the conservatory, which includes a sink with hot and cold water. The home has been visited by the environmental health officer who inspected the kitchen and food policies and found everything to be satisfactory. We received a report from the fire officer on 21st December 2009. It told us that the home was in breach of some fire regualtions. The bedrooms doors did not meet the required safety standards. There were no smoke alarms in each of the bedrooms and that homes fire risk assessment needed to be further developed. We spoke to the registered manager of the service and he has told us that he is in the process of addressing all of the identified issues. Fire doors have already been fitted and the electrician is booked to fit fire alarms in the bedrooms. He told us he will complete the work within the time limit given by the fire officer. The AQAA told us there have been no complaints made to the home in the last twelve months and there have been no safeguarding issues. They told us that no staff have left the service since the last inspection. The staff receive the training they need to do their jobs effectively and safely and in the best interests of the people who live at the home. They have also have an appointed person to manage mental capacity issues. This will help to review and improve support given and decisions made by people. The AQAA did not tell us if staff had received Deprivation of Liberties training. It did say that 80 of staff have obtained a National Vocational Qualification (NVQ). The service plan to further NVQ training, reach and maintain 100 . They told us they also plan to update current and introduce any new courses which may benefit staff to support the individuals. The manager knows that he has to tell us about things that have happened that might affect the welfare or health and safety of the people living at Four Seasons. At the last inspection it was stated that the home provides good outcomes for the people who use it. This review indicates that the home is performing as well as it was at the last key inspection.
Annual Service Review Page 4 of 6 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 10th December 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
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