Latest Inspection
This is the latest available inspection report for this service, carried out on 11th 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 Fourseasons.
Annual service review
Name of Service: Fourseasons The quality rating for this care home is: The rating was made on: two star good service 1 4 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: Elaine Barber Date of this annual service review: 0 8 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 33 Church Walk South Rodbourne Cheney Swindon Wiltshire SN2 2JE 01793527103 01793525953 coatewatercare@aol.com 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 Coate Water Care Company Limited Number of places (if applicable): Under 65 Over 65 0 0 0 13 1 1 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 Four Seasons is a family owned, privately run care home. One of the homeowners assumes day-to-day management of the home. The home provides a good overall standard of accommodation on two floors. Each floor is linked by a vertical passenger lift. The home is ideally located in a quiet cul de sac with easy access to Swindon town centre. The home seeks to specialise in the care of older people who experience dementia but who do not need nursing care. From 7.00am to 4.00pm there are 3 care staff on duty. During the evening there is a minimum of two staff on duty. One of the care managers works off rota during four afternoons for administrative duties. In addition there is a full time cook and a cleaner during the mornings. An activities coAnnual Service Review Page 2 of 6 1 4 0 1 2 0 0 9 ordinator is also on duty during the afternoons from 2.00pm until 4.00pm. At night time there is one person who works an awake duty and one staff member who undertakes a sleep-in duty. This person can be called upon to assist in an emergency or meet night time needs. The range of fees for the service have not been made available. 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 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 who use the service. It also gave some numerical information about the service. * Information we have about how the service has managed any complaints. * Surveys that we have received from people who use 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. * Relevant information from other organisations. * 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. The manager completed the AQAA and they told us what they do well. They said that their ethos of a family business encompassed many things that people want from a care setting. Family, residents and staff get comfort knowing that the owner of the business is an integral part of the home, and is available 24 hours a day, if the need arises. They said that they encourage people to maintain their independence, and continue to carry out daily living tasks with minimum help from staff. They told us that they demonstrate this by their approach to person centred care plans, and the input by people, relatives and care professionals to enable people to live life to the full and for them to continue to feel that they are doing this. They gave us information about improvements in the last twelve months. They had employed two care managers and identified each managers strengths and matched these to their roles. In the last twelve months the home has attained five stars from environmental health for the kitchen inspection. The manager felt that they now have an activities programme which every resident can participate in, in some way, regardless of their disability or capacity. The home has been painted externally, and internal decoration is ongoing. They have changed the pharmacy and started to use a drug trolley and a new lockable drugs cabinet. New staff are taking part in National Vocational Qualification (NVQ) at level 2 very shortly after the start of employment. This gives confidence and the desire to learn more. They also told us what they could do better. They have found that it is possible to Annual Service Review Page 4 of 6 provide some en-suite facilities and they will be contacting local architects and builders to move this forward. We received two surveys from people who live in the home. They told us that they receive the care and support that they need and their health care needs are met. They said that staff listen and act upon what they say and are usually available when they need them. People told us that always enjoyed the meals. They knew who to speak to if they were not happy and they knew how to make a complaint. In the surveys we asked people what the home does well. One person told us everyday care and attention. We also asked them how the home could improve. One person said activities. The home continues to notify us when there have been any incidents. They have provided information about how they have dealt with some issues and they have shown that they have managed some issues well. We looked at the information in the AQAA, the notifications and the surveys and our judgement is that the home is still providing a good service and that 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. 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 who use the service. Annual Service Review Page 5 of 6 Reader Information
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