Latest Inspection
This is the latest available inspection report for this service, carried out on 25th November 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 Heathercroft.
Annual service review
Name of Service: Heathercroft The quality rating for this care home is: The rating was made on: two star good service 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: 2 2 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 18 Wolverton Gardens Horley Surrey RH6 7LX 01293774813 Telephone number: Fax number: Email address: Provider web address:
wolverton@prospectha.org.uk Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Prospect Housing and Support Services 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 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 Heathercroft is a care home providing personal care and accommodation for 5 people with moderate to severe learning disabilities. The home was opened in 1997 and is owned and maintained by Prospect Housing and Support Services and is located on the outskirts of Horley, near Gatwick. The bungalow accommodation provides all ground floor facilities including an office, lounge and dining area, kitchen, bathrooms, toilets, laundry area and five single
Annual Service Review Page 2 of 7 bedrooms. The home has a garden which is private, secure and accessible for residents. Limited private parking is available. The home has a vehicle and residents are supported to access the shops and other local amenities. The current fees charged by the home are £1645.79 per week. 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 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 24th October 2007. The previous Annual Service Review (ASR) report dated 18th September 2008 Relevant information received from other organisations about the service. What other people have told us about how the service operates. The registered manager for the service was not available to speak with prior to the review taking place. To clarify why the registered manager was not overseeing day to day operations at Heathercroft we had a brief discussion with the Providers Assistant Operations Director. In addition, we also spoke with the homes Deputy Manager to clarify points raised in the AQAA and to further update us about the service. What has this told us about the service? This is the second Annual Service Review of this service. In line with revised CQC procedure the home will not receive a site visit during 2009 but will undergo a further Annual Service Review( ASR). The overall analysis of information received by the CQC since the last ASR and the previous Key Inspection report dated 24/10/2007, clearly demonstrates that the service continues to further develop and perform in line with the quality rating of 2 stars - Good. The Manager returned the AQAA (annual quality assurance assessment) when we asked for it. The document was dated 04/08/2009. The AQAA was noted to have been produced using the old CSCI template and not the one provided on the CQC website for this purpose. The requested staffing data attachment was also missing, although some staffing information had been provided in the data section of the AQAA. The document also fails to record that the Registered Manager for the service, Mr Louis Serge Begue is on secondment to another of the providers services to cover management shortages. The Operations Assistant Director explained this to be a temporary and time limited arrangement. Mr Begue is due to return to Heathercroft on 1st December 2009. In his absence the homes Deputy Manager is overseeing daily operations. The Director for Prospect Housing and Support Annual Service Review Page 4 of 7 Services records that.....The Deputy Manager has covered the managers role in the past and is supported by a well established and experienced staff team. The AQAA identified areas where the service had improved in the last year and others where further developments are being planned. It included evidence that the service regularly seeks the views of the people who live there to inform their planning. For example, they record......We have added communication profiles to all our service users assessments and care plans to assist with identifying individual preferences as a number of the service users we support do not have verbal communication. We consistently source new activities for these individuals and monitor very closely their responses to taster sessions; if it becomes apparent that the sessions have not been successful we re-evaluate and look at different ways to meet needs. We have implemented individual records of peoples likes/dislikes of certain foods, so preferred meals can be incorporated in to the homes menus and meal planning. The homes AQAA records that an ongoing environmental improvement plan is in place. Service users are able to choose colour schemes for their bedrooms and are encouraged to be involved in the decision making for the redecoration of other areas of the home. In the last 12 months a new settee for the lounge has been purchased, net curtains have been replaced throughout. A new kitchen has been installed and carpets have been replaced in two bedrooms. Specific O.T. assessments have been carried out and equipment has been provided to support safe moving and handling techniques which assists one specific service user with personal care. There are plans to seek quotes to enable a further possible upgrade to current bathroom equipment, in line with service users needs. Environmental improvements ensure service users are provided with a safe, homely and attractive place to live. 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 also 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 12 months there have been no formal complaints received by the service. Our records indicate that there have been no complaints or concerns about the service sent to the CQC and no adult protection alerts or investigations in which the CQC has been involved. Evidence further shows that robust staff recruitment procedures are in place, which also ensure service users, are safe and protected from harm. 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 assessment, it is clear that equality and diversity issues are promoted and incorporated within service delivery. The manager records.....All staff attend a 2 day equality and diversity training session as part of their induction and then a one day annual update. This is backed up with relevant homework and only on completion of this aspect will certificates of attendance/comprehension be issued. The home continues to take the training and development of staff seriously and looks for individuals who are able to undertake all aspects of mandatory training and prove competency at NVQ Level 2 or above. The AQAA records the availability of NVQ qualified staff on rosters and they exceed the 50 standard required which further ensures that the home safeguards the welfare of the people living there. The registered manager and his deputy have undertaken training in the Mental Capacity Act and
Annual Service Review Page 5 of 7 Deprivation of Liberty Safeguards this year. In discussion with the deputy manager it was clear that staff are aware of the new legislation and the good practice demands this places upon them. The home continues with their efforts to recruit to the three vacant support worker posts. Roster cover for vacant hours is currently provided by permanent staff undertaking additional hours or the use of bank staff who are known to services users. The deputy manager spoke of plans to discuss the update of the homes policies and procedures with the Registered Manager/Provider. The AQAA records various Policy and Procedure review dates, but some have a last review date of 2004 and can not be considered current. The home continues to work well with us and have evidenced that the service continues to provide good 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 plans for this service. A key unannounced inspection will be undertaken by the 24th October 2010. 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. Annual Service Review Page 6 of 7 Reader Information
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