Latest Inspection
This is the latest available inspection report for this service, carried out on 10th 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 Hengrove Lodge.
Annual service review
Name of Service: Hengrove Lodge 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: Andrew Pollard Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 29 Petherton Road Hengrove Bristol BS14 9BX 01275833006 Telephone number: Fax number: Email address: Provider web address:
www.AbleCare-homes.co.uk Willcox Bros Ltd t/a Ablecare Homes Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 15 The maximum number of service users who can be accommodated is 15. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 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 Hengrove Lodge was taken over by AbleCare Homes and registered with the Commission for Social Care Inspection (the Commission) on 16 April 2007. A single owner had run the home previously. No changes to the conditions of registration have been made since it was registered to AbleCare Homes. The home is situated in the residential area of Hengrove, near Whitchurch in Bristol. The building, that was once a family home, has been well extended to give Annual Service Review Page 2 of 6 accommodation to fifteen older people. It?s partly accessible to disabled people and has a passenger lift, although the entrance has shallow steps. Some rooms are large enough for wheelchair users although corridors are narrow. Fees for living at the home range from #400 to #410 (for rooms with en-suite facilities) per week. People funded through the Local Authority have a financial assessment carried out in accordance with Fair Access to Care Services procedures. Local Authority fees payable are determined by individual need and circumstances. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk /www.oft.gov.uk A copy of the most recent inspection report was pinned up on a notice board by the front door. 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 the information that we have received, or requested, since the last inspection. This included: four surveys were returned by residents and four from staff. 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. Information we have about how the service has managed any 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 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations and what other people have told us about the service. What has this told us about the service? After having looked at the information above we conclude that there has been no change to the standards at Hengrove Lodge and that they continue to maintain a good service and seek improvements. The manager sent an AQQA to the CQC on th October 2009. This was well written and detailed in its analysis of the services provided at the home. It also highlights some of the positive developments that have been implemented since the last inspection. These include: All workers complete detailed induction training within their probationary period. All workers are supervised at least six times per year to identify their learning needs and to ensure they are aware of good practice and the philosophy of care in the home. The manager of the home is very experienced and well qualified. Regular Managers Meetings within the group help to ensure that the Manager has a good knowledge of the strategic plans for the business. One of the company directors has completed NVQ level 5 in management. She also continues to keep up to date with professional training and attends relevant seminars and conferences. She has developed a strong network of professional contacts within the care industry including solicitors, accountants, bankers, agents and training providers. This helps the company be able to gain access to relevant advice and support from suitable people. She is a member of the committee for Care and Support West. The home has a clear and accountable management structure appropriate for its size. The manager promotes and open and inclusive atmosphere for the staff team. Innovation and creativity are encouraged and comments and suggestions are welcome with a clear process in place for these to be made. We carry out annual quality assurance surveys, sending them not only to clients but to GPs and Social Workers as well. The results are collated and discussed and then an action plan is put together to implement suggestions made. This years survey was sent out in February 2009. As a result of our quality assurance survey we have offered Annual Service Review Page 4 of 6 different items on the menu, we have kept this under review and continue to adjust the menus as we find out what service users enjoy. We have also expanded the provision of outings. We are expanding the homes programme of activities. We have continued with activities that residents previously enjoyed. We have introduced new activities and made people more aware of what is happening by putting up new notice boards and printing attractive publicity material. We listen to our residents and their families to find out what their individual needs are and we work to apply what we have discussed. Residents are involved in their care plans and pre admission assessments as much as possible within the limits of their ability. We listen to complaints and record the outcome, making sure that we carry out any follow up action that has been identified. Any compliments are acted upon positively and this information is used to improve our service in the future. We try to learn from situations that arise and use the knowledge gained to improve the future service we are able to offer. The key inspection 0f 11/12/08 provides us with evidence that people living at the home have a good standard of living and benefit from a well kept and comfortable environment. In addition to this the following was noted: There is an effective admission procedure in place. That Hengrove Lodge has a comprehensive care planning system, which is detailed to individual need and reviewed at the appropriate intervals. That there is good management of health care needs which keeps people healthy and safe. That people are able to make their own choices within a relaxed atmosphere. That residents were consulted with regularly about the food and that menus are nutritional and varied. That there is a robust recruitment procedure in place for the protection of vulnerable adults and a well trained staff group. Four requirements were made at the last inspection and we have evidence to indicate that these have been met. In resident surveys people said: The home looks after all my needs. The staff without exception are caring, kind and professional, They treat us like individuals giving care and respect and They treat me in a kind and considerate manner One suggestion was to enhance the range of entertainments. Staff surveyed said: They offer regular training, the manager is always available and we have excellent team work, It is a very friendly and caring home, management are very approachable, I love it here and Residents are very well looked after No complaints or issues regarding adult protection concerning Hengrove Lodge have been bought to the Commissions attention since the last key inspection. What are we going to do as a result of this annual service review? We have no evidence to indicate that there has been any deterioration of standards at Hengrove Lodge and there are indications of continuing improvement. They submitted an annual assessment and this, alongside other sources referred to above indicates that they continue to provide a good standard. We do not intend changing the inspection plan and the next key inspection is due by 11/12/10. Annual Service Review Page 5 of 6 Reader Information
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