Latest Inspection
This is the latest available inspection report for this service, carried out on 15th October 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 Hollyhead.
Annual service review
Name of Service: Hollyhead 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: Patricia Collins Date of this annual service review: 1 5 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 224 Shawfield Road Ash Aldershot Hampshire GU12 6SQ 01252345161 Telephone number: Fax number: Email address: Provider web address:
sharon.down@apt-lpd.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Atlas Project Team Ltd Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users who can be accommodated is: 3 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 Holyhead provides specialist care and accommodation for adults of either gender with learning disabilities and complex needs associated with challenging behaviours. The property is a large detached bungalow situated in the village of Ash and close to local amenities and transport links. Bedrooms are all for single occupancy and communal facilities comprise of a large combined lounge dining room, domestic style kitchen, laundry and bathroom. To the rear and side of the building is a large secluded garden. The home has its own vehicle and parking space for several vehicles is
Annual Service Review Page 2 of 6 None available at the front of the premises. Weekly fees range from £1,770 to 1,841 pounds. 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? Last key inspection was on 18th October 2007. 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) that was sent to us by the home manager. 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. Information we have about how the service has managed any complaints they received. What the homes management has told us about things that have happened in the service; these are called notifications and it is legal requirement to inform us of these events. What other people have told us about the service. Telephone contact with a director of the company who line manages the home. The report will say what we found as it is written on behalf of the Care Quality Commission (CQC). What has this told us about the service? The home manager sent us the completed AQAA on time. The content was clear and validated by evidence, supplying all the information we asked for. The home has not had a registered manager since May 2007. The home manager in post at the time of the last key inspection left in May 2009 before submitting an application for registration. Since then the home has been managed by a manager registered to manage another home within the companys group of homes. A recent development has been the decision to appoint this manager to the home manager vacancy at Hollyhead. We were informed by the company director consulted that the home manager is preparing to apply for a Criminal Records Bureau disclosure through the Care Quality Commission. This is the first stage of the registration process. At the time of this review the home had a deputy manager vacancy and a trainee manager was fulfilling part of this role. We sent surveys in June to the home for distribution to people using services, staff, relatives and health and social care professionals. None had been returned at the time of this review. Judgements about how well the service is continuing to meet the National Minimal Standards for Adults and relevant regulations have been based on our accumulated evidence, knowledge and experience of the service and information received from the home. Based on all available information it has been concluded that the homes operation and management demonstrates ongoing commitment to provision of individualised quality care and support for the people using this service. Health needs are monitored and met and staff have the necessary skills and training to support people with profound learning disabilities with little or no means of verbal communication. Using tools to overcome communication barriers staff afford people using services opportunities for choice in their daily lives. A consistent approach and reduction in behaviours which challenge services enables people using services to Annual Service Review Page 4 of 6 benefit from increased community presence and participation and to develop life skills. Policies, procedures and guidelines promote equality and diversity and nondiscriminatory practice. Staffing levels are monitored and adjusted to meet individual health, support and engagement needs. Continuous improvement has been sustained in the home environment creating a clean and comfortable, domestic place in which people using services can enjoy their lives. The complaint procedure is accessible and policies and procedures safeguard people using services from harm and abuse. In the past twelve months one safeguarding investigation has taken place and the case is now closed. The outcome has been a change in former practice for notification of incidents to care managers. We do not have a record of notification received from the home in this matter or of the incidents that generated the safeguarding referral. Discussions with the company director consulted during this review confirmed understanding of types of incidents that must be notified to the regulator. The obligation for registered services to notify all safeguarding alerts to the regulator was clarified. The home manager is aware of barriers to improvement and has taken action to reduce and minimise those within his control. The home manager is aware of where further improvements could be made and has a clear plan of action for the homes continuous development. 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 carry out a key inspection by 18th October 2010. However we can inspect the service at any time if we have concerns about the quality of the service or safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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