Latest Inspection
This is the latest available inspection report for this service, carried out on 6th April 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 Excellent.
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 Kensington Lodge.
Annual service review
Name of Service: Kensington Lodge The quality rating for this care home is: The rating was made on: three star excellent service 0 2 0 3 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: Debby Ames Date of this annual service review: 0 1 0 3 2 0 1 0 Annual Service Review Page 1 of 5 Information about the service
Address of service: 5 Cabbell Road Cromer Norfolk NR27 9HU 01263514138 01263519014 kensingtonlodge@surfree.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Mrs Trudy Jane Hann,Mr Robert Stanley Hann Number of places (if applicable): Under 65 Over 65 15 0 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 Kensington Lodge is a large, period residence located close to Cromer town centre and sea front. The care home is registered to accommodate 15 service users in the category of People with Learning Difficulties. Service user accommodation is spread over 4 levels, with communal rooms on the ground and first floor. There is a stair lift to the first floor only, so service users with rooms on the floors above must be sufficiently able bodied to manage the stairs. There is a fire escape route, approved by the fire officer, from the upper floor through to an adjoining property. To both front and rear, the property includes small paved areas with seating and flower tubs, but lacks a garden or car park. However, rooms to the rear of the building benefit from views of the esplanade and a putting green and other seaside attractions together with the main shopping area are within walking distance. 0 2 0 3 2 0 0 9 Annual Service Review Page 2 of 5 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 or annual service review. 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) Information we have about how the service has managed any complaints. (3) What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. (4) The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. (5) Relevant information from other organisations. (6) What other people have told us about the service. What has this told us about the service? We received the Annual Quality Assurance Assessment (AQAA) before this service review, which gave us good information about the ethos of Kensington Lodge and how it has continued to improve since the last key inspection. No surveys had been received by the Commission at the time of completing this Annual Service Review but the information provided in the AQAA has told us the following: Regular service user meetings, quality assurance questionnaires and actively listening to people are some of the ways in which Kensington Lodge obtains the views of the people living there. Some of the changes that have taken place as a result of listening to people have included menus, bedroom decoration and day care activities. In respect of new residents, it was stated in the AQAA that pre-admission visits to the Home are personalised by adjusting the rota to enable a member of staff to spend oneto-one time with the person for the duration of their visit. It was also confirmed that a new service user guide has been produced in an Easy Read format. The AQAA also told us that service users have been encouraged to become more involved in the day-to-day running of Kensington Lodge during the last year and they continue to be supported to take risks as part of their independent lifestyle. It was also stated that the local community has been involved with various projects during the last year, which has resulted in three people having work opportunities in the local community and a college placement being offered to another person at Annual Service Review Page 3 of 5 Norwich City College. Further improvements that were noted include training for support staff in respect of a person centred approach to care planning, working with other healthcare professionals to help with areas such as dementia and gain an understanding of best practice. All staff have also received training on the Mental Capacity Act Several areas of Kensington Lodge have been decorated, including some peoples bedrooms, and new furnishings have been purchased. It was confirmed that at least 50 of staff have NVQ 2 or higher and the Home is continuing to work towards a target of 70 . The manager also confirmed in the AQAA that she is hoping to create a new Quality Assurance Questionnaire for the service users, to try and get a better understanding of how the service is meeting the needs of the service users. It was noted from the AQAA that the policies and procedures for Kensington Lodge were last reviewed/updated in June 2009 and the servicing/maintenance of various equipment and appliances is also up to date. Meanwhile, it was confirmed that no formal complaints or safeguarding referrals have been received since the last inspection, although one referral to the POVA list has been made, and the Commissions opinion, following this Annual Service Review, is that Kensington Lodge continues to provide excellent outcomes for the people living there. What are we going to do as a result of this annual service review? Under the Care Quality Commissions current inspection frequencies, we must carry out a key inspection within three years of the last key inspection. 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 4 of 5 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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