Latest Inspection
This is the latest available inspection report for this service, carried out on 15th 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 Keys Hill Care.
Annual service review
Name of Service: Keys Hill Care The quality rating for this care home is: The rating was made on: two star good service 1 2 0 2 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: Dragan Cvejic 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: Keys Hill Park Park Road Wroxham Norwich Norfolk NR12 8SB 01603784203 08717143837 info@keyshillpark.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability mental disorder, excluding learning disability or dementia Conditions of registration: Keys Hill Park Limited Number of places (if applicable): Under 65 Over 65 36 36 0 0 The maximum number of service users who can be accommodated is 36 The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Learning Disability - Code 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 Keys Hill Park was registered as a care home in July 2008 to accommodate up to 36 people with Learning Disabilities, or who have a Mental Disorder. The service was puroposely developed in 2008. Keys Hill Park consists of eleven separate domestic properties. It is made up of a converted Edwardian Mansion surrounded by six newly
Annual Service Review Page 2 of 6 No 1 2 0 2 2 0 0 9 developed townhouses and a cottage. Each property has a garden area and are e set within three acres of landscaped grounds with a private roadway and parking areas. The service has two main functions:to provide support to people with learning disabilites and to people who have eating disorders. The part of the service intended to provide support to people with eating disorders is called Beechlands, whilst the learning disability service is referred to as Keys Hill Park. The service is only ten minutes walk from the centre of Wroxham in Norfolk and is nearby to a regular bus service. 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, after we asked for, since the last key inspection. 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 using the service. It also gave us some numerical information about the service. -What the service has told us about things that have happened in the service, these are called notificationsand are a legal requirement. -The previous key inspection and the results. -Communication we had with the home and the providers since the last inspection. -We conducted a survey and 15 questionnaires were returned with comments, 8 from the users of the service, 3 from staff and 4 from relatives. What has this told us about the service? The home continued to provide good care to its service users. The home housed 11 people, 4 female and 7 male. Forty staff members managed to respond to the needs of residents and ensure good level of care. The staffing gender structure appropriately corresponded to the users, structure, so 21 male and 19 female carers looked after and supported service users. Their AQAA, a self assessment, provided most information for this report and stated: Our site is divided into individual houses with three or four residents in each, (maximum), have a lot of informal opportunities for residents to voice their opinions and their concerns. In some cases there is one to one in a house or two to one. We have developed a new pre-admission procedure to improve our assessment process. This process will apply to both the main project and the Beechlands eating disorder project and includes a checklist for Deprivation of Liberty issues. We are clear about the support needs we can offer and have refused a number of potential residents whom we deemed unsuitable for Keys Hill Park. We now produce a one page care summary for the front of each care file so that new staff or staff who do not usually work on a particular house can see, at a glance, the key issues they need to know about each resident. We make sure we talk to and involve residents when reviewing support plans and risk assessments via regular informal discussion, (on a daily basis in everything they do) and try to give lots of reassurance and support. We have introduced a stock control monitoring system for medication in each house which is separate to the MAR sheets. The home also informed us that the staff completed Mental Capacity and Deprivation of Liberty safeguards courses, thus ensuring good protection for the residents. They also reported: Residents are involved in aspects of daily living such as laundry, menu planning, shopping and cooking. We have given over part of the garden to growing vegetables, and are getting residents involved in this if they have an interest. We have a rabbit and guinea pig, and residents who wish to get involved are involved in looking after these animals. We have used our own produce to make chutney and jams with residents. This was on Annual Service Review Page 4 of 6 a small scale this year but will expand as time progresses. The home ensured and emphasised safeguarding of the service users and stated in their AQAA: Male staff are not permitted to assist female residents with intimate personal care tasks. We will examine our gender policy regarding personal care. We will do this by 01/06/09, demonstrating that all principles should and are scrutinised, reviewed and updated. The home reported that they referred 2 complaints, within the set time scale to the appropriate agencies. The home made two alerts that were investigated, but no referrals were made to POVA (Protection of Vulnerable Adults) register, thus demonstrating that protection of residents was promoted. They reported in the complaints section: We have appropriately referred any complaints and welcomed investigation. In every case we have been totally exonerated of any wrongdoing. The comments received in questionnaires included: I like my house and the garden and grounds. I like the area. I like the staff and other residents. I like the activities I do here. I dont like when I cant do things at the times I want to do them. The staff are always pleasant and helpful. I have no complaints. The home always cares about me. I like to be here. The staff comments included: The service implements a person centred approach. We allow the person to feel they are at home rather than in an institution. We promote people having contact with the community. One of the comments provided a suggestion: ...to improve communication between management and staff and to have a better induction training. Relatives comments included: I find the staff well trained to meet my relatives needs and to help him play an active part in the community. The home continued to provide good level of care to its residents. What are we going to do as a result of this annual service review? We will continue to monitor service and the wellbeing of service users. We plan to inspect the service at the anniversary of this report if anything relating to service users or the process of operating does not indicate the need for an earlier inspection. Annual Service Review Page 5 of 6 Reader Information
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