Latest Inspection
This is the latest available inspection report for this service, carried out on 24th July 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 Kingsdown House.
Annual service review
Name of Service: Kingsdown House 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: Elizabeth Baker Date of this annual service review: 2 4 0 7 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 46 Goddington Road Strood Kent ME2 3DA 01634717084 01634717061 kingsdown.house@achuk.com www.achuk.com Aitch Care Homes (London) Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 9 0 The maximum number of service users who can be accommodated is 9. The registered person may provide the following category 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 category: 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 The home offers services to up to nine people with learning disabilities who have challenging behaviours and or complex needs. Kingsdown House aims to provide accommodation in a home like environment. The home is a detached property with accommodation on two floors. There are nine single bedrooms with either en suite bathrooms or wet rooms. Six of the bedrooms are on the first floor. The home does not have a lift. There is a secure garden to the rear of the property which includes a patio area. The home is in a residential area within walking distance of shops and local amenities. There are two vehicles for the benefit of the people living there. Annual Service Review Page 2 of 6 Details of current fees and additional charges are available from the manager of the 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, or asked for since the last key inspection or annual service review. 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 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. What other people have told us about the service. What has this told us about the service? The last visit to the home was carried out on 18 August 2008. The current rating was determined at that visit. We will do a key inspection by 17 August 2010. As required, the service returned the annual quality assurance assessment (AQAA) when we asked for it. The assessment gave us some of the information we asked for. We looked at the information in the AQAA and considered the further information we obtained from the registered manager during a subsequent telephone call. Our judgement is that the service is still providing a good service and is aware of further improvements they need to make. It identified changes, which had been made as a result of listening to people who use the service including expanding and involving service users and or their families with decisions on where to go for holidays, increasing the variety and number of outdoor activities and increasing menu choices. The AQAA indicated a range of areas where improvements have been made in the last year. This includes obtaining feedback from stakeholders about how the home is performing. The homes analysis of this indicates the service is held in high regard by all concerned. Three service users participate regularly in the house shopping while other service users now participate in the cooking and serving of meals. With service users input more new pictures have been purchased to replace the defective ones. A steam cleaner has been purchased and is regularly used. Eightfive percent of staff are now trained to NVQ level 2 care. The registered manager has just completed a NVQ level 4 care course. This will supplement the Registered Managers Award she already Annual Service Review Page 4 of 6 holds. Following a requirement made during the last visit, all care staff have undertaken mandatory training including moving and handling, infection control, fire safety, food hygiene and first aid. The registered manager has completed all three levels of the Deprivation of Liberty Safeguarding training course. All care staff have attended Mental Capacity Act awareness training and are now waiting to attend Deprivation of Liberty Safeguarding training. This is important as the new safeguards could have implications on current and future service users living at the home. There is also evidence from the AQAA that the service is continuing to look at ways of improving what they do to promote good outcomes for those receiving the service. This includes accessing more independent advocacy services for service users to use if they so wish. Reviewing the formats of current documents so service users have a greater understanding of the content. To supplement person centred plans, all service users will have completed a health plan which covers their individual medical needs. Creating more interesting activity opportunities, taking account of service users individual wishes. Create more opportunities for service users to try cooking and baking from scratch, using a skills teaching programme. And try and find a cookery book in an accessible format to meet service users needs. The community pharmacist will be invited to the home to do a medication audit. Disappointingly, our review identified that 12 of the homes 37 policies and procedures listed were last reviewed in either 2001 or 2002. Also, that the home does not have policies and procedures on Bullying, Communicable disease and infection control, Dealing with violence and aggression, Emergencies and crises, Food Hygiene and First Aid. In order for staff to have ready access to current legislation, regulation and good practice, policies and procedures should be available and reviewed at least annually. The home continues to let us know about things that have happened since our last key inspection that may have affected residents wellbeing and they have generally shown that they have managed issues well. The AQAA records the home has not received any complaints about the service. We have not received any complaints about the service. One safeguarding referral has been made since the last visit, although the matter was not investigated under the countys multi agency procedures. There have been no Deprivation of Liberty Safeguarding authorisations made. 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 do a key inspection by 17 August 2010. 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 5 of 6 Reader Information
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