Latest Inspection
This is the latest available inspection report for this service, carried out on 13th January 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 Pia - Four Gables.
Annual service review
Name of Service: Pia - Four Gables 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: Kevin Ward Date of this annual service review: 0 5 1 1 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service
Address of service: Ingon Lane, August Hill Snitterfield Stratford On Avon Warwickshire CV37 0QE 01789204615 02476640146 dbadger@people-in-action.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: People in Action Number of places (if applicable): Under 65 Over 65 5 0 The maximum number of service users who can be accommodated is 5. The registered person may provide the following category 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 category: Learning disability Code 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 is a large domestic property in an isolated rural setting, providing accommodation and care for 5 young adults who have severe learning disabilities, including behaviours on the Autistic Disorder Spectrum, but have few mobility difficulties. South Warwickshire Primary Care Trust owns the property. People in Action manage the home. All of the five bedrooms are single without en-suite facilities. The home has large gardens with a decking area. 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: 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. Information we have about how the service has managed any complaints. 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 rating for this service was made 6th November 2007. This Annual Service Review was carried out 5th November 2009. The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgment is that the home is still providing a good service and that they know what further improvements they need to make. Everyone living at the home has significant communication needs and were not bale to complete questionnaires giving their views of the service. In the AQAA the manager explains how staff seek to understand what people are telling them Four Gables embraces a total communication approach and all of the staff are trained and work closely with individual service users to interpret every aspect of their communication. Challenging behaviour is seen as a form of communication and the staff at Four Gables are trained to respond to such behaviour in a supportive and calm manner. Any change in behaviour is monitored and advice is sought from appropriate professionals. So that we can ensure that the support we provide is appropriate and effect any changes that are necessary. In the AQAA the manager reports that staff are provided with medication training and are assessed to make sure they understand how to give medication safely. Extra medication audits have also been put in place to reduce the likelihood of medication errors going unnoticed and people are kept safe. There have been no complaints made to us about the home and no complaints have been made directly to the home to indicate any concerns about the care provided. Annual Service Review Page 3 of 5 There have been no allegations of abuse at the home since the last inspection that would require reporting under the joint agency safeguarding procedures. Staff are supported to achieve National Vocational Qualifications in care to equip them to carry out their work effectively. The home continues to let us know about things that have happened since our last key inspection, where this is necessary and they have shown that they have managed issues satisfactorily. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? As things stand we do not plan to do a key inspection this year. 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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