Latest Inspection
This is the latest available inspection report for this service, carried out on 10th September 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 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 Pilgrim Homes (Grocot Road).
Annual service review
Name of Service: Pilgrim Homes (Grocot Road) The quality rating for this care home is: The rating was made on: three star excellent 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: Kim Cowley Date of this annual service review: 1 0 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Grocot Road Evington Leicester Leicestershire LE5 6AL 01162738131 01162731788 evington@pilgrimhomes.org.uk www.pilgrimhomes.org.uk Pilgrim Homes Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 0 0 0 30 1 30 30 No one falling within category MD(E) may be admitted into the home where there is 1 person of category MD(E) already accomodated the maximum number of service users who can be accomodated is 30 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: Removal of the limit on the number of persons with dementia who can be admitted to the home. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 6 Pilgrim Home (Grocot Road) is registered to provide nursing and personal care for thirty older persons. The home is situated in the village of Evington, three miles from Leicester city centre. It is owned by Pilgrim Homes, a Christian charity. Accommodation is on two floors with passenger lift access. There is a large lounge and dining room on the ground floor, and a further lounge on the first floor. Both double and single bedrooms are available. At the front of the home is a large garden area accessible to residents. Further information about the home including the fees is available from the Registered Manager. 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. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. 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 home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us the main information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service and that they know what further improvements they need to make. Since the last inspection staff have been trained in Dementia Awareness, Safeguarding, and the Mental Capacity Act. This will help them to provide appropriate care for the resident group, and ensure that any concerns about a residents welfare are properly addressed. Staffing numbers have been increased and more staff put on in the mornings as this is the busiest time of the day. More permanent staff have been employed. This reduces the use of agency staff and gives residents continuity and the opportunity to get to know their carers well. There have been a number of improvements to the premises. Door guards have been fitted on all residents rooms. This means that residents can leave their doors open if they wish as they will automatically close should the fire alarm be activated. A treatment room and a disabled shower/toilet have been created. Parts of the home have been redecorated and recarpeted. Residents meeting are held every two months to give the people who live in the home Annual Service Review Page 4 of 6 the opportunity to share their views about how it is run. Residents, their representatives, and staff are invited to complete annual surveys. The data provided is used to bring about improvements to the home. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide excellent outcomes for the people who use it. 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 10 October 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
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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