Care Home: Queen Ann Lodge

What the care home does well Queen Anne Lodge has consistently provided excellent outcomes for residents. The last key inspection and the two subsequent annual service reviews confirmed that the service addresses residents needs in a person centred way. The annual quality assurance assessment highlighted that it continues to develop the ways the individual needs of residents are addressed. The annual quality assurance assessment highlighted that care plans were prepared with the involvement of residents, relatives and their relevant professionals. We looked at care plans for four of the residents. We found that these provided clear guidance on how their mental health needs could be met. Regular care programme approach reviews were taking place to make sure that these residents were receiving the care they needed. Both of the residents spoken to told us that staff provided them with the care and support they needed. Staff spoken to understood the mental health needs of residents. A resident said, "Staff spend time listening to you and will help when you need it." Detailed risk assessments had been carried out of how people`s mental health needs might affect their safety. This meant that residents needs were being met in ways that maintain their safety and promoted their independence. There have been no safeguarding issues since the last key inspection. At the two annual service reviews it was found that Queen Anne Lodge knows how to promote residentssafety. Residents spoken to said that they could share their concerns with staff. Staff training records confirmed that training has been provided for all staff in recognising and responding to safeguarding issues. We spoke with two members of staff who demonstrated that they understood how to recognise and respond to potential safeguarding issues. Residents can be confident that their safety and well-being is a priority for the home. There have been no complaints to the commission since the last key inspection. Residents have always confirmed that they know how to make a complaint. We checked the complaints record and found that there had only been minor issues raised with the home. The complaints record showed that these complaints had been investigated and addressed. A resident told us, " I know that I can raise concerns with staff. They will do their best to sort things out." Complaints are responded to in an open and comprehensive manner for the benefit of residents. The last key inspection and the two subsequent annual service reviews showed us that safety issues are always addressed. We looked at the fire safety record. It showed that fire drills, and safety checks were being carried out regularly. Accidents and incidents were recorded appropriately. Where necessary care plans and risk assessments had been updated to make sure that residents safety was maintained. Staff training records showed that they had received the necessary health and safety training. We spoke with staff who showed us that they knew how to keep residents safe. Residents can be confident that the home considers their continued safety to be a priority. The annual quality assurance assessment showed that Queen Anne Lodge knows what further developments needs to make to enhance the well-being of residents. It showed us how the home would continue to provide excellent outcomes for residents. Regular quality assurance assessments were being carried out. Issues highlighting these were found to be addressed. Queen Anne Lodge is focused on improving how it meets the needs of residents. What the care home could do better: There were no areas for improvement identified at this random inspection. Random inspection report Care homes for adults (18-65 years) Name: Address: Queen Ann Lodge 36 Old Park Road London N13 4RE three star excellent service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Tony Brennan Date: 0 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: Queen Ann Lodge 36 Old Park Road London N13 4RE 02088822336 Telephone number: Fax number: Email address: Provider web address: pamela.kelly@queenanncare.com Name of registered provider(s): Name of registered manager (if applicable) Ms Pamela Kelly Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs K B Kelly care home 7 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 7 Any resident accommodated in the second floor bedroom has no mobility impairment, including sensory impairment and does not require assistance in the event of evacuation of fire. The change in useable space in the first floor front bedroom is noted as being acceptable. The number of service users that the home is able to accommodate is seven adults of either gender. The registered manager provides a copy of the registration certificate and these conditions to the London Fire & Emergency Planning Authority. Date of last inspection Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home Queen Ann Lodge is registered to provide personal care for seven service users who have mental health problems. The home has been operating for almost two years and the proprietor also owns the premises next door, which is also a registered care home. The home has been well adapted for use as a care home. All service users have single rooms, some of which are very large, these are located on the ground and first floors. There is a recently added bedroom on the second floor that has en-suite facilities. There are also well kept communal areas and a well maintained garden to the rear of the building. The home is in a residential area of Palmers Green and is close to local shops and businesses. The service aims to provide a supportive and enabling environment to people who have enduring mental health needs. There is a strong emphasis on promoting independence and helping service users establish and maintain family and community networks. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: This visit was part of the regular inspection programme. We sought to confirm that Queen Anne Lodge continues to provide excellent outcomes for residents. Prior to this random inspection there has been a key inspection. No areas for improvement will identified at the key inspection. There were two subsequent annual service reviews. These had all confirmed the continued excellent outcomes for residents. Queen Anne Lodge sent us a an annual quality assurance assessment that showed that the home was continuing to improve outcomes for residents. This also told us how incidents were being dealt with. We found that Queen Anne Lodge continues to provide excellent outcomes for residents. Residents told us that the home focuses on meeting their individual needs. We spoke to two residents. They told us they felt their individual needs were recognised and met. A resident said, They know what I need help with and how to do things the way I like. We looked at four care plans. We found that they were focused on the individual needs of each resident. They included information relating to the mental health history, and how these affected individuals care. Care plans and risk assessments are focused on the individual needs of each resident. Staff spoken to confirmed that they had the training and support they needed to meet residents needs. Training records showed that all areas of mandatory training were upto-date. There had also been training in mental health care. A number of staff have recently completed the National Vocational Qualification at level three and four. Staff told us that they receive regular supervision. Records and discussions with staff showed that they had regular meetings to discuss their work as a team. Residents can be confident that staff have the skills and support to meet their needs. What the care home does well: Queen Anne Lodge has consistently provided excellent outcomes for residents. The last key inspection and the two subsequent annual service reviews confirmed that the service addresses residents needs in a person centred way. The annual quality assurance assessment highlighted that it continues to develop the ways the individual needs of residents are addressed. The annual quality assurance assessment highlighted that care plans were prepared with the involvement of residents, relatives and their relevant professionals. We looked at care plans for four of the residents. We found that these provided clear guidance on how their mental health needs could be met. Regular care programme approach reviews were taking place to make sure that these residents were receiving the care they needed. Both of the residents spoken to told us that staff provided them with the care and support they needed. Staff spoken to understood the mental health needs of residents. A resident said, Staff spend time listening to you and will help when you need it. Detailed risk assessments had been carried out of how peoples mental health needs might affect their safety. This meant that residents needs were being met in ways that maintain their safety and promoted their independence. There have been no safeguarding issues since the last key inspection. At the two annual service reviews it was found that Queen Anne Lodge knows how to promote residents Care Homes for Adults (18-65 years) Page 4 of 8 safety. Residents spoken to said that they could share their concerns with staff. Staff training records confirmed that training has been provided for all staff in recognising and responding to safeguarding issues. We spoke with two members of staff who demonstrated that they understood how to recognise and respond to potential safeguarding issues. Residents can be confident that their safety and well-being is a priority for the home. There have been no complaints to the commission since the last key inspection. Residents have always confirmed that they know how to make a complaint. We checked the complaints record and found that there had only been minor issues raised with the home. The complaints record showed that these complaints had been investigated and addressed. A resident told us, I know that I can raise concerns with staff. They will do their best to sort things out. Complaints are responded to in an open and comprehensive manner for the benefit of residents. The last key inspection and the two subsequent annual service reviews showed us that safety issues are always addressed. We looked at the fire safety record. It showed that fire drills, and safety checks were being carried out regularly. Accidents and incidents were recorded appropriately. Where necessary care plans and risk assessments had been updated to make sure that residents safety was maintained. Staff training records showed that they had received the necessary health and safety training. We spoke with staff who showed us that they knew how to keep residents safe. Residents can be confident that the home considers their continued safety to be a priority. The annual quality assurance assessment showed that Queen Anne Lodge knows what further developments needs to make to enhance the well-being of residents. It showed us how the home would continue to provide excellent outcomes for residents. Regular quality assurance assessments were being carried out. Issues highlighting these were found to be addressed. Queen Anne Lodge is focused on improving how it meets the needs of residents. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!