Latest Inspection
This is the latest available inspection report for this service, carried out on 21st December 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 Rowland House.
Annual service review
Name of Service: Rowland House The quality rating for this care home is: The rating was made on: two star good service 1 1 1 2 2 0 0 8 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: Kenneth Dunn Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 1a Lime Tree Avenue Weston Green Thames Ditton Surrey KT7 0NY 02089729143 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Isabella Mary Cox Conditions of registration: Category(ies) : physical disability Conditions of registration: Titleworth ltd Number of places (if applicable): Under 65 Over 65 7 0 The maximum number of service users to be accommodated is 7. The registered person may provide the following category/ies 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 categories: Physical disability (PD) 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 Rowland House is set in a residential area of Surrey. The house has recently extended its accomodation and facilities to provide care for six residents with physical difficulties. The accomodation is adapted to support people who use wheelchairs. The home has a lift to all three floors. The lower floor contains a physiotherapy and fitness centre. The
Annual Service Review Page 2 of 7 1 1 1 2 2 0 0 8 home has an extensivly landscaped rear garden that is purpose built for wheelchairs and is a prominent feature to the home. Each resident has their own bedroom three of which are en suite. The communal areas are spacious and bright and well decorated. Annual Service Review Page 3 of 7 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 may 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 it is a legal requirement for the service to tell us about them. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. The commission supplied Annual Service Reviews survey for people who live in the care home. We received a total of five completed surveys, which have been analysed and elements have been used in this report. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The annual quality assurance assessment (AQAA), returned by the manager, provided current details about the service including areas where action had been taken to make improvements. We consistently listen to our service users and by listening the manager stated in the AQAA that the service users views are incorporated areas throughout the service such as Quality Assurance questionnaires for the service users/parents and staff; PCP Approaches; Travel Training; Service user guide; Statement of purpose;Self medicating regimes; Budgeting their own money; Menu planning; Constantly updated PCPs written with service users; Shift planning around the service users activities; Planning their own annual holiday; Twelve weekly reviews where new goals are put in place to meet their rehab needs and targets; Key working sessions for service users monthly; weekly house meetings where service users are able to put their point of views across about how the service is run. Give support to service users to make their own choices. The AQAA provided evidence that the service has been able to promote service users independence to self administer medication and/or be involved in this activity to the greatest level of their ability. By listening to the views of the service users the service users are enable to develop new goal plans which includes travel training, self medication, home exercise programmes and how to eat healthy. The service undertakes regaler risk assessments, the AQAA states that these are reviewed and updated regularly and new ones put into place as and when required these are carried out with the service user so that the services users understands the risk and responsibilities that they undertake. Annual Service Review Page 4 of 7 The AQAA provided information that the staff shift patterns are worked around the service users needs to enable them to attend events such as theme nights, art galleries, church, work experience. The service recognises equal opportunities and the AQAA states that we act in a fair and non-discriminatory way. Should anyone feel they are being treated unfairly, harassed or who face prejudice for any reason, they have an opportunity to speak up through supervision or staff meetings. We operate an open door policy, where anyone can discuss issues, including that of discrimination. As a service we ensure that the equality and diversity standards are met and addressed through the implementation of robust and regularly reviewed policies. The service has changed focus in recent years the overall focus of our service is ABI rehabilitation and so the way in which we deliver services leads to promotion of greater independence and the promotion of independent living skills. Service users interact with therapists as a part of their goal setting and support plan reviews. Service users have regular opportunity to receive other professional interventions such as, Neuro Psychological / Psychiatric and speech and language therapy as appropriate. A review of the completed surveys returned to the commission provided mixed results. Only one survey stated that the person made their own daily decisions two stated that they usually did and the remaining two stated that they never make daily decision for themselves. There was also a split in respect of whether people were asked if they wanted to move into the home, three people stated that they were not and two stated that they had been consulted. There was again a split in respect to the quality and quality of information the provided to people prior to moving into the home, with two stating no they did not have enough information about the home while three people had sufficient information before they moved into Rowland House. The question can you do what you want to do also provided conflicting responses. Two of the five surveys stated that at no time day, evening or weekend where to people allowed to do what they want. Three surveys however stated that they were free to do what they want at any time. Four surveys did state that they knew who to speak to if they were not happy, while only one stated that they did not know who to talk to. The remaining questions resulted a good level of satisfaction with the service provide by Rowland House. The service has received one safeguarding referral and two complaints over the last 12 month period both complaints were recorded as unfounded and complied within the prescribed time frame. The commission has received two complaints from a family member of a person living in the service. The issues raised resulted in the care and the care package being offered to the service user being reviewed and an alternative care service was sourced to meet the persons care needs more effectively. Our judgement however is that Rowland House continues to provide a good service, which is meeting the majority of the care needs of the people who use the service. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 We are not going to change our inspection plan and will do a key inspection by 30th of November 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 6 of 7 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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