Latest Inspection
This is the latest available inspection report for this service, carried out on 15th 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 Shepherds Lodge.
Annual service review
Name of Service: Shepherds Lodge The quality rating for this care home is: The rating was made on: two star good service 2 3 0 1 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: Ray Mowat Date of this annual service review: 1 0 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 4 West Mount Barrow-in-Furness Cumbria LA14 5LQ 01229431439 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability mental disorder, excluding learning disability or dementia Conditions of registration: Mrs Adrienne Beattie Number of places (if applicable): Under 65 Over 65 4 2 0 0 The home is registered for a maximum of 6 service users to include: Up to 4 service users in the category LD (Learning Disability under 65 years of age) Up to 2 service users in the category MD (Mental Disorder under 65 years of age) 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 Shepherds Lodge is a large end of terrace house, situated at the end of a quiet cul de sac in a residential area of Barrow-in-Furness. It is registered to provide residential care for a maximum of six people, with up to two people with a mental disorder and four people with a learning disability. The house is located near to a bus route and is within walking distance of the amenities of the town centre and the railway station. On the ground floor of the house there are two lounges and a conservatory, a kitchen/dining room, a separate kitchen and two bedrooms. One is a residents bedroom, the other being a staff sleep-in room and office. There are also laundry
Annual Service Review Page 2 of 6 2 3 0 1 2 0 0 8 facilities outside the home at the rear of the property. There are well-maintained gardens to the front and rear of the home. There are five residents bedrooms on the first floor and two bathrooms with toilets and shower facilities. The home supplies information to residents in an informative service user guide including the range of services provided and the fees charged which are agreed on an individual basis dependent upon a full needs assessment. Previous inspection reports are also displayed in the home and made available on request. 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 assessed all the information we have relating to the service. This included: The annual quality assurance assessment (AQAA) was completed and returned to us by the manager Mrs Adrienne Beattie. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gave us some numerical information about the people who live in the home and the staff that work there. We also sent out surveys to gain feedback from people living there, the staff who work there and other people with an interest in the home, such as social workers and health professionals. We looked at information we have about how the home has managed any concerns, complaints or adult protection referrals and any other significant events. We also look at the previous key inspection report and the results of any other visits that we have made to the home in the last 12 months. Relevant information from other organisations and what other people have told us about the home is also taken into account. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It gave us all the information we asked for to enable us to make our judgement that the home is still providing a good service and that they are aware of further improvements they may need to make. The manager described in the AQAA that the Local Authority has been conducting an audit of the service to ensure contract compliance. She has responded to the requirements and recommendations made and feels this has had a positive effect on the service and provided qualitative outcomes for the people living in the home. The manager described how they value and act on the views and opinions of the people who live in the home. In addition to day to day contact she described other methods used to record peoples views including quality questionnaires, both informal and formal meetings and evaluation forms used to assess the effectiveness of specific events and activities. There were examples recorded how peoples views had influenced developments in the home such as improving access for people with physical disabilities and people getting involved with gardening and growing their own vegetables. Other developments include, producing new support plans, upgrading the homes computer system and a review of policies, procedures and paperwork used in the home. Another key development is the introduction of a pictorial/easy read choices book that helps people to make informed choices about all aspects of their lives. Survey responses from people living in the home and their relatives/advocates were positive and no concerns were raised. People said the staff are nice, the staff look Annual Service Review Page 4 of 6 after me well, we get good food. There was evidence the home work closely with a range of different agencies and professionals to make sure people receive appropriate care and support to meet their individual and changing needs. Survey responses from other professionals did not raise any concerns and when asked what the home does well, the following comments were made. They manage very difficult and challenging behaviour. Maintain good contact with social workers and community health team. Follow agreed actions from meetings and telephone discussions. The AQAA described a detailed needs assessment is being used to gather information to enable a person centred care plan to be developed when someone moves into the home. Examples were recorded of how staff have supported people to achieve their personal goals such as pursuing specific religious beliefs, personal interests and hobbies and other lifestyle choices. The manager described how the home continue to make sure peoples personal and healthcare needs are being met. Health action plans record in detail individual needs and preferences about the type and level of support people require. It also described how the introduction of when I die plans proved to be effective in guiding and supporting family and staff in ensuring a persons last wishes were respected. No complaints have been received by the home since our last inspection. Two safeguarding referrals have been made, which were handled effectively by the home. They worked closely with other agencies through the investigation ensuring people were supported and protected at all times throughout the process. It was evident from information in the AQAA that the home environment has been well maintained including specific repairs and renewals. Other changes have been made as a direct result of listening to the views of people who live in the home Staff turnover has remained low and the manager described an ongoing programme of training taking place to make sure staff are suitably skilled and competent in their role. Based on the evidence described above we have judged that the people in the home continue to experience good outcomes and are supported to lead a fulfilling lifestyle. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. Annual Service Review Page 5 of 6 Reader Information
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