Latest Inspection
This is the latest available inspection report for this service, carried out on 2nd November 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 Sisha House.
Annual service review
Name of Service: Sisha House The quality rating for this care home is: The rating was made on: two star good service 1 4 1 0 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: Julie Schofield Date of this annual service review: 0 4 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 124 Brondesbury Park London NW2 5JP 02084593455 02086219736 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mr Ramzanali Bhanji Number of places (if applicable): Under 65 Over 65 0 3 The maximum number of service users who can be accommodated is: 3 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 categories: Old age, not falling within any other category - Code OP 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Sisha House is a care home, which provides accommodation and personal care for 3 elderly persons. All service users enjoy their own single bedroom and each bedroom has en-suite bathing and toilet facilities. There is sufficient communal space for service users and for the proprietors who live on the premises. There is also a very large open plan kitchen/dining/seating area. The house is just off Willesden High Road with its shops and transport connections. It is within a couple of minutes walk of Willesden Library. The home has off street parking for 3 cars at the front of the property. Although a busy area, there is street parking within a 5-minute walk from the home.
Annual Service Review Page 2 of 7 None 1 4 1 0 2 0 0 8 The home has a well-maintained garden at the rear of the premises. At the time of the inspection there were no vacancies. Information regarding the fees charged is available, on request, from the manager of the home. 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? At the last key inspection on the 14th October 2008, the home achieved a quality rating of 2 Stars. This means that the people who use this service experience good quality outcomes. We looked at all the information that we have received, or asked for, since the last key inspection. 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. Information we have about how the service has met any statutory requirements identified during the previous key inspection. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was completed in August 2009. 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. They tell us that the strengths of the service are that they provide a service which meets the social, cultural, religious and linguistic needs of the residents. They say that they support residents with health care needs, provide a homely atmosphere for residents and seek feedback from residents on a regular basis so that any potential problems can be identified early and addressed. They tell us that during the last 12 months they have improved the service provided by redecorating the communal areas, drawing up more risk assessments when reviewing care plans and keeping up to date with changes in the legislation. They also said that they continue to take advice from health care professionals and took part in the identification of bowel cancer programme. They have drawn up a list of things that they need to do and this includes having a wider range of outside activities offered by the home, continuing to refurbish the property and continuing to update files and Annual Service Review Page 4 of 7 attend training sessions. We received completed survey forms for each of the 3 residents living in the home. Two residents had completed the form by themselves and 1 resident had been assisted by their key worker. They told us that they had received enough information before they moved into the care home to help them decide whether it was the right place for them. They confirmed that they had been given written information about the homes terms and conditions (contract). They agreed that they always received the care and support they needed and they ticked that staff were always available when the resident needed them. When asked whether the staff listened to them and acted on what the resident said, 2 residents ticked always and 1 resident ticked usually. They told us that the home always makes sure that the resident gets the medical care that they need and that the home usually arranges activities that they can take part in, if they wish. Residents agreed that they liked the meals at the home and that the home is clean and fresh. We asked residents what the home does well and they told us they take care of me and care for me and they look after me well. They take me to the religious places. During the previous key inspection the service achieved a judgement of good in the key outcome areas of Health and Personal Care, Complaints and Protection and in Management and Administration. We contacted the service on the 4th September 2009 and spoke with the registered manager about the statutory requirements made during the key inspection of the service in October 2008, to review progress made towards compliance. Eight statutory requirements had been made. These were in respect of the need for a risk assessment when residents help with the preparation of food in the kitchen, training for all people working in the home in respect of adult protection procedures, keeping a daily record of what each resident eats, replacing some items of bedroom furniture and the carpet in one of the bedrooms, refreshing manual handling training and other safe working practice topics and Mental Capacity Act training for the manager. The manager told us that seven requirements have been addressed and that compliance with these statutory requirement has been achieved. This will be verified during the next key inspection. She is still to attend the Mental Capacity Act training. The home recorded in the AQAA that it has not received any complaints since the last key inspection. Clients confirmed on the survey form that they knew how to make a complaint if they were not happy with the service provided. The home continues to let us know about things that have happened since our last key inspection and they have shown us that they have managed issues well. They have recorded on the AQAA that they have not made any safe guarding alerts to the local authority since the previous key inspection. When asked on the survey form if there was someone they can speak to informally if they are not happy the residents ticked yes. The home works well with us and has 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? We are not going to change our inspection plan, and will do a key inspection by the 13th October 2011. 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 7 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:
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 copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - 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!
