Latest Inspection
This is the latest available inspection report for this service, carried out on 16th 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 Surrey Heights.
Annual service review
Name of Service: Surrey Heights The quality rating for this care home is: The rating was made on: two star good 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: Joseph Croft Date of this annual service review: 0 6 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Brook Road Wormley Surrey GU8 5UA 01428682734 01428685061 heights@carehomesofdistinction.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Mrs N Hasham,Mr L K Hasham Number of places (if applicable): Under 65 Over 65 39 0 39 0 39 0 The maximum number of service users who can be accommodated is: 39 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: Old age, not falling within any other category - OP Dementia - DE Physical disability - PD 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: New manager in post since 20th March 2009. Has submitted an application to register. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Surrey Heights is a privately owned care home offering residential care for thirty-nine older people with dementia. It is a large detached building in acres of mature south facing grounds on the crest of the Surrey Hills.
Annual Service Review Page 2 of 6 The home is one of a number of others run by Care Homes of Distinction in Surrey. The Groups principal office is in the grounds of Surrey Heights and next door is Surrey Hills, a nursing home that is part of the group. Single and shared bedroom accommodations, some with en suite facilities, are arranged over three floors, accessible by passenger lift. Communal lounge, conservatory and dining facilities are on the ground floor. Parking is available in the grounds. The range of fees for the rooms is from four hundred to seven hundred and fifty five pounds per week. 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 all the information we asked for. The manager had identified what has improved during the last twelve months, and what they could do better. The AQAA informs that the service actively seeks the views of people who use the service through two monthly service user meetings and annual surveys. There is a Statement of Purpose and Service User Guide available for all service users. There is a comprehensive pre-admission form that gathers information about potential service users care and support needs, and assessments are completed by the relevant care manager. Support and care plans are in place that reflect the appropriate changes in need. Risk assessments are also in place. There are excellent links between health care professionals. Only staff who have received the appropriate training administer medication.A varied daily activity programme is available to service users that have been developed by the two activity co-ordinators. The manager has identified the need to include social activities that involve using the local community facilities. There is a Complaints policy and procedure in place, and the service has dealt with one complaint during the last twelve months. There is a Safeguarding Adults policy that was last reviewed in April 2009, and all staff have completed their updated training in this area. The Care Quality Commission has not received any Safeguarding issues in regard to the service during the last twelve months. The service has dealt with one Safeguarding issue. There is an attractive environment and regular health and safety checks ensure that the furnishings remain well presented. A robust recruitment and selection procedure is in place. All new staff attend an induction training programme, and sixty six percent of care staff hold the minimum of an NVQ level 2 and above. The ratio of staff and skill mix is appropriate to meet the current needs of service users living at the home. The manager has been in post since the 20th March 2009, has over twenty years experience and holds the Registered Managers Award (RMA). Annual Service Review Page 4 of 6 Surveys were received from nine service users, six members of staff and two health care professionals. Service user surveys were complimentary about the care home and comments included I can talk to staff if I have a problem, The food is good and the home is clean and tidy, and They look after me well, the food is good and I know I am going to be well looked after. Two of these surveys informed that they did not know how to make a formal complaint. This was discussed with the manager during a telephone conversation on the 6th October 2009, who told us that this has been further discussed during a recent service users meeting, and a copy of the complaints procedure is now available in large print and on a CD format. Staff surveys were also complimentary about the home and the management. Issues were identified in regard to activities that were also discussed with the manager during our telephone conversation. The manager is aware of these, had identified them in the AQAA, and has managed to obtain a further four hours activity time to be used at the weekends. Two other issues were discussed with the manager, who told us that he was already working to resolve these. The home continue to let us know about things that have happened since our last key inspection. The last key inspection for the service was undertaken on the 10th October 2007 when the home was given a rating of a 2* Good service. The last Annual Service Review was undertaken on the 17th October 2008. What are we going to do as a result of this annual service review? We will conduct a key inspection before the 9th 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 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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