Care Home: The Mandalay

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Annual service review Name of Service: The Mandalay The quality rating for this care home is: The rating was made on: two star good service 2 4 0 1 2 0 0 9 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: Mark Hemmings Date of this annual service review: 2 7 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: 103-105 Blenheim Road Deal Kent CT14 7HA 01304365587 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Mrs Marianne Sewell 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: Learning disability (LD) 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 Up to seven adults who have a learning disability can make their home in The Mandalay (the Service). The premises are two terraced houses that have been joined together to form one property. Everyone has their own bedroom. These are laid out as bed sitting areas. They have a bed, a comfortable chair, a wardrobe and a wash hand basin. Two of them also have a private toilet and shower. There are two lounges one of which can be used by people who smoke. 2 4 0 1 2 0 0 9 Annual Service Review Page 2 of 6 There are two bathrooms. Both have a bath, toilet and wash hand basin. One of them also has a walk in shower. At the back of the property there is an enclosed garden. This has both lawn and flower beds. There is an allotment area. There are paths around the garden and there is an outside table and chairs. The Service is in a residential street. It is only a short walk from Deals town centre. There is a bus stop and a mainline railway station nearby. The Registered Provider is a private individual. She is also the Registered Manager. She lives on the premises in a separate part of the building. The Registered Provider is assisted in the day to day running of the Service by a senior member of staff. In this Annual Service Review we refer to this latter person as being, the manager. The weekly cost for living in the Service runs from £537.01 to £1422.00. 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 our last Key Inspection. We completed this on 24 January 2009. The information we considered includes the following: Information we have about how the Service runs. This includes what the Manager has told us. What the Registered Provider has told us about things that have happened in the Service. These are called notifications and are a legal requirement. The previous Key Inspection Report. Relevant information from other organisations. What has this told us about the service? We asked the Registered Provider to send us an Annual Quality Assurance Assessment (the Assessment). This is a self-assessment that focuses on how well outcomes are being met for people using the Service. It also gives us some numerical information about the Service. The Registered Provider says that she has sent us her Assessment, but she accepts that it was not sent on time. At this point we do not have a record of having received it. It is a legal requirement that the Registered Provider sends us her Assessment when we ask for it. If the Registered Provider fails to comply in the future, we may take enforcement action. At the previous Key Inspection, the Registered Provider was not required or recommended to make any particular improvements. We thought that things were going well. We gave the Service two stars. This means that it provides a good response to the needs of the people who live there. We noted that the Registered Provider was intending to make some documents more user friendly. These included the Guide that is given to people who might want to move in and the complaints procedure. The Manager says that both of these documents have now been changed in the manner described. Various improvements have been made since our last Key Inspection. These include the following things. One of the lounges has been redecorated and a new seat by the window has been installed. Satellite television has been provided throughout the building. In the hallways new flooring has been laid and most of the paintwork has been redone. One persons bedroom has been repainted and new curtains, carpets and bed linen has been provided. A new fire alarm system has been installed. The Manager says that the people who live in the Service continue to be happy there. They are pleased with the support they receive. Each person has an individual written plan of support. These are kept up to date by support workers making daily notes. There are also more organised and detailed reviews. Annual Service Review Page 4 of 6 The Manager says that people have good quality meals. Each person has a range of occupational and social things that they like to do. These variously include helping out in a local shop, attending a local day opportunities service and going out to do things such as shopping and bowling. People are supported to stay healthy and they are helped to seek medical attention as and when it is needed. Sensible arrangements are in place to assist people to take medicines in the manner intended by their doctors. There are systems to ensure that medicines are given to the right person at the right time. The accommodation is presented to a comfortable domestic standard. There have not been any accidents in the Service since our last Key Inspection. The Registered Provider has not received any complaints and neither have we. There are always at least two support workers on duty during the day and evening. There is a staff presence in the Service at night. The Manager says that suitable security checks are in place to ensure that new support workers are trustworthy people. There is a training system that is designed to ensure that support workers know what they are doing. The Manager says that sensible things are done to help keep people safe. This includes accompanying people when they are out in the community. People are also helped to obtain and manage their personal spending allowances. The Manager says that good standards of hygiene are achieved in the kitchen. The premises are fitted with an automatic fire detection system. This provides a high level of protection. He says that fire safety equipment and other things such as the electrical wiring are regularly checked. This is done to make sure that they remain in good working order. Our overall judgement is that the Service continues to provide a good quality of care for the people who live there. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. We are going to complete a Key Inspection by 23 January 2011. However, we can inspect the Service at any time. We may do this if we have concerns about the quality of the provision or about the safety of the people living there. 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: 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. 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