Latest Inspection
This is the latest available inspection report for this service, carried out on 9th 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 Excellent.
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 The Old Downs Care Home.
Annual service review
Name of Service: The Old Downs Care Home The quality rating for this care home is: The rating was made on: three star excellent 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: Justine Williams Date of this annual service review: 0 4 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Castle Hill Hartley Dartford Kent DA3 7BH 01474702146 01474709639 the.old.downs@nellsar.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia Conditions of registration: Nellsar Ltd Number of places (if applicable): Under 65 Over 65 41 0 The maximum number of service users who can be accommodated is: 41 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: Dementia - DE 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 The Old Downs residential home is registered to provide specialist support for 41 people with dementia. There are 41 single bedrooms located on three floors and there is a shaft lift and a stair lift. Seven bedrooms have en-suite facilities. There are three lounge areas, a sun lounge and dining room all located on the ground floor, with two more communal areas and a quiet room on the upper floors. The home has a garden surrounding the property with patio areas and a summer-house. The home is in a rural area but there are public transport facilities nearby at Hartley.
Annual Service Review Page 2 of 6 There is car parking available at the home. The Home has a registered manager, deputy manager, and a team of carers. The Home also employs an activities co-ordinator, kitchen and domestic staff an administrator and a maintenance man. At the last inspection the fees ranged from £410.00 to £650.00 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 following, The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a selfassessment 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. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service and that they know what actions they need to take to continue to develop and maintain the high standards at the home. The last inspection found only 2 areas for improvement and no statutory requirements were made. The areas for improvement were to extend the detail in the risk assessments and to provide staff with further training in specialist health care conditions. Both areas have been addressed. Residents living in the home always tell us that they are happy there. They are particularly pleased with the care and support they receive from the staff and that they receive medical and health care attention promptly. Most residents surveyed were satisfied with the meals and the activities provided, some thought they were very good. Residents know how to make a formal complaint, and were confident to speak to someone if they were not happy. Residents surveyed were also happy with the availability of staff. Some specific comments made were They are kind and caring to the residents and the families, they are always available to listen to any problems and do their best to solve them, its friendly and includes families We received surveys and comments from health care professionals, care managers and relatives of people living at the Annual Service Review Page 4 of 6 home. All continue to be very satisfied with the quality of the care. One comment from a relative was the staff are very attentive and caring to the residents, another commented they look after and care for every resident attending to all their needs and requests. Staff surveyed felt they receive the support and information they need to care for the residents living at the home. Several staff felt the running of the home was efficient and that the staff work well together. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide excellent 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 13th 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 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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