Latest Inspection
This is the latest available inspection report for this service, carried out on 21st 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 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 Thorley House.
Annual service review
Name of Service: Thorley House The quality rating for this care home is: The rating was made on: three star excellent service 2 9 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: John Mullen Date of this annual service review: 2 1 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Hazelmere Gardens Hindley Wigan Greater Manchester WN2 3QD 01942255370 01942525054 rhona.briggs@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services Limited 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 physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 0 40 8 The home is registered for a maximum of 40 service users to include: up to 40 service users in the category of OP (Older People over 65 years of age) to include: 8 service users in the category of PD(E) (Physical Disability over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 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 Thorley House is a property that was built in the 1950s specifically to accommodate older people and to provide them with residential care. The home has capacity for forty people, all of whom have individual bedrooms. The home has a passenger lift. The home is situated between large council housing estates and privately owned properties, and many residents move here from the local community. It is served by a
Annual Service Review Page 2 of 6 2 9 0 1 2 0 0 9 good bus route and is close to local shops. Parking is available for visitors. Thorley House is part of the CLS group of homes. CLS has several homes in the Wigan and Leigh area. 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? The annual service review for Thorley House Care Home included the following: The annual quality assurance assessment document (AQAA) was sent to us by the service. The AQAA is a self assessment document and a dataset that is filled in once a year by all providers and is one of the main ways we get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the service, trends and patterns in social care. Surveys of users of the service and staff. A review of what the service has told us about since the last key inspection. A review of the findings of the last unannounced key inspection. What has this told us about the service? The AQAA was completed promptly and to a good standard. It could give examples of changed practices as a result of obtaining the views of people living in the home. It could also demonstrate that the home has full appropriate admission procedures, including full information on proposed users to prepare the work. The AQAA stated the resident is the centre of all we do and care is person led. It gave examples of this through the use of care plans, a key worker role and appropriate medication practices, including a pharmacy audit. The document stated that there were two activities coordinators in post and that activities have been reviewed in consultation with people living in the home and that more one to one activities are now provided. The AQAA commits the home to a good standard of meals based on a varied and nourishing diet. The AQAA stated that the home has a full complaints procedure as well as safeguarding policies in which all staff have been trained. It showed that complaints are dealt with seriously so that people living there can have confidence in the procedure. The AQAA confirmed that the environment remains of a good standard with regular health and safety audits to ensure the safety of people in the building. The document revealed that the home employs extra staff when necessary and that there are full staffing policies in place including staff meetings, inductions and a full training plan to support staff. It emphasised the level of vocational qualification that employees have and stated that there is full supervision of staff for their support and direction. As a result staff turnover is low. The AQAA stated that the home manager and home services manager are supernumerary to the rota. It also stated that there are full management procedures in place, including a business plan and audited budgets to ensure that the business is conducted effectively. The AQAA stated that there has been neither a complaint nor a safeguarding issue over the last twelve Annual Service Review Page 4 of 6 months to confirm a safe service. There were relatively few surveys returned but those that were were complimentary about the home. Two comments received were they listen to me, organise my medicines and keep it clean and our home has a great reputation in the community because we give a high standard of care. A review of the evidence since the last key inspection has found very little that has been notified to us. There was one instance of medication error but other notifications were routine and gave no concern. There has been no need to visit this home as result of information received. A review of the findings of the last key inspection held on 29th January 2009 confirmed that this home was rated as a 3 star, excellent service. Of the seven outcomes groups five were assessed as good and two as excellent. There were no requirements or recommendations resulting from the inspection. What are we going to do as a result of this annual service review? The annual service review has shown that the home continues to provide an excellent service to its users. There have been no issues highlighted as a result of this process. The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. We can inspect the home at any time if we have concerns about the quality of the service or the safety of the people using it. Annual Service Review Page 5 of 6 Reader Information
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