Latest Inspection
This is the latest available inspection report for this service, carried out on 18th 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 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 Tilehurst Lodge.
Annual service review
Name of Service: Tilehurst Lodge 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: Stephen Webb Date of this annual service review: 0 9 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 142 Tilehurst Road Reading Berkshire RG30 2LX 01189674675 01189674675 tilehurstlodge@tactltd.org www.affinitytrust.org Affinity Trust. Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users to be accommodated is 6. 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 Yes service’s registration details in the last 12 months? If yes, what have they been: The registered providers changed their name to Affinity Trust in September 2009. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Tilehurst Lodge provides 24-hour support for up to 6 men with learning disabilities, some of whom also have mental health issues. The home is operated by the Affinity Trust (Following a change of provider name in September 2009), in a three storey, converted period building, which retains a lot of its original features and character. Most of the rooms are of a good size, and five of the six bedrooms have en suite shower/bath facilities and a toilet. Annual Service Review Page 2 of 6 The residents are encouraged to participate in a variety of experiences and opportunities to enable them to lead fulfilled lives, which includes external employment. These experiences and opportunities are underpinned by The Five Accomplishments to Ordinary Living by John OBrien. The home has a registered manager who has made changes in the home, to increase the individualisation of their approach, and improve the level of resident involvement and consultation. At the time of the last inspection the annual fees range from fifty-nine thousand, three hundred and eighty-three to sixty-six thousand, five hundred and fifty-seven pounds per year. The reader should contact the manager to establish the current fees. 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 the information that we have received, or asked for, since the last Annual Service Review in November 2008. 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 gives us numerical information about the service. Any surveys returned to us by service users and others with an interest in the service. Any information we have received 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 any action taken in response to requirements or recommendations made within the previous inspection report. What has this told us about the service? The annual quality assurance assessment (AQAA), returned by the manager, provided current details about the home including areas where action has been taken to make improvements. The manager reported that since the last inspection a range of improvements had been made in direct response to resident feedback. Service users are now reportedly encouraged to book their own holidays, having chosen where they want to go; the Servicer User forum has been used to devise interview questions for staff recruitment, and advocates are used when required. Other changes reported since the last inspection include the introduction of an annual staff training matrix; the provision of diversity training; provision of regular staff supervisions and the introduction of a quality audit tool. The Statement of Purpose and Service User Guide have been improved; placements have been reviewed; Three residents have completed cooking courses at college and individuals are now supported and encouraged to budget for, shop and cook their individual meals, with dietician support. Residents have been encouraged to take part in healthy activities; Health Action Plans have been implemented and self-medication risk assessments reviewed. Some residents have also attended food hygiene and health and safety awareness training. Staff reportedly now have their own Personal Development plans and a management training programme has been implemented. Senior management support and monitoring has also been improved. The AQAA also indicates a range of planned improvements for the future. There were two requirements arising from the last inspection. The AQAA confirms that one of these has been addressed, though confirmation that all staff have now received safeguarding training is still required. The manager had provided an action plan at the Annual Service Review Page 4 of 6 time of the last Annual Service Review, indicating their intent to address these requirements. Since the last inspection, appropriate notifications of issues including two periods of absence of the registered manager, have been made to the Commission. Appropriate information was provided to the Commission in each case. The completed AQAA indicated that four new complaints had been received about the service since the last Annual Service Review , three of which were reportedly addressed within 28 days, while one remained ongoing at the time the AQAA was completed. No additional complaints have been received by the Commission, for forwarding to the service, over the same period. There is reported to have been one safeguarding referral relating to this service since the last inspection, which was appropriately reported to the local safeguarding team who were satisfied with the investigation undertaken by the service. The AQAA indicates a responsive service, which consults residents through regular, minuted house meetings, monthly and six monthly review systems, annual quality assurance surveys and involvement in staff recruitment and induction. Our judgement is that the home continues to provide a good service to meet the needs of residents, and provides good outcomes for residents. At the time of writing no completed inspection surveys had been received. What are we going to do as a result of this annual service review? We will not change our inspection plan, and will undertake the next key inspection by the 5th of 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 residents Annual Service Review Page 5 of 6 Reader Information
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