Latest Inspection
This is the latest available inspection report for this service, carried out on 16th April 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 Trafalgar Lodge.
Annual service review
Name of Service: Trafalgar Lodge The quality rating for this care home is: The rating was made on: two star good service 0 7 1 1 2 0 0 8 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: Lella Hudson Date of this annual service review: 1 2 0 2 2 0 1 0 Annual Service Review Page 1 of 5 Information about the service
Address of service: 70 Swan Lane Tharston Norwich Norfolk NR15 2UY 01508536510 01508536500 Telephone number: Fax number: Email address: Provider web address:
www.break-charity.org BREAK Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 4 4 0 0 The maximum number of service users who can be accommodated is 4 The registered person may provide the following category of service only: Care Home only - Code 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 - Code LD Physical disability - Code 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: There have not been any registration changes in the last year. 0 7 1 1 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 5 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 which was in November 2008. This included: three surveys returned to us by people using the service, four surveys from staff who work at the service and a survey from a health/social care professional. 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. Relevant information from other organisations. What other people have told us about the service. Information provided in the Annual Quality Assurance Assessment - AQAA - which the Manager completed and returned to us. What has this told us about the service? The responses in the residents surveys are positive, they all state that they are able to make decisions about how they spend their time and that the staff treat them well. They all know how to make a complaint if they need to. Additional comments were made such as: they respect my opinion and choices, they give me privacy, we go out places. The staff surveys included positive comments about the standard of care provided to the residents and that there is a homely atmosphere in the Home. Comments were made in both staff and residents surveys about the need for more staff, particularly drivers, to facilitate more activities. Within the AQAA it states that improvements have been made to the care plans and that they are written in a more person centred way now. The staff surveys state that they receive good information about the needs of the residents. The survey from the health/social care professional states that staff ask for advice when needed and act upon it. The AQAA includes many examples of how individual residents have been supported to make their own decisions about their lifestyle and care that is provided. There are also examples of how individuals have been supported to develop their independence. According to the AQAA the requirements made at the last Inspection with regard to the environment have been met. New flooring has been provided and several areas of the Home have been redecorated. A new kitchen has been installed and overall, the environment is more homely. The AQAA states that the organisation continue to recruit new staff following appropriate procedures and that staff receive ongoing training and supervision. It states that the role of the senior staff has been clarified so that all are clear about their responsibilities. The staff surveys confirm that they receive training and supervision although there is a comment on one that suggests that there needs to be additional Annual Service Review Page 3 of 5 training for staff. The AQAA describes the arrangements in place for managing the Home. A new deputy manager has been appointed since the last Inspection. An on call system is in place to provide support and guidance to staff out of hours. What are we going to do as a result of this annual service review? We will continue with our plan to carry out an Inspection at the Home as per the Commissions current procedures. However, we can carry out an Inspection at any time if we have concerns about the welfare of the residents. Annual Service Review Page 4 of 5 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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