Latest Inspection
This is the latest available inspection report for this service, carried out on 19th November 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 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 Trewiston Lodge.
Annual service review
Name of Service: Trewiston Lodge The quality rating for this care home is: The rating was made on: two star good service 1 8 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: Alan Pitts Date of this annual service review: 1 6 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Trewiston Lodge St Minver Wadebridge Cornwall PL27 6PU 01208863488 01208862438 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: Blakeshields Limited Number of places (if applicable): Under 65 Over 65 0 30 30 0 30 people may be accommodated whilst rooms 25 and 26 are used together as bedroom and living room, but room 26 may not be used as a bedroom whilst the fire exit is within the room. The maximum number of service users who can be accommodated is 30. The registered person may provide the following category of service only: Care home providing nursing- Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Physical disability- Code PD- maximum 30 places Old age, not falling within any other category- Code OPmaximum 30 places 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service None 1 8 1 1 2 0 0 8 Annual Service Review Page 2 of 6 Trewiston Lodge is a registered care home providing accommodation, personal and nursing care for up to 30 older persons. Service Users who require Terminal Care or have a Physical Disability can also be cared for, in this home. Trewiston Lodge is in North Cornwall between St Minver and Polzeath, situated near the villages of St Minver Lowlands and Tredrizzick. The home is a large property with a purpose built extension that provides spacious accommodation. There is a small well-maintained garden with far reaching countryside views. There is a car park to the rear and emergency parking to the front of the building. Accommodation for service users is provided on the ground and first floor with a stair lift provided to assist service users. The Registered Provider, is Blakeshields Ltd. The home does have a registered manager. 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 annual quality assurance assessment (AQAA) that was sent to us by this service (the AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service, and 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 random inspection. What has this told us about the service? This service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us the information we asked for, though more detail would have been useful in parts. We looked at the information in the AQAA and our judgement is that the care home is still providing a good service. Areas identified by the home where they can improve are not detailed, and they need to know what further improvements they can make. The AQAA told us the home does the following to incorporate the views of people that use the service: We listen to suggestions from service users and families. We conduct annual quality assurance questionnaires for service users, outside agencies and staff, and we take note of comments from these, and strive to rectify issues that are raised. The Annual Quality Assurance Assessment also told us the home made the following changes as a result of listening to people that use the service: Refining the questionnaires, in order to clarify points of view easier. The AQAA told us that the home does the following to ensure people have the information they need to make an informed choice about choosing to move in to Trewiston Lodge: Provide a service users guide to all prospective service users when the pre-admission assessment is carried out. Every enquiry for a room is given a copy of the service users guide. All existing service users have a copy of the service users guide in their room. The service users guide has been updated. Each service user receives a contract/statement of terms upon their admission to the home. Preadmission assessments are carried out on all prospective service users in order to know their needs and that we are able to meet them. These assessments, where possible, include the input of families/advocates. We liaise well with other health professionals. We provide specialist equipment to help with mobility, skin integrity, bathing etc, and ensure all staff have adequate training in their use. The AQAA also told us how the home ensure people know how to complain and are protected: We have a robust complaints procedure which has been updated. All staff are aware of this policy. There is a complaints policy in each copy of the service users guide. Complaints policy is also in the Statement of Purpose and in the policies file for staff. We have had 1 complaint in the last 12 months, which was resolved easily. The Safeguarding Adults Annual Service Review Page 4 of 6 policy has been updated. Safeguarding adults policy is also in the statement of purpose, and in the general policy file. Training has been booked for some members of staff. The home has purchased a Safeguarding Adults DVD, so all staff can now easily be trained in this. The whistleblowing policy is located both in the statement of purpose and in the general policies file. The AQAA told us how the home has improved over the last 12 months: Updated policies. Implemented the use of Creativity courses for the activities co-ordinator. The Registered Manager has now gained a management qualification Increased the amount of activities that we provide. Implemented new quality assurance questionnaires for outside agencies and staff. The AQAA also informed us that staff recruitment, retention, and training is a priority. Reviews of policies and procedures occur. 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 17th 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
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