Latest Inspection
This is the latest available inspection report for this service, carried out on 7th 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 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 White Lodge.
Annual service review
Name of Service: White 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: Christine Bowman Date of this annual service review: 0 5 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Southview Road Headley Down Hampshire GU35 8HY 01428713877 F/P01428713877 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Omega Elifar Limited Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users to be accommodated is 4. 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 Manager has left the organisations employment Number of places (if applicable): Under 65 Over 65 4 0 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service White Lodge has undergone a major refurbishment and now offers a newly decorated and completely wheelchair accessible home for four service users with learning disabilities. The home is owned and managed by Omega Elifar Ltd, who also has three other
Annual Service Review Page 2 of 7 registered services in the area. The home is situated in quiet cul de sac in a semi-rural part of Hampshire between the villages of Grayshot and Headley. Annual Service Review Page 3 of 7 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. 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 gave us some numerical information about the service. Two staff returned completed surveys, giving their views on the service provided to the people using the service, and on the support offered by the organisation. Information we have about how the service has managed any complaints or allegations. 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 report of 6th November 2008. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it and it gave us the information we requested. The AQAA confirmed that the service users had been regularly consulted about the running of the home, and that changes had been made as a result of listening to their views. Some of the changes made as a direct result of listening to the people who use the service included; reviewing all the service users activities, involving them in their choice of local community events and activities, and providing support to enable service users to participate in a wider range of their preferred activities. Further changes planned over the next twelve months, as a result of listening to the people who use the service, included seeking alternative activity providers and incorporating additional events for individuals and groups. Improvements in all the eight outcome area, made for the benefit of the clients over the previous twelve months, had been recorded in the AQAA and included; we have implemented our Quality Audit and adopted a more person centred approach. The AQQA recorded that the service was in the process of transferring service users documentation to a more person centred format, that the home had liaised with relevant professional bodies to enhance the service users lives and ensured they attended regular check-ups with dentists and General Practitioners. The advice of a dietician had been sought with respect to ensuring service users received balanced diets and enjoyed healthier lifestyles. Safeguarding Adults training had commenced for all the staff team. Over the next twelve months the AQAA recorded that the the service will be expanded, by opening new homes to make the facilities available, more appropriate to a wider range of service users, to build upon the person centred approach to care, to provide multi-sensory equipment within the home environment, and to continue to expand on the range of activities afforded to the service users, to include opportunities for continuous development. The newly appointed manager will be applying to become the registered manager for the service and the excellent retention of staff, evidenced in the numerical section of the AQAA, will be supported by engaging more bank staff to Annual Service Review Page 4 of 7 support consistency and continuity for the service users. The home had been completely refurbished in consultation with the service users, prior to the site visit last year. Some environmental improvements carried out over the last twelve months included, building a summer house in the garden for the service users, providing them with a pleasant place to sit and enjoy the garden, and giving them an additional eating venue or alternative activity room. The planting of the garden was in progress in consultation with service users, the AQAA confirmed. The two staff members, who returned completed surveys, both confirmed that their employer had carried out checks such as Criminal Record Bureau and references before they started work, to ensure that only suitable applicants would be considered to work at the home. They recorded that their induction covered everything they needed to know to do the job when they started, very well. The two staff members also confirmed that their manager gives them enough support and meets with them regularly to discuss how they are working, and that they felt they always had enough support, experience and knowledge of the different needs of the people, who live a t the home, with respect to equality and diversity issues. Comments on what the home does well included, supporting service users to meet their potential, both at home and in the community, ensuring service users health needs are met, and the training is good. The AQAA recorded that no complaints had been received over the previous twelve months, and the previous inspection report confirmed that the homes complaints system was accessible and understood by relatives and advocates. The AQAA informed us that the service has systems in place where clients can raise concerns, such as monthly meetings, and the two staff, who completed surveys, recorded that they knew what to do if someone has concerns about the home. The AQAA recorded that two safeguarding referrals had been made, but no safeguarding investigations had been carried out as a result. The home continues to let us know about the things that have happened since the last key inspection and they have shown us that they have managed issues well. Several notifications of medication errors had led to disciplinary action with respect to a senior staff member, and the reinforcment of the medication policy and procedure. Improved medication monitoring had been introduced, and all the staff had received internal training on the administration of medication. The previous key inspection report completed on 7th November 2008 included good outcomes for the service users under all eight outcome areas. Two recommendations had been made for the improvement of the service. These included, to give more prominence to the, About Me handbook, make this information more accessible and easier to read, and that the manager list any concerns in the complaints book and record the outcomes for future reference. The management work well with us and have shown us that their service continues to provide good outcomes for the people who use it, and that they take into account the views of all stakeholders in their plans for the future of the service. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 We will continue to monitor the service and the schedule of inspection remains the same. However, we can inspect the service at any time should there be any concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 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:
Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
