This is the latest available inspection report for this service, carried out on 19th March 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.
Annual service review
Name of Service: 114 Douglas Road The quality rating for this care home is: The rating was made on: two star good service 2 5 0 3 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: Wendy Jones Date of this annual service review: 1 6 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 114 Douglas Road Newcastle under Lyme Staffordshire ST5 9BJ 01782711041 01785711041 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Sandra Ann Forester Conditions of registration: Category(ies) : learning disability Conditions of registration: Staffordshire County Council Social Care And Health Directorate Number of places (if applicable): Under 65 Over 65 13 0 The maximum number of service users who can be accommodated is: 13 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 (LD) 13 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 The home in Douglas Road is a purpose built local authority respite care unit catering for up to 13 persons, originally only younger adults with a learning disability, but now the categories have been extended to also cater for both younger and older adults with Dementia, and younger adults with both Mental Health problems, and Physical
Annual Service Review Page 2 of 7 2 5 0 3 2 0 0 9 Disabilities. It offers short stay respite accommodation to both male and female service users. The home is conveniently situated to access a wide variety of community facilities, with the town of Newcastle approximately one mile away. A supermarket is within walking distance. It is located in its own extensive grounds with a safe bounded rear garden containing a patio and a fountain. Communal space on the ground floor comprises two dining rooms with kitchenettes, two sitting rooms, and a separate games and activities room housing a pool table. 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 or annual service review. 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. 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 the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service.. What has this told us about the service? We received the Annual Quality Assurance Assessment (AQAA) when we asked for it. It contains detailed information about the service what it does well and how it can improve. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. The AQAA tells us that the service ensures Equality and Dignity stating, In line with the departments policy everyone is treated as equal in their rights, privacy & dignity are always respected. Staff have the opportunity to attend workshops for Disabled workers, Black Workers, LGBT networks. Emails are put in the staff office informing staff of dates / times. Senior staff work on the floor with support staff to ensure equality & diversity is incorporated into everything we do. Some staff have attended training in Equality & Diversity. All staff have completed NVQ level 2. We have registered as Dignity in care champions. Staff & carers have been given Dignity in Care cards. Presentations / discussions have taken place during carers / staff meetings. We have also been told that in the AQAA that, We maintain suitably qualified, motivated and committed staff who promote a healthy & safe environment. Newly referred users are confident that their needs can be met, are given time to get used to the unit, other users of the service & staff, routines etc. Staff gather information from Annual Service Review Page 4 of 7 other agencies contact etc to ensure needs are met. The service says it has improved since the last key inspection by, Listening & acting on service user, staff feedback. H&S / Safeguarding / Whistle blowing discussed in all meetings. And knows it needs to make improvements in the following areas, Have better communication methods suitable for guests with limited understanding. Further training offered to staff in specific areas e.g. Deprivation of Liberty. Equality & Diversity etc. Create an awareness of our service to people in the community e.g. advertise. Develop independence further eg enablement / daily living skills training. Have access to routine initial /refresher training in emergency treatment of seizures. Four staff have returned surveys and have told us, Ive been working in the home from the beginning and think we do very well. Service users like the staff in place and we know what people using the service need, but I think the garden needs tidying and a relaxing area should be made in the back garden for people to enjoy during the summer. We offer a very caring and professional approach to service users but we need more staff. The service provides excellent care at all times to meet the needs of individuals. Offers on going training in order to keep up to date with the skills required to provide quality care. I have been at the service for 6 months and am very impressed by the standard of care given by the support staff, their knowledge is second to none and could not be improved. Care plans and risk assessments are up to date and the management team work hard to achieve a good standard all round the service. But we could do with more staff to be able to access the community at weekends. This unfortunately cannot be achieved at all times due to the staffing budget. A social worker said in a survey that, The service encourages independence. We have received two surveys from people who use the service, they both said that they had received information about the home and had been asked if they wanted to go there. They also said that they know how to make a complaint and who to go to if they have any concerns. We spoke to one relative about the service, they told us, I am quite satisfied with Douglas Road. My daughter likes going there and she would soon let me know if there is a problem. When we have had little hiccups, Ive let them know and they have been sorted out quickly. We have not received any complaints about the service since the last key inspection visit and information in the AQAA indicates that no complaints have been made to the home. We have noted that the AQAA states that 10 safeguarding referrals have been made in the last 12 months and have been investigated. We have been satisfied from the information we have available to us that the service has acted promptly to report concerns and co-operated fully in any investigation.
Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We will continue to monitor the service through the regulatory programme. 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 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!