Please wait

Inspection on 29/12/09 for 30 The Dock

Also see our care home review for 30 The Dock for more information

This is the latest available inspection report for this service, carried out on 29th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: 30 The Dock 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: Sally Seel Date of this annual service review: 2 3 1 1 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 30 The Dock Catshill Bromsgrove Worcestershire B61 0NJ 01527875062 Telephone number: Fax number: Email address: Provider web address:   julie.mcgirr@dimensions.org www.dimensions-uk.org Dimensions (UK) Ltd Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 4 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 (LD) 4 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 Dock is a traditional detached house in a residential area of Bromsgrove, which provides a home for four people who have learning disabilities, one of whom is also visually impaired. There is easy access to public transport and the town centre. The home has its own vehicle for people who sue the service. 1 8 1 1 2 0 0 8 Annual Service Review Page 2 of 8 The home aims to provide a homely environment promoting independence and dignity. People receive care and support to live as ordinary a life as possible in the community. People are encouraged to participate in the running of the home and share in the general household activities within their capabilities. The registered manager is Julie McGirr. Details of the current fees for the service are included in the Service Users Guide and start from sixty two pounds thirty five pence per week. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? 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. 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. Surveys returned to us by staff Relevant information from other organisations. What has this told us about the service? The last key inspection resulted in no requirements being made. The Dock has consistently provided good standards of care and has a good track record for continual improvement. The information from previous reports and inspection visits suggests that the home provides services that promote peoples health and wellbeing. In the AQAA it confirms that when required health and social care professionals guidance is sought to keep individuals healthy and well. The registered manager has completed an Annual Quality Assurance Assessment (AQAA) when we asked for it. It was clear and gave us detailed information with good practice examples to illustrate what has improved and further improvements that are being made to benefit each person living at the home. The AQAA tells us that people who live in this home are able to influence the services and facilities they receive to live their daily lives as they choose. In practice this is achieved by the following:Person centred care plans are in place so that staff have the guidance required to meet individuals goals and aspirations. Reviews are also held to make sure individuals changing needs are highlighted. Reviews also give everybody involved in supporting each person the chance to evaluate the care and support provided to ensure individuals needs continue to be met appropriately. There is a key worker system is in place whereby people can express their individual feelings, wishes, concerns or issues on a one to one basis. We are advised that Regional Everybody Counts meetings are held and a person from the home attends as a representative of the people who live at The Dock. These meetings provides everyone involved in supporting people, such as, family members Annual Service Review Page 4 of 8 and advocates, the chance to have their say about services and facilities provided to individuals so that good outcomes are achieved for all people. In addition to the foregoing the registered manager tells us that, Regional Advisory Forums are held with representation from the people we support families. Responses received from staff survey told us:Give care in all aspects. Communicate with families. Cover food choices. The registered manager confirms in the AQAA that, Staff are employed in accordance with the organisational policies on equality and diversity. Also staff have received training around the services own person centred training, Our Approach. This training reflects individuals needs in relation to disability, religion, culture and sexuality and how these are met in positive ways that are meaningful to each person. The AQAA tells us that the registered manager is arranging and planning for staff to attend training in issues concerning Equality and Diversity. In practice staff support people to attend church and or other religious venues so that people are able to continue to practice their own religious and spiritual preferences. There is a range of equipment to support peoples health care needs and a variety of home cooked meals are available to suit the preferences and needs of the people who live in the home. Individuals are also supported to choose their own meals and menus are available in pictorial formats to aid this together with people being supported to go shopping for meals. We are also advised in the AQAA that there is a proactive approach in supporting individuals to make their own decisions in their daily lives. The registered manager confirms this, To encourage people we support to take more control over their lives to enable them to live their life how they would like to. We are told in the AQAA that people are supported both in the home and community to lead meaningful lives. People have tried new activities such as sailing and rally driving experience, keep fit, computer club and more activities are taking place during the evenings. It is noted in the AQAA that individuals are given support to be as independent as possible at times to suit them. The registered manager has highlighted areas that they are looking to improve in the next twelve months as:To develop more flexible working patterns for the staff team , to have the right staff in at the time it is needed To continue to develop more friendly ways of planning/recording of activities that reflect individuals personal communication preferences To support staff members who dont drive to access driving lessons To develop individual plans for people we support to utilize public transport To support people to make and maintain friendships. Response in one staff survey told us:- I feel that the staff at work very well as a team with good support given to the people we support needs. The AQAA tells us that, People we support and their families have been involved with the re decoration of the home having individual choice on how individual rooms and communal areas are Annual Service Review Page 5 of 8 decorated. Improvements that have been made since we last inspected the home are:A new front door and a rear patio door have been fitted, providing increased security to the service The garden has been maintained The hallway is in the process of being redecorated. In the next twelve months it is reported in the AQAA that further improvements are planned to make sure that the home continues to meet each persons needs and is well maintained. These improvements are:Replace flooring in the dining room, hallway and porch Complete decoration of the hallway, stairs and landing To improve garden areas and have support to maintain it To have a new bathroom suite fitted upstairs To support one lady to choose how she would like her bedroom decorated and to ensure this is achieved for her To continue to develop the use of the dining room as a sensory area. Seven staff have completed infection control training course and this knowledge will be utilised in the home and should ensure that the already high standards in this area are maintained and added to. The registered manager has confirmed within the AQAA that they are committed in ensuring, Low turnover of staff indicates continuity of care and a knowledge and understanding of individual needs and develops good relationships with the people we support. It is noted in the AQAA how the service has improved in the last twelve months in relation to staffing:More staff have been recruited to the home, the home is now fully staffed The home now provides an awake night staff, ensuring that staff are no longer being disturbed during a sleep in shift All people we support have individual person specifications to help with recruiting people with the right skills The manager has received training in Visual Impairments Staff sickness levels have continued to remain low Introduced Our way of working for all staff Annual Service Review Page 6 of 8 Regular supervisions upheld 50 of the staff team have had training in autism, positive behavioural supports, visual strategies, communication and sensory processing A team day has taken place and a further one is planned Support staff have continued to undertake new roles and responsibilities (facilitating person centred plans, developing duty rotas, chairing care reviews) Staff are undertaking updates of training via e-learning, providing a flexible way for staff to access this and freeing up places at training courses for new starters. We also saw in the AQQA that all nine staff have received all mandatory training which includes, health and safety, first Aid, food Hygiene, fire safety, moving and Handling, and protecting vulnerable adults is provided. The registered manager told us that four staff have completed National Vocational Qualification Level 2 (NVQ). One permanent and one relief member of staff have completed NVQ Level 3 with another two staff commencing this training. This should make certain all staff have the knowledge and skills to meet the needs of each person living at the home. It was positive to note that the AQAA tells us that best interest decisions are made when people who live in the home are not able to communicate and or understand on certain aspects of the lives. Decisions may need to be made in relation to a persons health (could be treatment) and or care and or to discuss any restrictions that need to be placed upon a person to decrease risks to their health and wellbeing. Professionals who support individuals to make these decisions can be doctors, psychiatrists, advocates etc. The AQAA confirms that there are plans in the next twelve months to make sure staff receive updates in respect of the Mental Capacity Act (MCA) and Individual Mental Capacity Advocates (IMCA) services. This should ensure that staff have the knowledge so that peoples choices and rights are protected using the appropriate processes. In the AQAA it is noted that one complaint has been received by the service in the last twelve months. One safeguarding referral has also been made which was resolved within 28 days. The Care Quality Commission (CQC) have not received any complaints about this service since we last inspected. The registered manager continues to let us know about the things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and we will do a Annual Service Review by 18th 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 7 of 8 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 8 of 8 - 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!