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Inspection on 08/03/10 for 44 Wilton Road

Also see our care home review for 44 Wilton Road for more information

This is the latest available inspection report for this service, carried out on 8th 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.

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: 44 Wilton Road 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: Alison Duffy Date of this annual service review: 2 4 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 44 Wilton Road Salisbury Wiltshire SP2 7EG 01722410724 Telephone number: Fax number: Email address: Provider web address:   judith.grant@rethink.org www.rethink.org Rethink Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 8 0 The maximum number of service users who can be accommodated is 8. The registers person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admisssion to the home are within the following category: Mental disorder, excluding learning disability or dementia - Code MD 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 44 Wilton Road is an 8 bedded home for adults who have long-term mental health problems. The registered provider is Rethink, and the building is owned and managed by Sanctuary Housing Association. The registered manager is Mrs Judith Grant. 44 Wilton Road is located in the city of Salisbury and is within walking distance of the city centre. The home offers easy access to local amenities and is situated in a quiet cul-de-sac. There is ample parking to the front of the home, and ramped access is Annual Service Review Page 2 of 7 There has been a new Responsible Individual. available. There is a large secluded garden to the rear of the house, with a patio area and a conservatory. Staffing levels are maintained at two or more staff on duty during the waking day. At night, a member of staff provides sleeping in provision. An on call management system is available at all times. 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: 1. 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. 2. The previous key inspection, which took place on the 6th February 2008 and the last annual service review that was undertaken in February 2009. 3. Surveys returned to us by two people who use the service, three staff members and four health/social care professionals. 4. What the service has told us about things that have happened in the service. What has this told us about the service? The AQAA stated the residents that live at 44 are fundamental to all that we do, the staff role is to support and enable them to live fulfilling lives. We treat everyone with respect and therefore allow him or her to make their own choices and support them if help is required, and support them if they make the wrong decision. The AQAA gave details of a clear admission procedure. It stated that people met with their key worker on a regular basis to develop their individual recovery plans. The plans were broken down into manageable targets and covered aspects such as medication, physical and mental health, family contact, aspirations, move on and spiritual needs. The AQAA stated we ensure the full involvement of each resident on how they take their own steps to their personal recovery, each resident is treated individually, building on what we know they can do, giving them hope, and support in areas where it is needed and a sense of pride and self worth for the future. We saw that staff training in the subject of recovery was something the service could improve upon and was being planned for the future. The AQAA stated that people were supported to maintain relationships and be part of their local community. Staff supported people to source activities and leisure pursuits according to their needs. People were encouraged to partake in daily living tasks such as cooking and maintaining the cleanliness of their environment. Encouraging people to take up new interests and have more new experiences was something the AQAA said the home could improve upon. We saw that it was the services intention to view all complaints positively so that service provision could be further developed. The AQAA stated that people had a copy of the complaints procedure in their room. There was also another copy available on the notice board for all to read. We saw that people were supported in accessing the local advocacy group/interpreters, as required. The AQAA confirmed all staff adhere to rethink policies, complaints, protection from abuse, policy statement on bullying, confidentiality and information sharing, whistle blowing and grievance and the management of aggression. Annual Service Review Page 4 of 7 The AQAA stated all staff have the competencies to meet the residents needs, staff respect the residents, they are approachable and friendly, and motivated and all have good communication skills, who support residents to express their views on all aspects of their lives and help them achieve their goals. We saw that a workforce development manager was now in post which enabled further opportunities for staff training. The AQAA stated that Rethink had started a training programme for staff called Recovery champions. The AQAA described this as a very experiential and interactive approach to learning, which allowed time for self reflection. In relation to equality and diversity, the AQAA stated all staff are mandatory trained in race equality and discrimination. All staff have to adhere to the operational policies and the team leader takes the diversity lead for the house, she therefore ensures that we promote and incorporate this into everything that we do. Within surveys, people told us that they were asked if they wanted to move into 44 Wilton Road. They said however, that they did not receive enough information before moving in. People told us that they could decide what they wanted to do during the day and at weekends. One person told us that they knew how to make a complaint. The other person did not know how to do this. People told us that staff always treated them well. In relation to our question, do staff listen and act on what you say, one person said always. Another person said sometimes. Within their survey, staff members told us that they were always given up to date information about the people they supported. They had training related to their role and regularly met with their manager to gain support and discuss their work. They said their employer carried out checks such as CRB and references before they started work. The staff members said that they knew what to do if someone had concerns about the service. They said there were usually enough staff to meet the individual needs of people. In relation to what the home did well, one staff member said support the needs of the service user. Another staff member said 44 Wilton Road provides support that is specifically tailored to each of its individual residents and rooted in the recovery approach. Residents are very much involved in the running of their home and encouraged to make their views known through regular residents evaluation meetings as well as choosing the structure of and who will attend their ICPA meetings. There is a strong staff team within which communication is open and constructive. As a team we are proud of our service and always looking for ways to improve the service we provide and the lives of those who live there. Another staff member said we are very good at creating a warm, homely, friendly atmosphere. We treat all residents, visitors, family and friends with respect and welcome anyone entering the house no matter who or at what time they may arrive. In relation to what the service could do better, two staff members commented on staffing levels. Specific comments were more staff and the home is run with limited resources and staffing levels are always an issue. Another staff member told us we are currently working on better utilizing our outside/garden space. Within their survey, social/healthcare professionals told us that peoples social and health care needs were properly monitored, reviewed and met by the care service. They said the service sought advice and acted upon it to improve peoples wellbeing. They said peoples privacy and dignity were respected and people were supported to live the life they chose. They said managers and staff had the right skills and experience to support peoples social and health care needs. In relation to what the Annual Service Review Page 5 of 7 home did well, one social/health care professional said medicines management issues dealt with effectively and thoroughly. An excellent audit trail. Good policies and care plans in place. Another social/health care professional said very caring, good understanding of the conditions of people it looks after, professional, a life line in fact. In relation to what the service could do better, one health care professional said stay running, more spaces available. At the last inspection, we judged all outcome areas as good. The last annual service review, which was undertaken in February 2009 identified that the service continued to provide a range of good outcomes for people. There have been no complaints reported to us since the last inspection. The home has informed us of any incidents, which affect the wellbeing of people who use the service, under regulation 37. What are we going to do as a result of this annual service review? The information available, gives evidence that 44 Wilton Road is continuing to provide good outcomes for people. Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 2011. 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. 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