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Inspection on 26/02/10 for Cavendish House

Also see our care home review for Cavendish House for more information

This is the latest available inspection report for this service, carried out on 26th February 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: Cavendish House The quality rating for this care home is: The rating was made on: two star good service 1 1 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: Elizabeth Kelley Date of this annual service review: 2 0 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Elizabeth Street Workington Cumbria CA14 4DA 01900605280 01900871107 Telephone number: Fax number: Email address: Provider web address:   www.cumbriacare.org.uk Cumbria Care Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 6 2 0 0 The registered person may provide the following category of service only: Care home only- Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability- Code LD Physical disability- Code PD (Maximum number of places 2) The maximum number of people who can be accommodated is: 6 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 Cavendish House is run by Cumbria Adult Social Care, formerly known as social services. The home had previously been a large home for people with learning disabilities which has now been scaled down to provide 4 respite beds. Cavendish House is a two-storey building situated a short distance from the centre of Workington a town on the West Coast of Cumbria. The ground floor is used for the registered care home providing respite breaks for up to four people with a learning disability. There is stairs access between the two floors. The ground floor is comprised of a games room, Annual Service Review Page 2 of 7 1 1 0 3 2 0 0 9 lounge, dining room, large kitchen, reception area and office. Private bedrooms are situated away from the communal and kitchen areas. There are sufficient bathrooms and toilets and specialist bathing facilities are available. The first floor is used by Adult Social Care as a base for domiciliary staff and office space for meetings. The current scale for charging is £501.81. A Service Users Guide is available for prospective residents, which includes a summary of the homes customer survey findings and details of how to get the latest Inspection report. All referrals and bookings are made through social services. 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 assessed all the information we have relating to the home. 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. We looked at information we have about how the home has managed any concerns, complaints or adult protection referrals. We also considered information supplied to us in Regulation 37 notifications. These are a legal requirement and provide us with information about significant events in the home that affect the people living and working there. We also look at the previous key inspection report and the results of any other visits that we may have made to the home in the last 12 months. Relevant information from other organisations and what other people have told us about the service is also taken into account. What has this told us about the service? We looked at the information provided in the AQAA , from surveys we sent out as part of this review and the homes service history and judged that the manager and staff are still providing an good service. The AQAA sent in by the manager was completed in good detail and gave plenty of evidence and examples to inform this report. For example it advised us: There is evidence the home has robust recruitment systems in place that make sure staff are safe and suitable for their role. Appropriate staff training is also being provided that gives staff the skills and knowledge they require. The manager is maintaining more detailed training records to enable her to identify training needs of staff. All the staff currently employed have achieved or are working toward their National Vocational Qualification NVQ level two or three. Staff survey responses were also very positive with staff talking about always getting up to date information about the people who are staying. They confirmed that full induction training is being provided with one person saying they had two weeks training before working in the home. People using respite were very pleased with the service they received. Comments were: Its a lovely home and I like staying here I like the food. It is clean. I like the staff. I like my manager(Brenda) Relatives also were very pleased with the service saying things such as : The staff are nice and polite. They look after my sister well. Annual Service Review Page 4 of 7 It allows my son to do his own thing which is what he likes. They have responded well to my suggestions and he obviously enjoys his stays. There is never a reluctance to go. Although he does not speak he is clearly relaxed there. It makes me content to know that my daughter is happy and well cared for when shes at Cavendish House, because the staff are wonderful. The only criticisms were about the state of the building, as the home has been seen as a temporary measure while a new respite centre is found. This has meant a certain lack of investment in the building. However basic safety and maintenance repairs are under taken. Staff have also tried to make the building as homely as possible. The AQAA described this problem: The main barrier to improvement of the environment is reluctance to invest until a strategic decision is made about where the service will be located. Refurbishment has been identified. We are awaiting costings for further furnishings and approval. Some relatives were worried that a new centre would not have as good a location as Cavensih House, as currently it is very accessible for the town centre facilites and also has a good location in West Cumbria for visits. The AQAA reported that: Cumbria Care are frequently consulting with stake holders about the future of the service. Where possible Service Users initiate what activities they would like to participate in and staff actively promote this both within the home and the community. We try to adopt a flexible approach whenever possible to accommodate requests for allocation. Some families are happy to accept allocation of respite and other families will request particular dates and times. We try to consider the compatibility of the Service Users when possible. We are flexible in regard to admission and discharge times in accordance with requests from those accessing the service. Each individual Service User on admission requires a social workers assessment for which the service uses as a baseline to meet and develop the needs of the person. This is done through developing an individual support plan with the person and key people in their lives to ensure we meet their physical, social, spiritual and intellectual needs. The support plans are of a person centered approach which ensures that individual choice and promoting independence is key to their development. Person centred planning is being developed and promoted in the service so that the Service Users own goals, wishes and preferences can be considered in our approach and support. The Support Plans are reviewed on each admission to meet changing needs, and formally reviewed six monthly or when needs dictate. Support Plans are retained in the office but are freely accessible to Service Users, their carers and or representatives. Each year we send out customer surveys to Service Users, families and other relevant stake holders to gain their views of the service. An action plan is developed from the comments made and these are incorporated into the local business plan to meet the recommendations. Last years surveys reinforced the need to focus on the environment within Cavendish House which has resulted in redecoration of the main kitchen and Annual Service Review Page 5 of 7 bathroom and new flooring in the bedrooms. New furniture is currently on order. Professionals reported that: Supports a divers group of users. Works well with other stakeholders involved in the service users life. Responds well to emergency situations. Cavendish House follows Cumbria County Councils recruitment procedures and has access to the Human Resources team for support and guidance. Cumbria Care provide a good training network to access the appropriate training for the staff members working in the home, as well as corporate training i.e. Equality and Diversity. Cavendish House follows Cumbria Care policy on continuous professional development. Staff training needs are identified through supervision and annual appraisal and accessed accordingly to ensure staff have sufficient knowledge to carry out their defined roles and responsibilities. Rotas are done to meet planned Service User needs. Cavendish House have recruited additional relief staff and now have a bank of relief staff to cover staff absences, they are included in team meetings and training in the home to provide continuity of care to the Service Users. Improved management of team, clarified staff roles and responsibilities. Manager has strengthened schedule for supervisions. Staff members have a designated named supervisor who provides supervisions in accordance with Cumbria Cares Policies and Procedures, leads team meetings and conducts the staff appraisals. Supervisions and team meetings are planned and have set agendas to ensure all areas of information are cascaded to staff. Team briefs provide another tool for communication and staff feedback. All these measures ensure that the service is run in the best interest of people staying at Cavendish House. What are we going to do as a result of this annual service review? Based on the evidence described above there is no need to change the current inspection plan. However, the service will be inspected sooner if we have any concerns about the safety of people living in the home or the quality of the service provided to them. 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. 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