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Inspection on 05/05/10 for Dean House

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

This is the latest available inspection report for this service, carried out on 5th May 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: Dean House The quality rating for this care home is: The rating was made on: two star good service 2 6 0 2 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: Chris Wroe Date of this annual service review: 1 6 0 3 2 0 1 0 Annual Service Review Page 1 of 5 Information about the service Address of service: 267 Wellingborough Road Rushden Northants NN10 9XN 01933350225 01536726496 deanhouse@communitycaresolutions.com www.communitycaresolutions.com Community Care Solutions Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 9 0 Dean House care home is registered to provide personal care to male and female service users who fall within the following categories: Learning disability (LD) 9 The maximum number of persons to be accommodated at Dean House is 9. 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 Dean House is operated by Community Care Solutions Ltd and is registered to provide accommodation for a maximum of nine adults with learning disabilities. The premises are located in a Victorian terrace house within easy walking distance of Rushden shopping centre and local leisure facilities. People living there share a communal living area, dining room, kitchen, two bathrooms and one shower room facility. Laundry services are provided in-house. The current range of fees is from £542.75 to £1527.35 a week. 2 6 0 2 2 0 0 9 Annual Service Review Page 2 of 5 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 about Dean House, 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, like relatives, staff, GPs and social workers. - Any 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 report - What other people have told us about the service. What has this told us about the service? The last inspection report told us that outcomes were good for people living in the home. A new manager had come into post, and had been making some positive changes in the home, taking on board actions that we previously said needed to be carried out. The information we have tells us that there have been no major changes to the service since the last inspection. We received six surveys from people who live in the home. People who filled in our surveys tell us that they are generally getting good care at Dean House. They told us that they are able to make choices about what they do, and that staff listen to them and act on what they say. People told us what the home does well. These were some of their comments: The house is always clean; Listening from staff; Good parties; Staff listen. People who live in the home also told us about things that they felt could be better in the home. One person said: New things. New furniture. Another person said [Id] like to go to the pub more. Four members of staff who work in the home also filled in our surveys. They gave us mainly positive answers to all our questions. Members of staff told us they get enough support, experience and knowledge to meet the different needs of people who live at the home. We asked staff what the home does well. One person told us: [The] home is always cleaned; staff communicate very well. Staff are always there for service users. Service users get on very well with staff. Manager very helpful. Another member of staff said: The home has a nice homely feel about it, all the service users are treated equally, as they should be, and all appear to be happy in the home environment. A third member of staff told us what they thought was good: Joint activities; communication between service users and staff; good rapport between staff and service users. We had some comments from staff about what could be better. One person said: it would be good for the home to have its own transport to enable shopping trips to be Annual Service Review Page 3 of 5 further away than just local shopping. Another told us: We are understaffed a lot of the time and some people have to work really long hours to cover shifts, which is not good as staff are over-tired. A third member of staff told us it would be good if there were better appliances i.e. new sofa, new stereo. We also had a further similar comment: The decoration and fittings need replacing in a lot of places. This person also said We have to wait ages sometimes for money to be authorised for things. Outings are poor here. We have talked to the manager about these comments. The manager explained that working additional hours is completely voluntary, and that some people choose to work longer hours as a preferred pattern, but this is not forced on people. Issues around tiredness would be picked up in daily management and supervision. The manager also told us that a planned programme of redecoration and refurbishment has now started. some peoples bedrooms have been decorated, floors have been replaced in the kitchen and one bathroom, and new furniture is being bought. She said that people can have access to their money when they would like it. She explained the companys system for staff to access money - where money is requested and then supplied within a short time. We would suggest that the comments that have been made are looked at by the provider, who can look at whether any changes are needed. The home sent us their annual quality assurance assessment (AQAA) when we asked for it. The AQAA showed us that the service continues to try to make improvements. In the AQAA it was acknowledged that there have been some issues with redecoration due to changes in the maintenance team - and it described plans to redecorate the home, with input from people who live in the home to choose colours. We did see from the AQAA that some policies have not been reviewed since 2007 - as the current manager came into post in 2008, it would be good if these were looked at to ensure they are up to date. We have not received any notifications that have made us concerned. We have also not received any information about complaints about the home. What are we going to do as a result of this annual service review? From the information we have looked at, we have made the decision that we are not going to inspect immediately. The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the risk level of the service. We will have more information about this when the new registration and inspection system is confirmed under the Health and Social Care Act 2008. 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 4 of 5 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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