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Inspection on 06/11/09 for Juniper

Also see our care home review for Juniper for more information

This is the latest available inspection report for this service, carried out on 6th November 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: Juniper The quality rating for this care home is: The rating was made on: two star good service 2 1 1 0 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: Mary Cochrane Date of this annual service review: 0 5 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: The Forstal Mersham Ashford Kent TN25 6NU 01233720849 Telephone number: Fax number: Email address: Provider web address:   juniper@counticare.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Counticare Ltd Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users to be accommodated is 3. The registered person may provide the following category/ies of service only: Care home only - (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). 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 Juniper provides residential care for up to 3 adults with a learning disability. The home is owned by the Caretech Company, who are providers for other servcies throughout the East Kent area. The Home is situated in the village of Mersham, some 15 minutes drive from the town of Ashford where there is a variety of amenities such as shops, swimming pool, a cinema, churches, pubs, clubs and colleges. The home has access to a minibus and Annual Service Review Page 2 of 7 2 1 1 0 2 0 0 8 other vehicles owned by the company. Service Users also make use of the day centre owned by the company. Juniper is a detached bungalow comprising of a single bedroom for each resident, a lounge, kitchen, conservatory/dining room, laundry room and office. There is a small enclosed rear garden with seating and a barbecue area, and there is a parking area to the front of the property. Staffing comprises the registered manager, deputy manager and support staff. Fees for this service range between £986.00 and £1021.00 with additional charges for hairdressing, magazines and leisure activities. 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? The good rating was made at the last Key Unannounced Inspection on 21st October 2008. We looked at all the information that we have received, or asked for since the last key inspection or annual service review. 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. Surveys returned to us by people using the service and from other people with an interest in the service. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. 5.The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was completed to a good standard and contained all the information we needed to do the annual service review. We looked at the information in the AQAA and our judgement is that the home is still providing a good service. The home has consistently met the National Minimum Standards. The AQAA told us that Juniper continues to provide good outcomes for the service users. The service actively seeks the views of people living in the home and involves them in the day to day running and planning. Each person has a key-worker. This makes sure that peoples views are promoted and incorporated into the daily running of the home. The service users at Juniper are invited to attend weekly 1 to 1 talk times This is a chat with the persons key worker about areas of the house, their lives, activities, relationships, their wishes and aspirations. This helps service users to make choices and decisions around all aspects of daily life. There are also monthly service user meetings. This means that people can discuss any issues they may have with their home, staff or anything they would like to Annual Service Review Page 4 of 7 talk about. The AQAA told us that equality and diversity is incorporated into all aspects of the service. Race, gender identity, disability, sexual orientation, age, religion and beliefs are promoted and incorporated into what they do. This means that people will be treated equally and as individuals. Juniper are in the process of further developing My Plans with each person. Each service user has a comprehensive individual support plan which covers all aspects of personal and social support and also includes their health care needs. It includes a breakdown of their personal likes, dislikes and wishes on how they would like to be supported and treated. Service users make changes to their care plans and daily activities on a continuous basis. One service user has completed his own care plan. This involved using his own computer. Another service user has been supported to use an alarm clock to get himself up independently at his chosen time, and has been encouraged to answer the phone instead of the staff. The AQAA gave examples of how the home supports people. For example Service users are supported to develop and maintain relationships in-side and out-side the home. Goals are reviewed regularly and people keep daily diaries to show what achievements and activities have been done. The staff at Juniper have a flexible approach to shift hours to accommodate the needs of service users They make sure days out or evening are not cut short due to shift patterns. Family links are strong at Juniper and are maintained and supported by staff liaising with both service users and parents. Service users are been supported to access the community more by regularly. They have chosen their annual holiday, a weekend break away and two camping trips. Service users are being supported to go to church every week. And this has helped extend their circle of friends. One person has already invited the local Reverend to their home. Another service user has invited a friend over for dinner and was supported to plan and cook the meal. People are able to visit their families and do things with them. Some service users have community based paid job and some voluntary work at Ashford post office. Another service user has been supported to complete a road safety training programme which will help him achieve some level of independence out in the community. One service user has successfully been able to use his mobile phone to keep safe and in contact with the home when out unsupported in the community. Service users have accessed the community more by using public transport and attended local events. In the surveys that were returned to us by service users they said, I enjoy living at Juniper. I get on well with everyone. We work well as a team. Annual Service Review Page 5 of 7 It is a lovely home. At last inspection it was recommended that the service needed to develop a plan for renewal maintenance of the home with timescales. The AQAA did not tell us if this had been done. It did tell us that some environmental issues had been addressed. People told us in the surveys the home could do better with maintenance. They said When we need new things it takes a long time to get them. Maintenance could be quicker. It takes time a long time to get things fixed that are not emergencies. The staff receive the training they need to do their jobs effectively and safely and in the best interests of the people who live at the home. They have also received Mental Capacity Act and Deprivation of Liberties training. This has helped to review and improve support given and decisions made by individuals. Service users continue to be included in mandatory training sessions. The home told us that they have received no complaints about the service they offer in the last 12 months and they also said they have not had to notify us of any incidences affecting the people who live in the home or the service. At the last inspection it was stated that the home provides good outcomes for the people who live there. This review has told us that Juniper continues to improve and develop its standards and indicates that the home is performing as well it was at the last key inspection. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 20th October 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 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. 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