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Inspection on 04/12/09 for Maybank Residential Care Home

Also see our care home review for Maybank Residential Care Home for more information

This is the latest available inspection report for this service, carried out on 4th 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: Maybank Residential Care Home The quality rating for this care home is: The rating was made on: two star good service 0 6 1 2 2 0 0 7 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: Mike Murphy Date of this annual service review: 0 4 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 43 Slough Road Iver Heath Bucks SL0 0DW 01753653636 Telephone number: Fax number: Email address: Provider web address:   maybank@regard.co.uk Name of registered provider(s): Name of registered manager (if applicable): The Regard Partnership Ltd The registered provider is responsible for running the service Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users who can be accommodated is: 6 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 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 Maybank is a care home providing personal care and accommodation to five service users with a learning disability. The home is owned and managed by the Regard Partnership Ltd. The home is located in Iver heath, which is accessible to local shops including a post office and public house. Other facilities and interests are accessed by car. The home is a large chalet type bungalow, which has been extended over the Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 6 0 Yes. New manager appointed . 0 6 1 2 2 0 0 7 years. All of the bedrooms are single. The home has a secure large rear garden and a driveway at the front of the property. 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 we have received, or asked for, since the last key inspection This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessement 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 about how the service has managed any complaints. What the agency has told us about things that have happened in the service, these are called notifications and are a legal requirement. The report of the previous key inspection carried out on 6 December 2007. The report of the last Annual Service Review carried out on 27 November 2008. The results of a survey we carried out for this review. What other people have told us about the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the agency is still providing a good service and that they know what further improvements they need to make. The home seeks the views of the people who use the service and of other stakeholders (such as families, health and social care professionals) through house meetings, individual care reviews, quality assurance surveys, and multi-agency forums. Through these activities the home informs us that it has improved links and communications with external agencies, work more closely with health and social care professionals in meeting the needs of users, improved support to users of the service to access healthcare services in the community when required, and ensured good standards of practice when assessing people considering using the service. The manager informs us that the home is obliged to conform to the Equality and Diversity policy of The Regard Partnership Limited. In practice this includes offering users of the service a choice of male or female staff in some aspects of care, respecting peoples religious choices and supporting individuals to follow their religion where required, supporting users of the service to participate in activities in the community, and respecting peoples choices with regard to sexual preferences. Over the past 12 months the home informs us that it has maintained good relations with placing authorities through regular contacts, implemented comprehensive person centred plans (PCPs), involved users and next of kin in decision making, endeavoured to support users to take more control of how they spend their time inside and outside of the home, and implemented pictorial and easy read healthcare plans which are Annual Service Review Page 4 of 7 reviewed every three to six months. All staff have received training on safeguarding vulnerable adults and new documents are being introduced to facilitate communications between staff and users. All staff will require training in the use of these to ensure that they are implemented effectively for the benefit of users living in the home. Improvements in the environment have concentrated on the garden over the past 12 months. These have included planting more flowers, replacing garden furniture and washing paths and patio areas. The manager reports that staff turnover has reduced over the past year. The home ensures that new staff attend an induction programme and that all staff have ongoing training and professional development. This includes training provided by the local authority and recent training has included Communication, Safeguarding Adults, Makaton, and Autism. The managers reports that eight of nine staff have now acquired NVQ at level 2 or above. Over the next twelve months the home intends to; provide information for people using the service in DVD/video format, provide more staff training aimed at enabling people using the service to be more independent, endeavour to increase the range of activities for users, improve staff training in infection control and in moving and handling, redecorate all communal areas of the home, follow up action identified in quality assurance reviews, and maintain stability in management. Senior managers have kept us informed of events in the home and in particular in changes in management towards the latter part of 2009. The present manager has had previous experience in the home and was familiar with the users living there and professional networks in the area. At the time of carrying out this review the manager had applied to the Commission to be the registered manager for the service. We carried out a survey for this review. We received four completed picture/easy read forms back from users living in the home. All had been helped by staff in completing the form. Users expressed satisfaction with the home. They told us that they can make decisions about what they do during the day, that they knew who to speak to if unhappy or to make a complaint, and that they were always treated well by staff. In answer to the question What does the home do well? users wrote: Food is good. It is always clean. I enjoy lots of activities with support from staff; Provides me with a clean environment and provides me with the assistance I need; and, They are always taking me out. I like going for drives and I like this home. I am happy here. In answer to the question What could the home do better users wrote I would like the house to be redecorated; and, I do not know. A health or social care professional respondent wrote Maybank serviced by friendly and helpful staff. Always happy to assist if required. The house is always clean with a friendly atmosphere. The clients are happy in their own home. New equipment is being purchashed to meet clients needs. This has involved meetings between staff and physios and OTs as well as demonstrations from the companies involved. Annual Service Review Page 5 of 7 We received six completed forms from staff. All were positive in their accounts of support from managers, information they are given on the people living in the home, on staff numbers, and on their own experience and knowledge in meeting the needs of users of the service. Comments on what the home does well included: Does well in looking after clients and got a good team of staff; The home is always giving us all the training we need and our manager is always giving us in house training so that we can give a good service to clients; Staff and management endeavour to provide all necessary support to service users, allowing them to maintain their independence; Looking after service users; Maybank try to do everything well; and, The home i.e. staff and management endeavour to provide all necessary support to the service users allowing them to maintain independence, choices and dignity at all times. In answer to the question What could the home do better? staff comments included: Provide a more generous food budget as current budget is very difficult to work with; Maybe more outings for the service users as there isnt always enough staff and time; and, Provide more day trips activities and more food budget......otherwise OK. 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 5 December 2010. However we can inspect the service at any time if we have concerns about the quality of the agency or the safety of the people using its services. 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). 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