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Inspection on 16/03/10 for Somerset House

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

This is the latest available inspection report for this service, carried out on 16th 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: Somerset House The quality rating for this care home is: The rating was made on: two star good service 1 7 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: Elaine Stoddart Date of this annual service review: 1 1 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 17 Somerset Road Heaton Bolton Lancashire BL1 4NE 01204493126 01204493126 info@perpetualcare.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Perpetual (Bolton) Ltd Number of places (if applicable): Under 65 Over 65 6 0 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 Somerset House is a small care home providing residential care for up to 6 people with mental health needs. The current fee ranges from 700.00 pounds per week, however this varies depending on the assessed needs of individuals. The home is part of a small group of two homes, the other being Hartington House. Both homes share the same staff team and are situated near to each other in the residential area of Heaton in Bolton. The main office base for the two homes is at Somerset House, although there is a small office at Hartington House. A local company, Perpetual Care, own the homes, with the day-to-day management carried out by the registered manager. Somerset House is an end terrace house, and comprises of six single bedrooms and communal areas. The home is close to a main road leading into Bolton town centre and is accessible to local transport. 1 7 0 2 2 0 0 9 Annual Service Review Page 2 of 7 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 annual service review for Somerset House included the following: An annual quality assurance assessment (AQAA) was sent by us to the service. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers and it is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the manager 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 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations and what other people have told us about the service. What has this told us about the service? The provider 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 judgment is that the home is still providing a good service. They recognise that they are striving to make further changes as a result of listening to people. The AQAA reported that the service listens to the people they care for. They provide access to local independent advocates and the manager has daily contact with the residents. The residents are involved in planning their care and their likes and dislikes are listened to when preparing menus and activities. The manager was informed that no surveys were received from people who use the service or staff at the time of this report. The manager confirmed that these had been distributed to the relevant parties for completion. The AQAA reported that all prospective new residents are offered a number of introductory visits along with their social workers and families to meet fellow residents and staff. They are given time to ask as many questions as they like and they are invited for lunch or an overnight stay if they wish. The service users guide fully explains the aims and objectives of the service. Staff are made available to support prospective residents when reading this to ensure they fully understand it before Annual Service Review Page 4 of 7 making an informed choice if they wish to live there. The AQAA reported that a full assessment is undertaken along with information obtained from other professionals. This helps ensure the service can provide the care they need. To enable the service to provide the care, service user plans are drawn up to include all aspects of daily living and areas of need. These are reviewed six monthly or as changes arise. Risk assessments are completed on all areas of their care including physical health, social, personal and educational. These are reviewed regularly and enable the residents to take responsible risks in their daily lives. The AQAA reported that the residents are encouraged and supported to access the local community and facilities. An up to date events board, including local transport times is available and the service also has a company vehicle for activity purposes. Staff support the residents to access educational courses at the local college. Families are made welcome when they visit the service. An annual holiday is available to residents with staff support if they wish. All residents are registered with a local GP, dentist, optician and a consultant psychiatrist. Thus enabling them to keep well. All appointments, visits and any changes to their medication is recorded in the residents individual service user plan so that their health care is monitored. The AQAA reported that the residents are aware of how to make a complaint should they need to. No complaints or safeguarding incidents have been recorded in the last twelve months. Staff are trained in the protection of vulnerable adults (POVA). This enables the staff to be aware of how to protect the residents. Discussion with the manager confirmed that no Deprivation of Liberty applications had been made. These are made to help people who may lack the capacity to make certain decisions. The AQAA reported the home maintains a good standard of cleanliness throughout. Residents are encouraged to personalise their rooms and are supported to maintain them. The manager ensures all relevant health and safety checks are undertaken, such as gas, electricity and fire checks to provide a safe place for the people to live. Since the last visit the home has made improvements to the residents rooms. All now have laminated flooring and have been decorated. New furniture has been purchased in the front lounge. The AQAA reported that the home has a well established staff team to meet the needs of the residents. Staff are friendly and approachable, and treat everyone with respect. The National Vocational Qualifications (NVQ) levels within the staff team are good. Of the eleven staff employed, six staff have Level 2 and one new member of staff has just signed on the programme. Two staff have Level 3 and a further two staff are close to completion. The AQAA reported that all staff have received relevant training in infection control, food hygiene, moving and handling, health and safety, mediaction, first aid and fire awareness. Thus ensuring they have the skills to carry out their roles in a safe manner. Annual Service Review Page 5 of 7 New additions to the staff team have all undertaken the social care induction programme through the Bolton partnership scheme, which covers all areas of their work. All staff are given regular six weekly supervisions to support them in their roles. All staff are recruited following an up to date criminal record bureau check (CRB) and two written references. Thus ensuring the people they care for are protected from harm. The manager has worked at the home for three years. The manager is registered with the Commission and has a Registered Managers Award and an NVQ Level 4 in care. The AQAA reported that the manager and a senior are currently undertaking the Leadership and Management award. The AQAA reported that the manager maintains good records in all aspects of health and safety and risk assessments. Thus providing a safe environment for the people who live there. The AQAA reported that all policies and procedures are kept up to date in line with current legislation. The service continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. 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 it. 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. 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