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Inspection on 05/01/10 for St Brannocks

Also see our care home review for St Brannocks for more information

This is the latest available inspection report for this service, carried out on 5th January 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: St Brannocks The quality rating for this care home is: The rating was made on: two star good service 1 6 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: Judith Last Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 7 Cromer Road Mundesley Norwich Norfolk NR11 8BE 01263722469 01692650330 jstbees@janithhomes.org www.janithhomes.org Janith Homes Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : learning disability Number of places (if applicable): Under 65 Over 65 8 0 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: The registered manager resigned her post and left the home at the end of October. There is no registered manager in the service at this time. 1 6 1 0 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service St Brannocks is a care home providing personal care and accommodation to 8 adults with a learning disability. It is operated by Janith Homes Ltd and people living at the home attend day services at the companys main home, The Rookery, and Barrington Farm. St Brannocks stands in the Norfolk seaside village of Mundesley and is easily accessible to all community facilities and to bus links to the city of Norwich. The home has its own Annual Service Review Page 2 of 7 transport. There are enclosed rear gardens with a patio, lawns, flowerbeds,greenhouse and vegetable garden. Inspection reports are available, but would need to be explained to most residents. The easy read summary from the last inspection is displayed. The companys website, (www.janithhomes.org), says that inspection reports are available on request. The range of charges is set out in the service users guide. In addition to weekly charges there are charges for transport and staffing to requested activities, (but not for health care appointments), hairdressing, dry cleaning and personal spending. 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 that we have received, 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 gives us some numerical information about the service. Surveys returned to us by four people living at the home, by three care staff working there and from three visiting health or social care professionals. Information we have about how the service has managed any complaints. What the manager has told us about things that have happened in the service. These are called notifications and are a legal requirement. The last key inspection and the results of any other visits we have made to the home, as well as the history of the service. Relevant information from other organisations and what other people have told us about the service. What has this told us about the service? The manager completed the information we asked for promptly and gave us details about what had changed in the service and what plans there were to improve. All four people living at the home who completed our surveys, say that they were asked about moving into the home and had enough information about it before they decided it was the right place for them. The company that owns the home has been working to develop information about its homes in different forms, including work on a DVD and updating the website. This means they try to make information easy to understand for people thinking about moving to the home. We know from our previous visits that peoples needs are assessed before they come. Two visiting professionals say that the assessment arrangements always ensure accurate information is gathered and the right service is planned for people. One says this is usually the case. This supports that - if prospective residents decide to move in, they could be confident their needs would be met. When we last visited this home, the staff team had been working very hard to develop individual plans that were more focused on the needs of each person, to involve people in decisions about their care and their goals, and to present the information in ways that people could understand. The information the manager sent us, tells us that this work has continued and all three health professionals wrote to us that they feel the home always responds to diverse individual needs. Two feel that the staff and Annual Service Review Page 4 of 7 manager always have the right skills and experience to support peoples needs. One says this is usually the case but goes on to say that in my experience they are an excellent service. Two staff say they always have up to date information about the needs of people they support and one says this is usually the case. This supports that staff have access to information about peoples support needs and what they are expected to do to support someone effectively. The manager says that work has continued to develop health books for everyone so that it is clear how people need to be supported to stay healthy and who can help with this. She also tells us that medication procedures have been reviewed. This helps show how peoples health is promoted and that they access the treatment and advice they need with their health care. All of the people living in the home say that they can make decisions about what they do, and do what they want to during the course of the week. We had comments like I like living here, I enjoy going out and one likes joining in with cooking. The manager tells us that staff have been supporting people to access more outdoor activities and the local community. A visiting health professional supports this and says the service does well in supporting service users and encourages/promotes independence. Also that it is good at working with residents to gain access to college, employment opportunities. All three visiting professionals say that the service always supports people to live the life they choose whenever possible. This shows that people have opportunities to experience new things and are supported to work towards achieving personal goals. The manager says that people have information about making a complaint and that this is available with pictures and symbols to help people understand. She says that this was explained to one person who seemed unsure about how to go about things. All of the four people who wrote to us say they know who to speak to if they are not happy and know how to make a complaint. All of the staff wrote that they know what to do if someone expresses concerns about the home and one adds that any problems or issues or concerns are dealt with quickly and efficiently by all staff. All of the three visiting health professionals say that they have always had an appropriate response if any concerns have been raised. This shows that if people have concerns or complaints they would be taken seriously and addressed. We know from previous visits that checks are made to make sure that staff are not employed who might present a risk to vulnerable people. The staff who wrote to us confirm that proper recruitment checks were made before they started work. We know too, that staff have access to training to help them recognise and respond to abuse and about what to do if they have concerns about the way someone is being treated. The company has a history of working well with other agencies to ensure people are protected from abuse. A director of the company visits the home on a regular basis to make sure that people living there are still experiencing a good service and to find out if they have any concerns about it. These visits also provide for discussion with staff so that they can express their views about it. We know from our visits to this service and others owned by the company, that there are regular checks on the quality of services and that other people with an interest in it are surveyed to find out what they think. This shows that the organisation takes responsibility for monitoring and improving services for people. Annual Service Review Page 5 of 7 However, now the manager has left the home, extra care will be needed to make the improvements planned within the next 12 months. What are we going to do as a result of this annual service review? We consider people are continuing to receive a good service at St Brannocks. Our current inspection regime would mean that a key inspection of this service would be carried out by 15th October 2011, and another service review would take place next year. However, changes in management mean we will carry out a key inspection before the due date. We can inspect at any time if we have any concerns about the health, safety or welfare of people living in the home. 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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