Please wait

Inspection on 02/11/09 for St Mungos Association

Also see our care home review for St Mungos Association for more information

This is the latest available inspection report for this service, carried out on 2nd 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: St Mungos Association The quality rating for this care home is: The rating was made on: two star good service 3 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: Julie Schofield Date of this annual service review: 2 8 0 9 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 53 Chichester Road London NW6 5QW 02076244453 02073282438 mick.dunne@mungos.org Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : past or present alcohol dependence Conditions of registration: St Mungo Association Number of places (if applicable): Under 65 Over 65 27 0 The maximum number of service users who can be accommodated is: 27 The registered person may provide the following category of service only: Care Home only -- Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Past or present alcohol dependence - Code A 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 Chichester Road is one of a number of projects run by St Mungos Association. It is a wet home for men and women with alcohol dependency needs and is registered to accommodate 27 service users, many of whom have been rough sleepers. Staff provide encouragement and support, including assistance with personal care and help with managing finances. Staff give information and support in respect of the service users health care needs and advice regarding the importance of eating well is supplemented by the appetising meals offered. There is a life skills worker who organises a programme of activities, both inside and outside the home. There are bedrooms and bathrooms on the ground, first and second floor. There is a lift that links Annual Service Review Page 2 of 8 3 1 1 0 2 0 0 8 the ground and first floor and there is a TV room, where drinking alcohol is prohibited, a games room, where drinking alcohol is permitted, and a dining room on the ground floor. Service users use the garden areas at the front and the back of the building when the weather is fine. Details regarding fees may be obtained from the home, on request. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? At the last key inspection on the 31st October 2008, the home achieved a quality rating of 2 Stars. This means that the people who use this service experience good quality outcomes. 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 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. 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 and the results of any other visits that we have made to the service in the last 12 months. Information we have about how the service has met any statutory requirements identified during the previous key inspection. Relevant information from other organisations. 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 in September 2009. 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 home is still providing a good service. When asked what the service does well they told us that Chichester Road provides a service for older people with alcohol dependence who continue to drink. As a result of this, the majority of people that live at Chichester Road will have organic mental health problems as a result of long term drinking. We support people to maintain a safer approach to alcohol consumption and aim to stabilise peoples drinking so that the risk to themselves is at a minimum, this is the harm minimisation program. Within the detailed care plans for each individual we aim to offer physical and emotional support to each individual to help them in engaging in self care on some level as well as learning and developing interests which provide a meaningful use of time. We focus strongly upon the activity program at the project to support individuals to explore life interests that do not require, but that they are not excluded from, because of substance use. The staff at Annual Service Review Page 4 of 8 Chichester Road are skilled in the support that they offer and take an unconditional approach in working with all residents, especially in supporting most residents with either some level of short term memory problem or Dementia related issue. The staff are diversely qualified and use their skills to engage the residents who are more resistant or isolated and continue to offer opportunities to residents who are reluctant to engage. Wherever possible we try to involve all people, staff and resident to be involved in the running of the home and create a culture of openness and transparency in our decision making and management of the home. They tell us that during the last 12 months they have improved the service provided by making improvements to the environment of the home e.g. new furniture in communal areas and in residents rooms, redecoration and new floors and carpets in hallways etc. Improvements have also been made in systems for monitoring and recording and there has been improvement in provision of meaningful activities. This has been achieved by responding to feedback from residents, creative use of resources, networking within the community and use of volunteer and student support to ensure plans are followed through. They say that they know what further improvements they need to make and have focused on the need to follow through on plans for the lift extension which would provide for better access to all areas of the project, to maintain consistency within the staff team so that they can move forward in their service provision and to increase opportunities for residents to engage in both therapeutic and vocational activities away from the project, supporting individuals independence, well being and choice. We received 6 completed survey forms from members of staff working in the care home. They told us that they were always given up to date information about the needs of the residents they supported. We asked about training and whether their induction had covered everything they needed to know to do the job when they started. Two members of staff ticked very well and 4 people ticked mostly. They mainly agreed that since their induction they have been given training that is relevant to their role, helps them to understand and meet the individual needs of the residents, keeps them up to date with new ways of working and which gives them enough knowledge about health care and medication. Four members of staff told us that the manager regularly gives them enough support and meets them to discuss how the carer is working. Two people said that this happens often. We asked whether there are enough staff on duty to meet the individual needs of all of the residents using the service and 1 member of staff ticked always, 4 people ticked usually and 1 person ticked sometimes. It is recommended that this is discussed during the next staff meeting or during supervision sessions. Two members of staff told us that they always feel that they have enough support, experience and knowledge to meet the different needs of residents living at the home and 4 people told us that they usuallydo. It is recommended that this is discussed during the next staff meeting or during supervision sessions. We asked carers what the home does well and they told us there is a relaxed homely atmosphere, residents have many activities to participate in at their own pace, residents are respected and treated with dignity, friendship and humanityand work well together as a team. We received 17 completed survey forms from residents currently living in the home. Annual Service Review Page 5 of 8 Six of the residents told us that they were not asked if they wanted to move into this home. Nine of the 17 residents told us that they had received enough information about the home before they moved in so that they could decide if it was the right place for them. It is recommended that the content of the pre-admission process is reviewed to see whether the residents involvement in decision making and information sharing has been maximised. We asked residents whether they made decisions about what they did each day and 8 residents ticked always, 7 residents ticked usually and 2 residents ticked sometimes. We went on to ask whether residents could do what they wanted to do during the day, in the evening and at weekends and 14 of the 17 residents said that they could. Nine residents told us that the home was always fresh and clean and 8 residents ticked usually. When asked whether the care staff and managers treat them well, 13 residents ticked always and 4 residents ticked usually. Nine residents told us that the care staff and managers always listen and act on what the resident say, 5 residents told us usually, 2 residents said sometimes and 1 resident left this question blank. We asked residents what the home does well and they told us Im happy to be here in many ways, food is pretty good, its perfect, its calm and quiet, listens to me whenever I need to talk, activities are well arranged and staff help residents. We received 3 completed survey forms from either social or health care professionals. They told us that the homes assessment arrangements either always or usually ensure that accurate information is gathered and that the right service is planned for people. They told us that residents social and health care needs are properly monitored, reviewed and met by the home and that the home seeks advice and acts on it to meet the residents needs and to improve their well-being. When asked if the service respects the residents privacy and dignity and whether the service supports people to live the life they choose wherever possible they ticked always. They agreed that the service responds to the diverse needs of individual people and that the managers and staff always or usually have the right skills and experience to support the residents social and health care needs. When we asked what the service does well they told us listen, always respond, prepared to take responsibility, they support adults with alcohol problems very well and care for the needs of people in most difficult circumstances. When asked what the service could do better a comment of communication within the team was made. During the previous key inspection the service achieved a judgement of good in the key outcome areas of Health and Personal Care, Safeguarding and Management. At present the registered manager is on secondment and an acting Project Manager has been appointed. We contacted the home on the 28th September 2009 and spoke with the deputy Project Manager about the statutory requirements made during the key inspection of the home in October 2008 to review progress made towards compliance. Three requirements had been made. These were in respect of the need for members of staff administering medication to residents to initial the record sheet, for a full record to be kept of the observations made when a prospective resident had a trial visit to the home and for a copy of any updated work or residence permit to be forwarded to the home and placed on the staff file. He said that within the daily handover session a check is made of the medication records so that any problems can be identified, discussed and resolved at the time. He also said that staff files are kept under review and that a recent audit of their contents has taken place. No new residents have been admitted to the home since his appointment although he is aware of the homes policy Annual Service Review Page 6 of 8 of recording observations made during a trial visit to the home by a prospective resident. Compliance with each statutory will be checked during the next key inspection. The home recorded in the AQAA that it has received 2 complaints since the last key inspection. They tell us that these were all investigated and and responded to within the 28 day deadline and that 1 of the complaints was upheld. No complaints have been made directly to the CQC about the home. Fourteen of the 17 residents that completed a survey form told us that they knew who to speak to if they were not happy. It is recommended that residents are reminded about the complaints procedure during 1:1 meetings with their key workers and at the next residents meeting. When we asked members of staff whether they knew what to do if someone has concerns about the home they all ticked yes. We asked the social or health care professionals if the service responded appropriately if they or a resident or someone else had raised any concerns and they ticked always. The home continues to let us know about things that have happened since our last key inspection and they have shown us that they have managed issues well. They have not made any safe guarding alerts to the local authority since the previous key inspection. When residents were asked if they knew who to speak to if they were not happy, 16 of the 17 residents ticked yes. One resident added the manager and another resident added any of the staff. The home works well with us and has 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? We are not going to change our inspection plan, and will do a key inspection by the 30th October 2011. 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 7 of 8 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!