Inspection on 13/11/09 for 34 Elsee Road
Also see our care home review for 34 Elsee Road for more information
This inspection was carried out on 13th 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.
Annual service review
Name of Service: 34 Elsee Road The quality rating for this care home is: The rating was made on: two star good service 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?
Yes 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: Justine Poulton Date of this annual service review: 1 3 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 34 Elsee Road Rugby Warwickshire CV21 3BA 01788547781 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: New Directions (Rugby) Ltd Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is: 6 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: Learning disability (LD) 6 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 Elsee Road is a large terraced Victorian house providing a permanent home for three people with learning disabilities and respite stays for up to three people at any one time. The home is near the centre of town. There is no parking at the home as the road has double yellow lines. Residents permit parking is available. Care staff support people at all times when they are at home. Although people may attend day care services for some or all of the week staffing is provided in such as way as to ensure that they are able to remain at home if they choose. The house is one of five services operated by New Directions (Rugby) Ltd that provides residential and domicilliary care
Annual Service Review Page 2 of 6 None for people in Rugby. Annual Service Review Page 3 of 6 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. This included: The annual quality assurance assessment (AQAA) that was sent to us when requested. The AQAA is a self-assessment tool, which focuses on how well outcomes are being met for people using the service. It also gave us some statistical information about the service. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Surveys that we sent to people living in the home and to staff. This enabled them to inform the annual service review. The previous key inspection report. 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 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. They told us about how they had met Equality and Diversity, which included: Supporting people to attend the church of their choice and the provision of a tailor made day service that people can choose to use whenever they want. The manager is aware of how the home is to progress over the next 12 months which is reflected in the AQAA. This includes: The reprovision of the organisations short stay service at another separate location; the provision of policies pertinent to the people living in the home in audio format; updating peoples care plans into more individually user friendly documents; supporting people to actively meet their chosen goals as identified in their personal support plans; encouraging people to get more involved in preparing and cooking their own meals; actively seeking out and encouraging people to get more involved in community based activities; actively seeking peoples views about the health care they receive; continuing to nurture an environment where people living in the home, their parents and other professionals are able to challenge working practices; continuing with the planned programme of redecoration; looking at the possibility of offering staff incentives to celebrate positive achievements and retain good staff; the provision of more individual, person centred training to staff; and actively encouraging more use of formal advocates for people. Examples of areas highlighted by the manager as having improved in the last 12 months include: Annual Service Review Page 4 of 6 The development of a formal admissions process; the personalisation of peoples contracts by adding their name, address and a photo; areas of the home have been redecorated; everyone living in the home has had a person centred plan completed; staff have received training in the nutritional value of various food stuffs to help promote healthy eating; a controlled drugs protocol has been put in place; journals for short stay people have been introduced following a complaint from a family who felt that they would like to know what their relative did during short stay visits to the home; fire notices and the staff rota have been provided in pictorial form; monthly health and safety audits have been introduced to aid in maintaining a safe environment for people; steps have been taken to improve relationships with Rugby Social Services and Learning Disability teams to aid in joint working for people living in the home and using the short stay service. We received two completed surveys from people living in the home and two from staff. All four indicated that the service provided continues to be good. Comments made in the surveys include: the food is first class...; the staff cook nice meals and take me out...; I can do what I want...; I would speak to the staff if I was unhappy...; we care for the clients well...; we listen to clients wishes and act on them, such as supporting them to make informed choices about where to go on holiday. Both staff surveys said that managers could listen to staff about their working hours more, and one person expressed concern about the organisations policy of moving staff between the houses every couple of years. The AQAA states that four complaints have been received by the home in the last 12 months. Of these one was upheld. We have not received any complaints since the last inspection of this home in September 2007. The home continues to let us know about things that have happened concerning the people who live there since our last key inspection. This shows us that they have managed the 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? We are not going to change our inspection plan, and will do a key inspection by 20th September 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 5 of 6 Reader Information
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