This inspection was carried out on 12th October 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 Excellent.
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: Gardens Lane 32-34 The quality rating for this care home is: The rating was made on: three star excellent 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?
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: Janet McBride Date of this annual service review: 2 4 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 32 - 34 Gardens Lane, Rear Of Health Centre Conisbrough Doncaster DN12 3JX 01709770322 01709863036 gardenslane34@btinternet.com None South Yorkshire Housing Association 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 Conditions of registration: Five named service users over the age of 65 can remain at the home One specific service user over the age of 65, named on variation dated 8th August 2005, may reside at the home. 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 Nos. 32 & 34 Gardens Lane provide care for up to twelve adult service users of either gender with learning disabilities. Six people live at No.32 Gardens Lane and a further six at No.34. Both properties are purpose built bungalows with the space, facilities and equipment to accommodate people with physical disabilities including wheelchair users. The home has two adapted minibuses that enable access to the wider community.
Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 12 12 The accommodation is located in Conisborough, a former mining village close to Doncaster. Doncaster main town is about 4 miles away and Conisborough has local facilities such as shops, libraries and health and community centres close by. People enjoy a range of day care provision including access to a local social centre and social education facilities at St Catherines Hospital Monday to Friday. Annual holidays, regular outings and social events are provided for everyone. The service is provided by a partnership between South Yorkshire Housing Association and Doncaster Healthcare Trust. South Yorkshire Housing Association own and operate the service with Doncaster Healthcare Trust providing the staff. This partnership provides and operates three other such schemes in the Doncaster area Information about the services provided are available in the Information Pack that contains the Statement of Purpose and Service User Guide. Some of the information has been done in easy read picture format. For further information regarding fees please contact the home. 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? Date of this annual service review 11/08/2009 The Quality rating for this home is 3 Star Excellent The rating was made on 14/06/2007 Date of last key inspection 14/06/2007 Date of last annual service review 13/06/2008 We looked at all the information that we have received or asked for since the last key inspection of the home. 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. 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. What other people have told us about the service in the surveys we received. Discussion with the manager to confirm some information received. What has this told us about the service? The service completed the annual quality assurance assessment by the agreed date. It gave clear and good information about the service and provided evidence that they value the views of people who use the service. The AQAA told us what changes they have made as a result of listening to people within the home, what improvements they have made and highlighted the areas they were planning to improve. The AQAA told us they have made a number of improvements within the environment for example,there has been an intensive refurbishment programme at the home. Particularly to the bathrooms they now have specialist baths which provide the appropriate equipment to ensure the peoples comfort and dignity. These bathrooms also have ceiling track hoists in each bungalow. Ceiling track hoists have also been fitted in five peoples bedrooms, two in one bungalow and three in the other bungalow.New flooring has been laid in the dining area of the lounge in one bungalow. The AQAA states they have improved the referral procedures and have become more efficient in processing these. Annual Service Review Page 4 of 7 They have introduced an activities protocol to record in house and external activities. People are making more decisions about their everyday lives with support from staff, family and advocates.The format and content of the monthly house meetings and quarterly newsletter is in a more user friendly format. Meals are more flexible as more choice is given.They have also acquired a new lease vehicle. The service told us what they feel they do well.The home seeks to provide a homely atmosphere and there is a programme of regular refurbishment and maintenance. There is an open visiting policy and contact with friends and relatives is openly encouraged. The service has a comprehensive needs assessment, risk assessment and care planning procedures in place. All people have communication passports, apart from some who choose not to have them. These give everyone information regarding how each person prefers to communicate and highlights communication difficulties,although staff encourage people to make choices and assist people to obtain support from advocates if needed. There are policies and procedures on confidentiality, adult protection and whistle blowing. Quality assurance systems are in place and seek views of staff and people within the home. When speaking to the manager he said they are always looking at ways of improving the facilities and care for each individual person within the service. Six surveys were received from people within the home they said they made decisions about daily living needs and activities. All said they can do what they want during the day,in the evening and at weekends.A number of positive and nice comments were received.E.G. Everything is arranged for me to go to day care and on holidays.They take me to visit my relatives.They give me the best possible care and quality of life. Staff recognise what makes me happy and aim to provide it. The AQAA told us about staffing and states they continue to have a thorough recruitment process in place which includes relevant checks. They have a staff training plan in place including statutory training requirements,all of which is reviewed annually. Staff supervision and appraisal are completed on a regular basis. Staff meetings are held regularly and allow dissemination of information to all staff, and an opportunity for staff to express their views. The AQAA stated that all people within the home and their representatives are made aware of the complaints procedure and are encouraged to express their views if they are not happy about something. People are assessed for their vulnerability, with care plans and risk assessments implemented where relevant. Staff assist people to obtain the support of advocates if they do not have input from relatives, or there are concerns regarding the influence of relatives. People have a range of opportunities to express their views and these are promptly acted upon. The manager confirmed that they had one complaint in the last twelve months this information was discussed with the inspector,and he confirmed this was investigated and resolved. The home work well with CQC and keep us informed of any issues or concerns that are raised, and continue to offer an excellent service for people within the home. Annual Service Review Page 5 of 7 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 13th June 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 6 of 7 Reader Information
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