Inspection on 08/07/09 for Mary House

This inspection was carried out on 8th July 2009.

CQC found this care home to be providing an Good service.

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.

Other inspections for this house

Mary House 22/07/08

Mary House 20/08/07

Mary House 05/07/06

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Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Annual service review Name of Service: Mary House 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?   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: Jo Mohammed Date of this annual service review: 1 0 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 490 The Ridge Hastings East Sussex TN34 2RY 01424757960 01424757969 PaulSimmons@marthatrust.org.uk www.marthatrust.org.uk Martha Trust Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 8 0 The maximum number of service users to be accommodated is 8. The registered person may provide the following category/ies of service only: Care home with nursing (N) only - service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disability (LD) 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: Yes Managers post is vacant. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Mary House is situated on the outskirts of Hastings close to the Conquest hospital. The historic town of Battle is a short drive away. The home is approximately a fifteenminute drive to Hastings where there are shops and local amenities. It is purpose built with all accommodation in single rooms at ground floor level. The home is registered to accommodate eight adults with learning and physical disabilities and to provide personal and nursing care. The registered providers are Martha Trust, which is a registered charity, founded in 1983 specifically to care for people with profound Annual Service Review Page 2 of 7 disabilities. CQC reports and current fee information can be obtained directly from the home upon request. Works are nearing completion in extending the home to add on four extra bedrooms and a hydrotherapy pool. 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 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. -Relevant information from other organisations. -What other people have told us about the service. What has this told us about the service? The Annual Quality Assurance Assessment (AQAA) that we took our information from is dated 22nd May 2009. There was a delay in returning this document to the CQC and a reminder letter was sent to the home. This was completed by the Director Of Nursing for the organisation as the Managers position has been vacant since January 2009. We recently received correspondence from the Chief Executive of the organisation that due to an unsuccessful recruitment drive, they were considering having one Manager for two homes. The other home belonging to this organisation is based in Kent and a registered Manager is in post. We have written to the Chief Executive about this proposal to request that an application be submitted to the CQC registration team. The day to day running of the home is currently being undertaken by the Deputy Manager, overseen by the Director Of Nursing. The AQAA provided satisfactory information; in the main body of this document some areas were brief in content and not all the key standards were addressed in detail in respect of how service users make decisions about their lives. Educational, occupational, community activities and daily routines. How service users are supported with their personal care and the management of medication. How service users are protected from abuse, neglect and self harm. The management of finances. Staff training, development, quality assurance and health and safety systems. We could not judge if the two requirements and two recommendations identified at the last inspection in July 2008 had been met. The information in the AQAA summarises what they do well as;- Mary House is a purpose built service which provides a spacious well equipped environment without Annual Service Review Page 4 of 7 losing an intimate homely feel. The service user enjoys the use of specialist equipment which helps to meet their individual needs. The construction of phase three is now underway and is due to be completed by the middle of June 2009. They identify how they have improved in the last 12 months with An increased staff team. Consolidated health action plans and goal planning. Phase three almost complete and staff with NVQ. They state what they could do better and how they are going to do this over the next 12 months as Complete the construction of phase three which includes the provision of our own hydrotherapy pool. Provide greater opportunities for our service users with regard to social and educational activities by identifying further opportunities in the local area. For all remaining care staff to complete a minimum of NVQ level 2 and to recruit a new Home Manager. They identify in the AQAA how they have made the following changes as a result of listening to people who use their services by Continuing with family forums. Each resident has the opportunity to correspond with their families with support from their key workers. Monthly news letters. Invites to regular in house entertainment. We are now working closely with local Speech and Language specialists. Plans for further changes as a result of listening to people who use our services include Continue to develop communication methods for our residents. Researching adult education avenues for our residents. Staff training in alternative communication methods and developing residents communication passports. The previous inspection report dated 22nd July 2008 identifies that work was underway to build an extension comprising of four extra bedrooms, an additional lounge, kitchen and hydrotherapy pool with the work due to be completed by the Summer of 2009. Good outcomes were identified in each section of the report apart from the environment which was rated as excellent. This report also highlighted positive feedback from surveys. The data section of the AQAA indicates that 96 of the staff team have an NVQ level 2 or above in care and that 25 staff have completed the Skills For Care induction training. There have been no new admissions to the home in the last twelve months. Maintenance of equipment, health and safety checks, policies and procedures are identified as being in place. In respect of promoting equality and diversity the AQAA says that All residents attend yearly care reviews with multidisciplinary teams. Are invited to regular meetings with key worker and named nurse. Use of feedback from family forums. We are planning to make these further changes to promote equality and diversity with staff undergoing formal training in equality and diversity and further develop Person Centred Planning to encompass the Mental Capacity Act. The home or the CQC have not received any concerns, complaints or safeguarding referrals since the last inspection in July 2008. We received information from another organisation last year in the form of copied letters that were sent to the home by the Speech and Language and Occupational Therapist from the local Community Learning Disability team regarding a meeting held between the home and this team to do with records, guidelines and activities. Matters identified were dealt with directly between the home and the Community Learning Disability team. In the AQAA it states the home are now working closely with these professionals. Annual Service Review Page 5 of 7 The home has not reported any notifications about significant occurrences to us since the last inspection and we have not visited the home since then. What are we going to do as a result of this annual service review? We consider the quality rating of the home remains good since the last key inspection. We will do a key inspection by July 2010 to review our assessment of the home. However, we reserve the right to revisit this decision if additional information is brought to our attention. 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. 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. 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