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Inspection on 26/10/09 for Pen y Bryn

Also see our care home review for Pen y Bryn for more information

This inspection was carried out on 26th 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 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: Pen y Bryn 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: Christina Lavelle Date of this annual service review: 2 3 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 48 Hafod Road Hereford HR1 1SQ 01432375926 Telephone number: Fax number: Email address: Provider web address:   www.voyagecare.com Milbury Care Services Ltd Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users who can be accommodated is: 8 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) 8 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 left the service in August 2009. A new manager Sharon Snook has been appointed and is in the process of submitting an application for registration with the commission. Number of places (if applicable): Under 65 Over 65 8 0 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Milbury Care Services Ltd is a national company that runs many registered care homes and supported living schemes for people with complex needs. Pen Y Bryn at 48 Hafod Annual Service Review Page 2 of 6 Road was first registered in November 2005 to provide accommodation with personal care for eight adults. People using the service must need care primarily due to learning disabilities and may also have physical disabilities and/or a mental health disorder associated with their learning disability. Most people who live there have an autistic spectrum disorder and use behaviours that can challenge a care service. They therefore have complex needs and need a high level of support from staff. Pen Y Bryn is located in one of Herefords older residential areas about a mile from the city centre, on a main bus route. The house is a large, detached Victorian property that has been converted into a care home. There are parking spaces at the front and a large, enclosed garden at the back. The home has six bedrooms with en-suite facilities (including a shower or bath) and two self-contained flats, which have their own sitting room, kitchen and bathroom. There is a lounge, dining room and sensory room for everyone to use and a kitchen, laundry room, storage areas and office. Information about the service is provided in a statement of purpose and a service users guide. The guide is available from the home. Fee levels vary according to the assessed needs of individuals using the service, as agreed with their funding authority. Additional charges include for such as personal toiletries, clothing, the cost of holidays over two hundred pounds, newspapers, magazines, hairdressing and transport (which is a weekly payment depending on if people receive mobility allowance). 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 we have received or asked for since the previous key inspection, which was carried out on 22 August 2007 and the annual service review that was carried out on 21 August 2008. This includes the following: The ANNUAL QUALITY ASSURANCE ASSESSMENT (AQAA) completed by the home. 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 people using the service and staff at the home. The previous KEY INSPECTION and ANNUAL SERVICE REVIEW. All other INFORMATION we have been told about the service. This includes events that have affected the health, safety and/or welfare of people using the service (we call these notifications) and any complaints or allegations. What has this told us about the service? The manager sent us the services AQAA in May 2009, when requested. Their AQAA is clear and detailed and gives us relevant information about the home. Their AQAA says IMPROVEMENTS made to the service in the last 12 months include: (1) Staff have received training on the preferred methods of communication of each person who is living at the home to help them to make choices and develop their skills. (2) The range of activities that people living at the home take part in and their holidays have increased, based on individuals interests. (3) Improved relationships with GPs and other specialist services. (4) Bedrooms have been adapted according to individuals needs and preferences and a vegetable garden and flower beds have been planted with their involvement. (5) Annual training is now provided for staff about protection of vulnerable adults and peoples support plans include procedures on complaints and protection. (6) A new management team has been implemented including two experienced senior support workers employed. Their AQAA says PLANS FOR IMPROVEMENTS in the next 12 months include: (1) To continue to monitor and assess people using the service to promote their choice and inclusion. (2) To hold two weekly meetings for people using the service and provide quality time for keyworkers to spend with them and to help them express their concerns. (3) To continue to redecorate the whole home. (4) To ensure that the 2009/2010 training plan comes into fruition. For new staff to complete a Learning Disability Qualification and all staff to undertake a National Vocational Qualification and other topics specific to the needs of people using the service. (5) To improve quality assurance documentation to enable people using the service to comment on how their needs are being addressed. Annual Service Review Page 4 of 6 In respect of meeting EQUALITY AND DIVERSITY issues the AQAA says that individuals support plans respect their choices and diversity and enable them to live as they choose, which includes accessing resources in the community. Staff are trained to communicate effectively with individuals and receive training on attitudes, values and non-violent crisis intervention. The home endeavours to promote positive images of the service and of the people who use and work in it. Rotas are produced that reflect the needs and preferences of people using the service. All policies and procedures comply with relevant legislation. In order to promote equality and diversity the home plans to liaise with a speech and language therapist and make greater use of such as pictures, symbols and talking books to enable people to express their choices. SURVEYS were completed by eight PEOPLE USING THE SERVICE with the support of their keyworkers from the staff team. They confirm they are able to make decisions about what they do every day, as far is this is possible. Some people know who to speak to if they are not happy and keyworkers confirm in respect of the others that staff monitor any signs of distress and advocate for them when necessary. Most indicate that the service always helps people to keep in touch with their relatives and keeps them up to date about important matters and one says usually. They all feel the home provides good activities and home made meals but some comment they could do better by offering more opportunities for individualised activities in the community. SURVEYS completed by three of the homes CARE STAFF say their induction covered everything they needed to know and they are being given training relevant to their role. They also confirm that necessary checks were taken up before they started work at the home. They indicate they are always given up to date information about the needs of people they are caring for and are given regular support from their manager. All say that there is usually enough staff to meet the needs of people using the service. Their comments include that service users have a wide range of activities every day and are taken on holiday every year and staff are offered regular supervision and there are house meetings and good team work. Having considered all the evidence we have obtained for this annual service review our judgement is that Pen Y Bryn continues to provide a good quality service. What are we going to do as a result of this annual service review? We are therefore not going to change our inspection plan and a key inspection of the service will be carried out before 22 August 2010. However we can inspect Pen Y Bryn at any time if we have any concerns about the quality of the service or about the safety and welfare of people using the service. Annual Service Review Page 5 of 6 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). 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