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Inspection on 04/04/09 for Raymond Avenue, 24

Also see our care home review for Raymond Avenue, 24 for more information

This inspection was carried out on 4th April 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.

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: Raymond Avenue, 24 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: Dianne Thompson Date of this annual service review: 2 7 0 5 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Raymond Avenue, 24 Great Barr Birmingham B42 1LX 01213570667 01213570668 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Platinum Care Services Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users to be accommodated is 6 The registered person may provide the following category of service only: Care Home Only (Code PC) the service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disabilities (LD) 6 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 The home is located in a residential area, set back from the main road, up a short drive. It is not distinguishable as a care home, as it is a converted and extended residential property. There are six single bedrooms each with ensuite, a lounge, dining room, relaxation area, large kitchen, laundry, ground floor wc and gardens to both the front and rear. The home is located in North Birmingham, close to the Scott Arms shopping centre. The home is close to local amenities, including the One Stop Shopping centre, parks, canal sidewalks, and leisure facilities. The home has a vehicle and service users are also supported to use public transport. The first floor of the home Annual Service Review Page 2 of 7 is only accessible to people with full mobility. A disabled toilet, and two ground floor bedrooms have been provided. The home offers care to five men with a Learning Disability and additional needs including sensory impairment, autism, and behaviours that can challenge. The fee level is #1900 to #2210 per week. 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 carried out this Annual Service Review on 30th April 2009. 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 previous key inspection and subsequent Annual Service Review. 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. A follow up phone call was also made to the manager of the service. The two returned surveys completed by residents with the help of a member of staff, and three completed by relatives. Two returned staff surveys. 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. Relevant information from other organisations. Two health and social care community professionals, who had experience of working with the home, were contacted by phone for their views of the service. What has this told us about the service? There were no requirements arising from the last key inspection report and it was noted that there were a number of improvements since the last inspection. It was described as a very homely and domestic environment. The two recommendations made stated that risk assessments should be more available to staff on duty and a more developed quality assurance process was needed. The AQAA was returned in good time, was detailed, informative, with clear evidence of how the service operates and has performed. The service is described as having a very person centered approach and the AQAA reflects that. It describes the quality assurance system that has been put in place in the home, which includes service user and stakeholder surveys as well as management appraisal, audits and good attention to the frequent care planning reviews. Family or advocates are encouraged to be involved. The manager noted that formal advocacy availability is very limited in the locality. The AQAA includes examples of action taken in response to service user comments which include going to the gym and refurbishment of the premises. More computer access is being planned. Other improvements over the year has been an increase staff Annual Service Review Page 4 of 7 training with 90 per cent of staff doing or above NVQ level 2 and 50 per cent targeted for achieving level 3 in process. Other specialist training is also happening. There is a continuing commitment to high staffing levels. All service users surveys said that they make decisions about what they do each day and they can do what they want to do. staff ask me. Service users said that they know who to speak to if they are not happy and how to make a complaint. tell Christine. I have pictures with addresses and numbers on. They say staff treat them well and listen and act on what they say. Comments include I am happy living here. It is nice and quiet. I like living at Raymond Avenue, because the manager and staff are nice to me. Two relatives surveys were entirely positive and stated that they feel that the home always meets the needs of their relative. I have never had any complaints the service x gets is fine. They are always on hand if I need anyone. They said that their relative is helped to keep in touch with them. They also stated that they are kept up to date with important issues affecting their relative, If I have any problems all I need to do is go and see them or phone, and they always help me. One person described how staff were kind and visited their relative in hospital. Relatives felt that care staff have the right skills and experience to look after people. Comments also included: I dont think it needs improving I like it the way it is. The home is kept very clean and fresh. Residents look clean and well shaved and cared for. The home has a very friendly atmosphere and the staff always welcome us. The residents seem to have everything they want and there is such a nice atmosphere I really cant think of anything that would improve it. One relative was not able to comment about the home but did have an issue about personal hygiene. The manager said she had similar feedback and that the issue had been dealt with. Staff surveys were positive saying that they are given up to date information about service users; that induction and management support was good. My induction was very detailed, covering everything from confidentiality to fire procedures. Staff said they had enough staff and the manager meets with them regularly. During supervisions and during the day she discusses any issues or explains things. One person said that they usually felt that they had the right support, experience and knowledge to meet the needs of people using the service and that If not we can always ask or find out. One person said There are a number of training days coming up in the near future. I have also had the opportunity to do my NVQ level 3 which is almost complete. In answer to what could be better one person said We could do more in depth training. The service has kept us up to date with significant events. The service responds to comments, concerns and complaints using the formal processes and involving the statutory services as necessary. There has been one referral to the local authority under the safeguarding procedures since the last inspection. This process was completed with no action needed. The health and social care professionals spoken to were positive about the care Annual Service Review Page 5 of 7 provided to the clients they worked with. It has always been a very good service. One person said that the home had continued to support a client in spite of difficulties and had managed very well with the client being seen as happy with the service. The service was described as being very good at contact with community professionals if there was a problem and at evaluating their own practice. The evidence supports the view that the quality of the service provided has remained good and has improved. What are we going to do as a result of this annual service review? We will do a key inspection by 18th March 2010. Consideration will be given to an earlier date so that the improvement of service can be acknowledged. 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. 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 7 of 7 - 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!