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Inspection on 08/07/09 for Sandringham Road

Also see our care home review for Sandringham Road for more information

This inspection was carried out on 8th July 2009.

CQC found this care home to be providing an Excellent 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: Sandringham Road 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: 0 8 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 263 Sandringham Road Intake Doncaster DN2 5JG 01302739894 01302739894 Caroline.lovell@rdash.nhs.uk 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) Caroline Jane Lovell Conditions of registration: Category(ies) : learning disability physical disability Number of places (if applicable): Under 65 Over 65 6 6 0 0 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 Sandringham Road provides residential care for six adults people of either gender with learning difficulties. Sandringham Road is a purpose built bungalow with the space, facilities and equipment to accommodate people with physical disabilities including wheelchair users. The accommodation is located at the edge of Intake/Wheatley Hills area of Doncaster. This suburb of Doncaster is about four miles from the town centre and there are local facilities such as shops, library and health centre close by. The home has an adapted minibus enabling access to the wider community. All people attend a range of day care provision that includes social education during 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 Annual Service Review Page 2 of 7 NONE Association and Doncaster Healthcare Trust. South Yorkshire Housing Association own and operate the service with Doncaster healthcare Trust providing the staff. All people of the living at the home have a Licence agreement with South Yorkshire Housing Association. This partnership provides and operates three other such residential schemes in the Doncaster area. The statement of purpose and the service user guide were available on request, which contained information about the services available at the home. The homes past published inspection reports were also available on request. A range of information that may be useful to people using the service or their relatives were displayed on the homes notice board. Information about fees and any additional charges 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 26/06/2009. The Quality rating for this home is 3 star Excellent The rating was made on 21/06/2007 Date of last key inspection 21/06/2007 Date of last service review 20/06/2008. 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. Relevant information from other organisations. What other people have told us about the service. We received surveys from people within the home,relatives and health care professional. What has this told us about the service? The manager completed the annual quality assurance assessment . 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.From listening to people within the home they have reviewed day care and started a review of staff work plans to ensure enough staff are dedicated to arrange outings and activities. People within the home contribute more to news letters and residents meetings now have action sheets to ensure any actions are completed. Some policies and procedures have been reviewed for example safeguarding. The lounge and hallway have been decorated and fitted with new carpets. The dining area as also had new flooring.Ceiling tracking fitted in one bedroom where one persons needs had changed. The AQAA stated that all people within the home are made aware of the complaints procedure as well as their families and both are encouraged to use it if they have any concerns. There as been no complaints received in the last twelve months. There are polices in place and procedures on adult protection,whistle blowing and confidentiality. Staff assist people to obtain support from an advocate if they do not have any active support from family and friends. The AQAA told us about staff employed at the home and their qualification.The service state they have a thorough recruitment process in place and appropriate checks are carried out on any new staff prior to employment. All staff have mandatory training as required along with any specialised training that staff require. The home have sixteen care staff twelve of these staff have completed NVQ level 2 in either care or health and Annual Service Review Page 4 of 7 social care. Supervision and team meetings take place on a regular basis. The AQAA told what the home feel they do well,they provide a comfortable homely environment,people are consulted and involved in choosing decor and furnishings. Peoples bedrooms are individualised to each persons wishes and needs. Prospective people who wish to use our services have the opportunity to visit the home and undertake trial stays if they wish prior to the move. The service has comprehensive needs assessments, risk assessments and care planning procedures which is a multi-disciplinary approach to planning peoples care needs . Compatibility assessments are also completed with regard to current people who live in the home. Person centred plans and risk assessments which are signed by each person, if possible to evidence their involvement. Care plans include information about peoples needs and aspirations and individual preferences. Staff support people for them to make informed choices about their daily lives. People have opportunities to take part in activities both within the home and the local community, with staff support. Contact with family and friends is encouraged and supported by staff. Six surveys were received from people living in the home.Support workers did try to help people to complete these,however due to the nature of some peoples disability, it is difficult to obtain information directly from them. Those people that were able to answer questions said they were asked if they wanted to move into the home.They also said they make decisions about what they do each day and that staff treat them well. This was confirmed in the two surveys received from relatives who said the services meets the needs of their relative and that the service responds to the needs of each individual person.One comment said that during a recent health problem staff were outstanding by keeping them informed and up to date with an issues. Relatives confirmed they were aware of the complaints policy and procedures at the home. One surveys was received from a health care professional that visits the home on a regular basis they said that the service considers the needs of people and promotes their health and wellbeing. They feel that staff acknowledge each persons right to choose and that staff work hard to overcome extensive communication difficulties with people. The home had notified us of incidents that affected peoples well being and informed us of the action taken to prevent re-occurrence. We also received information that the Responsible Individual carried out unannounced visits to the home and produced reports of their findings as per Regulation 26 of the Care Homes Regulations. This demonstrated that the service was monitored to ensure that it was run in the best interest of people living there. 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 20th 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 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!