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Inspection on 24/12/09 for St Andrews, Paignton

Also see our care home review for St Andrews, Paignton for more information

This inspection was carried out on 24th December 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: St Andrews, Paignton The quality rating for this care home is: The rating was made on: two star good service 1 3 0 1 2 0 0 9 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?   Yes 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: Clare Medlock Date of this annual service review: 2 3 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 24 St. Andrews Road Paignton Devon TQ4 6HA 01803559545 01803391582 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Mrs Paulette Davies and Mr John Davies Number of places (if applicable): Under 65 Over 65 21 0 The maximum number of service users who can be accommodated is 21. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability and dementia- Code MD 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 St Andrews is a care home for up to 21 younger or older adults with mental health needs. The building is situated in a residential area of Paignton, within walking distance of the sea front, shops and amenities. There is level access through a small front garden, with one step inside the lobby area to access the house. There is also a concreted area and lawn to the back of the home. The home has a lower ground, ground, first and second floor with stairs throughout. This may cause difficulties for residents with mobility problems, as there are no bathing/shower facilities on the Annual Service Review Page 2 of 6 1 3 0 1 2 0 0 9 ground floor. An external fire escape connects all floors. On the lower ground floor there is a laundry, storeroom, bedroom, shower, bathroom, and lounge , taff sleep-in room. On the ground floor there are bedrooms, a kitchen, toilet, office, dining room and lounge. The first floor has a shower room, bathroom, and bedrooms, and on the second floor there are bedrooms and a toilet. Two of the bedrooms are doubles. The costs per week for residential care at St Andrews vary between roughly three hundred and fifty pounds and five hundred pounds. 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 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. Surveys returned to us by people using the service and from other people with an interest in 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 has this told us about the service? Although we requested an annual quality assurance assessment (AQAA) this was not returned to the Care Quality Commission. This self-assessment documents is a legal requirement from the care quality commission. A small number of surveys were returned earlier this year. The majority of surveys were complimentary about the care provided and the service offered. However a small number of surveys highlighted some concerns. One survey stated this home has some of the most challenging the emotional disturbed people. I feel that they struggle to meet the level and sophistication of the care required. Another comment read I think they try hard to let clients do what they choose, but this is often a difficult balance between individual freedom and communal living. The most concerning comment included I have the impression that some staff know too little about medications or their implications and that their behaviour management is unsophisticated. I am very concerned that St Andrews has been and still seems to be a place to go if no one else will take you. Whilst at the same time the owners do not always provided up-to-date care. A complaint earlier this year raised an issue that the home had accepted more people than they were registered for. This complaint resulted in a random inspection being carried out which confirmed that one extra person was staying at the home on a mattress in a room with two other people. This prompted a safeguarding alert and referral to the legal department within the Care Quality Commission. The outcome of this process was that a formal caution was offered to the provider. Annual Service Review Page 4 of 6 Further complaints have been received about the service since the random inspection and indicate lack of staff and training for staff at the home. What are we going to do as a result of this annual service review? Because of the concerns highlighted above, the decision made by the care quality commission is to bring the key inspection forward. 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). 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 6 of 6 - 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!