This inspection was carried out on 12th 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 Excellent.
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.
Annual service review
Name of Service: Turning Point (Hoole 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: Maureen Brown Date of this annual service review: 1 2 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 27 Hoole Road Hoole Chester Cheshire CH2 3NH 01244314320 01244325875 Telephone number: Fax number: Email address: Provider web address:
www.turning-point.co.uk Turning Point Limited Name of registered provider(s): Conditions of registration: Category(ies) : past or present alcohol dependence past or present drug dependence Conditions of registration: Number of places (if applicable): Under 65 Over 65 21 21 0 0 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: Past or present drug dependence - Code D Past or present alcohol dependence - Code A The maximum number of service users who can be accommodated is: 21 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 service, which is run by the national charity Turning Point, aims to provide a supportive substance free environment where residents can examine their lives to date, reach a greater understanding of their substance misuse and develop ways of achieving changes. The residential project comprises of the house at Hoole Road, which provides 10 places
Annual Service Review Page 2 of 6 and Phillip Street that provides 4 places these are close to Chester City Centre with community facilities and amenities. Referrals are accepted from all areas of the country and people stay between 3 and 6 months. As part of the projects philosophy, people who use the service participate in a range of individual and group activities, including one-to-one support; relapse prevention; stress/anxiety management and relaxation. Alternative therapies such as auricular acupuncture, aromatherapy and Indian head massage are also available for service users. The fees for the service are 575.00 per week. Optional extras include personal items, transport costs, other activities and hairdressing. 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 the information that we have, or asked for, since the last key inspection of Hoole Road on 26 September 2007. This included The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment document that focuses on how well outcomes are being met for people who use the service. It also gave us some numerical information about the service. Surveys sent out to people who use the service and staff members to find out their views about Hoole Road. Information we have about how the service has managed complaints. What Hoole Road has told us about things that have happened at the service; these are called notifications and are a legal requirement. The previous key inspection which was carried out at Hoole Road on 26 September 2007 and the annual service review which was completed on 26 September 2008. Relevant information we have received from other organisations. What other people have told us about the home. What has this told us about the service? Hoole Road sent us their annual quality assurance assessment (AQAA) when we asked for it. It was well documented and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the service is still providing an excellent service and it continues to maintain and improve the service for people who use it. Hoole Road has received two complaints during the last year, which were resolved within 28 days by the service. The commission had not received any complaints about the home during the last year. No safeguarding referrals have been made by the service over the last year. Surveys were sent to the people who use the service and staff, however no responses had been received prior to this report being written. The manager made the following comments in the AQAA. She stated that after listening to people who use the service they have made recent improvements which include: providing service user handbooks on assessment then clients have a more informed decision when choosing rehab; displaying information on Annual Service Review Page 4 of 6 the Mental Capacity Act and other documents so clients do not need to ask staff, the information is already to hand; completing the service user involvement survey which is sent to each service user for confidential feedback. The manager also told us in the AQAA that the plans for the next year include a review taking place that will adapt a generic programme using the Improving Treatment Effectiveness Project (ITEP) with the intention of implementing this in December 2009. She intends to meet with other services and for them to visit Hoole Road to build rapport between them, thus helping the staff to signpost clients to the right service for them. The manager also told us that they plan to invite in volunteers to help us provide more varied activities during evenings and weekends. For staff, there are plans to include new sections to the induction training, develop a new induction book and ensure all staff are qualified to Level 3 NVQ. Also all staff have been booked on the safeguarding adults training which is provided by the local authority. This is to make sure they have the information they need to protect the people who live at the home from abuse. The manager intends to invite a service user representative to the staff team meetings. She hopes to build a good standard of bank staff to keep continuity of service delivery. The home continues to let us know about things that have happened since our last main inspection there and they have shown that they have managed issues well. They have shown us that their service continues to provide excellent outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and we will do a key inspection within three years of the last one, as required by legislation. 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 5 of 6 Reader Information
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