Inspection on 23/01/08 for Upaya Ananda
Also see our care home review for Upaya Ananda for more information
This inspection was carried out on 23rd January 2008.
CSCI found this care home to be providing an Excellent service.
The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Upaya Ananda continues to provide a flexible service, based on the needs and expressed preferences of those who use the service. The environment has modern facilities, with spacious rooms, which are pleasantly decorated and well maintained. When entering the home there is a friendly, happy and relaxed atmosphere. Information obtained in guests, relatives and staff surveys and verified at the inspection confirmed that guest are provided with the opportunities to make choices and are supported to do what they want to do, allowing them to be as independent as they can be. Feedback about the service provided in surveys, the homes own quality assurance surveys and conversations with a guest and staff was extremely positive. Comments included "Upaya Ananda has given my relative a new dimension to a some what limited lifestyle, their self esteem and pleasure from these visits are very apparent" and "I like staying at Upaya Ananda, I enjoyed my visit very much and I can not wait to go again" and "you are very nice, it is good to stay at Upaya Ananda and I enjoy it there". The service provides respite care for up to sixty-five guests per annum, with a good success rate of repeat visits.
What has improved since the last inspection?
There were no requirements or recommendations made at the previous inspection. Information provided in the AQAA and verified during the inspection demonstrated the improvements made by the service over the last twelve months. The service has extended the guest list and has improved the needs assessments of guests to encourage individual choice and adopt individualised induction procedures. Staffing levels have been increased to meet demand and ensure there is greater choice available to guests. A separate office for staff to meet and update records has been built in the grounds. A training manager has been recruited and an in house induction standards programme has been implemented, which complies with the National Training Organisations (NTO), Skills for Care. A new and experienced project manager commenced employment in December 2007 and is in the process of making their application to the CSCI to become the registered manager for the service.
What the care home could do better:
The statement of purpose and service user guide is dated 2004. These need to be reviewed and updated, to reflect where there have been changes within the service, including the new management structure. The service user guide and complaints procedures would be more meaningful and interesting to the people who use the service, if they were produced in a similar format to the brochure, using photographs and quotes from guests, giving their comments and experiences about the service. The adult protection and whistle blowing policy and procedures need to be updated to reflect the new Adult Safeguarding Board (ASB), which replaces the former Suffolk County Council, inter agency policy. These also need to reflect the change in the contact details of the CSCI. Following a Fire and Rescue service visit to the home on the 25th September 2007, requirements were made for work to be undertaken to comply with Fire Safety Regulations. A tour of the home confirmed steps had been taken to address most of the work. Where work required to install self-closing devices to a number of internal doors is currently being discussed between Fun and the Fire Service. The inspector has requested that written confirmation of any decisions agreed is forwarded to the CSCI. The current provision of cash tins for guests to lock valuables and/or medication is not secure and does not protect them from the risk of financial abuse.The home`s brochure states clearly that the home is not equipped to meet the needs of people with a history of violence. Information seen in incident reports identified where some guests had presented behaviour that staff had found challenging. This was discussed with the training manager who identified a need for future training to ensure staff have the skills and knowledge to manage and understand behaviours that can present as challenging to others. The last full quality assurance and quality monitoring review was undertaken in 2005. This needs to be undertaken on an annual basis and include feedback from relatives, guests and other health professionals associated with the service. The results of the survey need to reflect how the home is achieving the aims and objectives and the action(s) they need to take where improvement is required.