Latest Inspection
This is the latest available inspection report for this service, carried out on 22nd January 2010. 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.
For extracts, read the latest CQC inspection for 1 Bradd Close.
Annual service review
Name of Service: 1 Bradd Close The quality rating for this care home is: The rating was made on: two star good service 0 2 1 2 2 0 0 8 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: Alan Thompson Date of this annual service review: 1 0 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 1 Bradd Close Off South Road South Ockendon Essex RM15 6SA 01708670568 01708670568 diane.harley@estuary.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Estuary Housing Association Ltd Number of places (if applicable): Under 65 Over 65 8 0 The maximum number of service users who can be accommodated is 8 The registered person may provide the following categories of service only: Care Home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD 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 Bradd Close is a care home with nursing for eight service users who have a learning disability, some of whom also have a physical disability. It is situated in South Ockendon, and is near to local shops and public transport, including bus services and a rail station. The premises are on one level and are divided into two identical areas at each end. Each area consists of four single bedrooms, a bathroom, shower room, lounge, dining
Annual Service Review Page 2 of 7 0 2 1 2 2 0 0 8 room and a kitchen. There is a garden at the rear of the premises with covered seating areas and raised flowerbeds. The home provides transport for the service users. Visitor car parking is available at the side of the home. The weekly fees at the time of our last key inspection were £1604.85. CQC inspection reports can be obtained from the home, or via the CQC internet website: www.cqc.org.uk. 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 looked at all the information that we have received, or asked for, since the last key inspection. 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. Any surveys that were returned to us by people using the service, their families and from other people with an interest in the home. What the service has told us about things that have happened in the home, 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 home in the last 12 months. What has this told us about the service? Inspection Report: The last key inspection of this service was undertaken on 2nd December 2008 and found that all of the eight outcome groups looked at were judged as good. The inspector concluded that: This home provides good care to the service users who have a quiet and routine lifestyle with caring staff to look after them. The home is run well with the service users and relatives expressing their satisfaction with the care given in the home. Service users are looked after by familiar staff that are trained in the caring professions. The home does use agency workers, however these workers are familiar with the home and the service users needs. Visitors to the home have described the staff as friendly and welcoming, creating a warm and friendly atmosphere. There are a range of care needs at the home. Some service users are mobile whilst others need total assistance with all their care. Service users described the food as good and were happy with their bedrooms. This tells us that overall the home was achieving good outcomes for the people using the service, although there was one statutory requirement made that the registered provider and manager were required to address. This related to including the views of services users and their relatives in the quality monitoring process used in the home. In relation to this issue the manager has confirmed in the AQAA that: Staff have Annual Service Review Page 4 of 7 become more forward thinking and are looking at different ways that service users can be involved more in their daily lives, choices and ideas. Under plans for next 12 months: To adopt an ongoing programme to monitor and act on views of other i.e. service users, relatives, friends etc. These actions will be checked at our next key inspection. AQAA: This was sent to us when we asked for it and provided us information to confirm that the manager had an understanding of the service, could identify what they did well and evidence this, and were also able to highlight areas for improvement. A brief summary of the managers comments in the AQAA included: Under, What our service does well: Provide a full range of information on the home, arrange visits and offer a test drive. Complete individual care plans, assess the needs to be met, provide staff with training and support to meet these needs. Allow potential service users to make an informed choice as to whether we can provide the service they ar looking for. All service users are involved in their assessments and their changing needs. Personal goals are reflected in their individual plans. Service users are provided with activities both in the home and the community, based on abilities and availability. They have social outings and pursue their interests. Personal and health care is undertaken within the privacy of the service users own room. The service users health is monitored and records are kept relating to health care professionals who are involved in service users care. Provide a stable staff team, the staff turn over is very low. We provide 24 hour qualified cover and our care staff are NVQ trained at level 3. Home manager is a qualified nurse and has NVQ level 4. All staff receive annual mandatory training and specialist training to meet the current needs of the service users. We have good policies and procedures on selection and recruitment and also an intensive induction package for new staff. Under, How we have improved in the last 12 months: By continually reviewing and implementing changes to individual needs and choices. Service users have maintained their social activities despite comunication and physical disabilities, and lack of resources that are available within the local community. Activities are mainly home based depending on service users wishing to participate. Maintained staff training to a high standard, maintained our no complaints record and continue to ensure that we have no adult protection issues within the home. Annual Service Review Page 5 of 7 Service users are updating and changing their environment by purchasing new items. Ensured that staff records are updated and complete, which includes agency staff. Have ensured my care staff are trained for nvq level 3 status. And included nvq level 3 leadership and management for qualified staff. The data set provided with the AQAA shows that in the twelve months leading up to the 22nd October 2009 no complaints had been received by the service. The AQAA also shows that there had not been any safeguarding alerts. Information in the AQAA also confirms that all the required recruitment checks had been carried out on new staff and that most permanent carers are trained to NVQ level 3. The deputy manager confirmed to us on 10th December that the exact numbers of carers with NVQ level 3 awards was eight out of ten staff. This means the service well exceeds the recommended level of 50 of care staff obtaining this qualification. The AQAA also shows how the service plans to introduce further changes to bring about improvements to benefit service users. Surveys: We sent surveys to the home for service users or their represenatives and staff to complete. The deputy manager confirmed to us on 10th December that these had been distributed to people, however unfortunately none had been received back by the inspector when this ASR was completed. This may be due to delays in post reaching the inspector however it is important that people have the opportunity to let us know their views about the service, therefore we will send a further supply of surveys to the manager and ask that they are re-distributed. Any issues raised in surveys sent back to us will be actioned as necessary. Information received since last inspection: As required by regulations, the home has when necessary notified us of any relevant incidents/information that we are aware of since the last inspection. Based upon the information available at the time of completing this ASR we think that the quality of the service has not changed since out last review. What are we going to do as a result of this annual service review? Based upon the information we have at the time of completing this review the evidence available does not indicate to us that the quality of the service has changed since the previous inspection. However we will take account of any further information that comes to us between this review and the next key inspection in case we need to reconsider our judgement. Annual Service Review Page 6 of 7 Reader Information
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