Latest Inspection
This is the latest available inspection report for this service, carried out on 4th 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 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.
For extracts, read the latest CQC inspection for 1 Sheepfold Avenue.
Annual service review
Name of Service: 1 Sheepfold Avenue 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: Lesley Webb Date of this annual service review: 2 7 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 1 Sheepfold Avenue Rustington Littlehampton West Sussex BN16 3SQ 01903785753 Telephone number: Fax number: Email address: Provider web address:
H4M042mellor@mencap.org.uk www.mencap.org.uk Royal Mencap Society Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (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 1 Sheepfold Ave is a care home registered to provide personal care support (PC) and accommodate up to six service users with a learning disability (LD) between the ages of eighteen and sixty-five. It is a detached property located within a short distance from Angmering and Rustington. The property provides accommodation consisting of all single rooms, lounge, dining room, sensory room and easy access to the garden at the rear of the property. The service provides personal care assistance to service users who have a profound learning disability and physical disability. Support and assistance
Annual Service Review Page 2 of 7 is also provided to enable service users to access facilities and activities at home and in the community to ensure they lead an active lifestyle. The Royal Mencap Society owns the service. The Responsible Individual operating on behalf of the organisation is Ms Janine Tregelles. The Registered Manager responsible for the day-to-day running of the home is Ms Josi Mellor. Fees for the service range from £857.33 to £1459.86 depending on assessed needs of the individual. 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 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 other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. For example it states that as a result of listening to people the following changes have been made Mencap as a service provider organisation is currently undertaking a review of the way that we seek and gain feedback from the people we support. To date we have used accessible paper based questionnaires, but feedback from the people we support indicates that these do not always give the scope for people to comment on what is important to them in the support they receive. We are moving toward a more flexible process for facilitating and recording discussions with people based around what we believe to be best practise. Senior Manager regular monthly visits to the service have increased in frequency. We have had an internal inspection and a Risk Assessment Audit in 2009. We are planning to make these further changes as a result of listening to people who use our services. We have responded to comments made by some family members during telephone conversations, visits and general updates and continue to work with family to develop contact, opportunities and experiences. We implemented a system to record information discussed/ shared with families, other professionals, to refer to when monitoring and reviewing supporting individuals decision making, this has proved beneficial. We are continuing in the process of changing our care plan formats and going to an electronic version. This is a very detailed package refereed to within our organisation as Core plans. This is a live Annual Service Review Page 4 of 7 document for each individual and is very detailed. The AQAA also informs us of changes that have been made to ensure equality and diversity are promoted Actively involving the people who use our service to have an opportunity to meet with potential candidates prior to interview, by observing these meetings, communication engagement and reactions and responses enables individuals to play apart in the recruitment process. We aim to have a diverse team from a variety of different backgrounds enabling the team to have a better understanding of diversity and support mechanisms. In the event we identified the need for specific staff cultural training/awareness to meet the needs of the individuals we support we support the implementation/progression of this. The culture within the service strives to deliver a service tailored to meet the individuals needs very much promoting dignity, respects, choices and empowering the people to use our services to be in control of their lives. Six residents completed surveys and returned them to us before we undertook this Annual Service Review. All state they were asked if they wanted to move into the home and received enough information about it before they moved in so they could decide if it would be the right place for them. All state they can make decisions about what they do each day. All state they know who to speak to if not happy and that they know how to make a complaint. All state they home is always fresh and clean. All state the care staff and manager always treats them well. All state the care staff and manager always listen and act on what they say. When asked the question what does the home do well comments have been recorded of - Supports me when I want to do something Do their best to make where I live feel like a family home, whenever possible I am happy with everything, I think its a marvellous place I have lots of input from staff and I enjoy lots of community activities Support staff always do their best to support me to achieve my goals and enable my choices to be fulfilled When asked the question what could the home do better comments have been recorded of Currently my room is being rearranged and improved to incorporate a sensory area for me to relax in If it were possible for the home to be more specialised for my needs such as the addition of a lift which would enable me to access the first floor More time making things eg arts and crafts Have parties when able What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 We are not going to change our inspection plan, and will do a key inspection by 30th October 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:
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