Care Home: 100 Goldstone Crescent

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Annual service review Name of Service: 100 Goldstone Crescent The quality rating for this care home is: The rating was made on: two star good service 1 0 1 0 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: Nigel Thompson Date of this annual service review: 0 2 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 100 Goldstone Crescent Hove East Sussex BN3 6BE 01273553718 01273553718 Telephone number: Fax number: Email address: Provider web address:   www.caremanagementgroup.com Care Management Group Ltd Name of registered provider(s): Name of registered manager (if applicable) Mrs Anna Mathers Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users who can be accommodated is: 3 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 100 Goldstone Crescent is a care home, which provides personal care and accommodation for up to three residents with mild to moderate learning disabilities. The home is owned and run by Care Management Group (CMG) who are a large national organisation that provides care for people with learning disabilities. The home is located in a quiet residential area in Hove. There is access to local amenities Annual Service Review Page 2 of 7 1 0 1 0 2 0 0 8 and public transport. There is limited car parking available at the home, however free parking is permitted on the street. All rooms are for single occupancy and are located over two floors with suitable bathing facilities to meet the assessed needs of residents. The layout of the home is not suited to accommodate wheelchair users and residents must be able to independently mobilise to access the first floor. There is a wellmaintained rear garden, which is accessible for residents to use. Prospective residents and their relatives are provided with written information regarding the services and facilities provided at the home prior to admission. The homes most recent inspection report is available on request at the home. 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 form 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. 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 comprehensive and gave us the information that we asked for. Our judgement is that the home continues to provide a good service for the people who live there. There was one requirement and two recommendations made following the previous inspection. The inspection report was positive and outcomes for residents were found to be good. The report concluded that: 100 Goldstone Crescent is an established service that continues to provide good quality care and support for the people who live there. The comfortable, relaxed and welcoming environment has evolved over several years and reflects the varied interests and personalities of the residents, the commitment within the staff team and the open and inclusive management style. Detailed information regarding the service is provided prior to admission to support prospective residents in their decision of where to live. The compatibility of residents currently living at the home is good. Thorough policies and procedures are in place for the admission and ongoing care and support of residents. Effective communication and consultation systems enable residents to be directly involved in developing and reviewing their individual support plans as well as many decision making processes within the home. Residents are enabled and supported to take part in a comprehensive range of Annual Service Review Page 4 of 7 educational and leisure activities, reflecting their individual interests and preferences, both within the home and in the wider local community. Through working closely, sensitively and consistently with residents, staff have clearly developed a sound understanding of their individual care and support needs. Residents are encouraged and supported to make decisions about their day to day living, Where appropriate and practicable. They are involved and regularly consulted on many aspects of life in the home, including menu planning, colour schemes and activities. Residents individual needs and choices are assessed and reviewed on a regular basis and are detailed within comprehensive plans of care. Staff support each individual well to undertake a range of activities in order to promote their independence. Community participation evidently remains a focus of the home. The health, safety and welfare of residents is ensured through the homes robust systems for dealing with any concerns or complaints and guidelines that are in place to safeguard individuals from potential, harm, neglect and abuse. The AQAA indicated a range of areas where improvements have been made during the last year: The Homes Statement of Purpose has been reviewed and updated. The home now has a Deprivation of Liberties folder, where restrictions on individuals will be risk assessed and documented. As yet, the home has not identified any restrictive practices. Residents are being increasingly supported and enabled to participate in the preparation and cooking of meals. Diets for individual residents have been improved through education on healthy eating. The GP is evidently extremely impressed at the significant weight loss that one resident has achieved. A sensory assessment has been carried out by an occupational therapist to ensure that a residents visual impairment was taken into consideration in the layout and accessibility of the home. Specialist equipment and aids have been provided to enable and support maximum involvement in all aspects of the home. Hospital passports have been completed for each resident. Medication guidelines have been reviewed by the GP. An occupational therapist recently assessed the bathing needs of residents and as a result of this one resident has had a new bath chair installed to use when showering. A physiotherapist has recently assessed a resident with a view to developing an exercise programme to improve mobility. A new e learning programme has been developed and implemented by the Learning Annual Service Review Page 5 of 7 and Development Team. This includes a Safeguarding Vulnerable Adults module, which all permanent staff have recently completed. All staff have also completed the new E Learning module on Infection Control which evidently provides very comprehensive learning on the subject. New sofas have been provided for the lounge. Since the previous inspection, an experienced manager has been appointed and staff now receive formal and structured supervision on a regular basis. Complaints are well managed and residents, staff and visitors have confidence that they are listened to. Policies and procedures are in place to protect residents from financial abuse and all financial transactions are recorded. Robust policies and procedures are in place relating to staff recruitment, annual leave and sickness absence Staff are clearly valued and well supported. Ongoing training is provided to ensure that all staff have the necessary skills and competencies to effectively meet the assessed needs of the residents. There is evidence from the AQAA that the service continues to meet the residents ongoing support needs and the dedicated manager and staff remain committed to providing good quality care and maintaining positive outcomes for the people who live at 100 Goldstone Crescent. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will do a key inspection by 22 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. 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