Care Home: 110a-c West Street

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Annual service review Name of Service: 110a-c West Street The quality rating for this care home is: The rating was made on: two star good 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: Laurie Stride Date of this annual service review: 1 6 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 110a-c West Street Havant Hampshire PO9 1LN 02392498333 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Hampshire County Council Number of places (if applicable): Under 65 Over 65 17 0 The maximum number of service users to be accommodated is 17. The registered person may provide the following category 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 110 (a-c) West Street is a purpose built group of three housing units located in a residential area close to the centre of Havant. Hampshire County Council owns the premises; and the range of services are: long-stay residential care and short-term respite and emergency care and they are managed by one manager. There is a central administration unit. 110 (a-b) are both long-stay residential units for up to five service users with learning disabilities. 110c provides a respite and emergency service for up to seven service users. This includes a bed-sit that is used for accommodating and supporting individual service users who are preparing to move on to more independent living arrangements. The aim of the service is to support service users in working Annual Service Review Page 2 of 7 towards a more independent lifestyle. 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 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. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The results of the previous key inspection of the service and of the last annual service review. What has this told us about the service? The homes annual quality assurance assessment (AQAA) 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 some of the further improvements they need to make. For example, they have employed the services of a local gardening project to look after the gardens, which are in need of work so that people who use the service can make better use of them. As a result of listening to residents concerns over health and weight a Healthy living Club has started which meets informally once a week. The Club is about to change into an activity night at a local holiday park, run by the local college, for those that want to attend. This will enable people who use the service to access more activities such as archery. The service is currently looking at ways of encouraging people who use the service to be more involved and better understand the political system. This has come about due to some of the people who use the service asking what the recent local election was all about. The service has developed links with other agencies including the community health team in order to fully support people who use the service who wish to maintain a relationship. The service has continued to improve other outside links, such as attending the local housing forum, and relay this information to people who use the service and other stakeholders. The AQAA identifies an area for further improvement is making sure that parents and carers are aware of how the service is developing. In order to do this they intend to modify their quality assurance questionnaire to include a section asking what people are aware of and to hold stakeholder events. We sent out survey questionnaires and received comments from six of the people who use the service, four of whom were supported by a carer or staff member to complete the questionnaire. We also received comments from two social and health care professionals and three staff members. Annual Service Review Page 4 of 7 Both of the external professionals gave positive responses and indicated that peoples social and health care needs are always properly monitored, reviewed and met by the service. One wrote My interface with the manager at times of referral and other critical points leads me to believe the service offers a safe environment. Service user feedback is good. They also told us the service does well at offering emergency residential accommodation to people in need. Ensuring safety and clear aims for stays. Two staff members indicated that there are usually enough staff to meet the individual needs of all the people who use the service. The other staff member told us there sometimes are. Staff members commented positively about the service, mentioning a safe and friendly environment, care and support and promoting choice, independence and involvement. Asked what could the home do better, two staff members said the service could be better organised in relation to staff workloads and making sure that one-to-one time with people who use the service can take place. Another thought the service could explore other opportunities for service users. One of the staff members said they feel that staff and people who use the service benefit from and enjoy the community feel to the unit. The AQAA told us that the staff team has been strengthened and the unit is currently fully staffed. This has reduced the reliance on casual and agency workers, which has given a more consistent approach to working with people who use the service. The way that staff are deployed has been reviewed and the rota altered so that staffing is allocated to each house rather than across the unit. Where it has been identified that an individual who uses the service requires a consistent approach in order to do a regular activity, the service has organised a support worker to enable this to happen each week. The AQAA states all people employed to work in the home within the last twelve months have had satisfactory pre-employment checks. All three members of staff who completed our survey questionnaire confirmed that their employer carried out checks and references before they started work in the home. Asked if their induction covered everything they needed to know to do the job when they started, one told us it did very well and two said it mostly did. All indicated that they are being given training which is relevant to their role, helps them understand and meet the needs of people who use the service, keeps them up to date with new ways of working and gives them enough knowledge about health care and medication. Three of the people who use the service indicated that they always make decisions about what they do each day and the other three said they usually do. All said they can do what they want to do during the day, in the evening and at the weekend. Asked what does the home do well, one person told us gives me support. Another person said I like my bedroom. I like the dinners. I like the staff. One person wrote everything. Another person told us Cooking dinner. Good walking, social activities, bowling, cinema. Another wrote all the staff are kind, friendly, caring, helpful and funny. One told us They let me have my CDs on and let me sing. Asked what could the home do better, one person said washing up, drying up. Another suggested Go out more. The AQAA states there has been one complaint recieved by the service within the last twelve months and this was waiting for an outcome on the day the AQAA form was filled in. The service identifes an area for improvement is in dealing with informal complaints more rigorously so that these do not become formal complaints. Five of the Annual Service Review Page 5 of 7 six people who use the service indicated they know who to speak to if they are not happy. The other person said they did not but that they know how to make a complaint. One of the six people said they do not know how to make a complaint, the others said they did. All indicated that the staff and managers always treat them well. Five said that the staff and managers always listen and act on what they say and the other said they usually do. All three staff members who took part in our survey indicated that they know what to do if someone has concerns about the home. Both of the social and health care professionals indicated that the service always respond appropriately if they or another person have raised any concerns. The AQAA told us there have been two safeguarding adults referrals and investigations. The home has kept us informed when there are incidents affecting the welfare of people who use the service. These notifications indicate that the service liaises with external social and health care agencies and has taken appropriate actions to ensure the wellbeing of people who use the service. Plans for improvement in the next twelve months include giving new staff the opportunity for training beyond the basic safeguarding adults awareness course. One of the social and health care professionals told us the service does well at reporting safeguarding concerns. Attending and contributing to safeguarding procedures/meetings. 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 19th 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: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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