Latest Inspection
This is the latest available inspection report for this service, carried out on 21st May 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 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 123 Calmore Road.
Annual service review
Name of Service: 123 Calmore Road 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: Christine Walsh Date of this annual service review: 1 8 0 8 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: 123 Calmore Road Totton Southampton Hampshire SO40 2RA 02380668139 Telephone number: Fax number: Email address: Provider web address:
www.new-support.org.uk Dimensions (NSO) Ltd 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 123 Calmore Road is registered to provide care and accommodation for six adults with learning disabilities. The home is arranged in two bungalows, with access between them via an office. Staff work in both bungalows, but service users are encouraged to live separately. The service is provided by Dimension (NSO) Ltd and the building is owned and maintained by Swaythling Housing Association. The home has three cars and there is a local bus stop directly outside the home. The current fees are #1358.70 - #1363.96 per week. Fees do not include hairdressing costs, chiropody,
Annual Service Review Page 2 of 8 toiletries, basic costs of holidays and use of the house car. Annual Service Review Page 3 of 8 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. 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, requirements, recommendations 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? 123 Calmore Road was rated a 2 star, Good service following the key inspection visit on the 3rd July 2008. The next key inspection will take place before the 2nd July 2010. The home did not send us their annual quality assurance assessment (AQAA) on time, it was received once a reminder letter was sent. Comments cards were sent to the people the home supports, staff and other stakeholders, a small number have been received and have assisted in the review of this annual service review. The AQAA refers to the people who use the service as The people we support, therefore this term will used throughout the body of the report. The home tells us that it considers the diverse needs of the people they support by ensuring there are person centred plans in place that meet the individual persons communication needs. The AQAA tells us staff receive person centred training, diversity training and the company offers diversity days and discussions for the people they support. In comment cards received from staff, they spoke favourably of the person centred approach. Staff said: There is a better continuity of care due to a more person centred approach. My overall opinion of how the home functions is very positive, in that genuine care and support is given to residents to live the life they want. The AQAA tells us the home is currently running with a vacancy but recognises that it is important to ensure the person who moves in is compatible with people already living in the home, some of who have complex challenging needs. This provides evidence that the service is considering the diverse needs of people already living in Annual Service Review Page 4 of 8 the home. We looked at the information in the AQAA, which informed us of areas of good practice, areas for further improvement and plans for the next twelve months. The AQAA told us it does well to ensure the people they support receive a service that is person centred and involves them and their families in the development of their personal plans. They tell us they do well to ensure the people they support have access to the community, receive good food and support with their health, to liaise with outside agencies and provide an environment where staff work well together. This was supported by comments received from the people the home supports and staff: With help a person who lives in the home told us: The home always does well to have my best interests at heart, (person centred). The home manager wrote on behalf of a person living in the home: The home does well to provide good food, a person centred approach and a nice friendly atmosphere. Staff said: We do well to maintain relationships with families, support residents to go on holiday and have choices of activities and outings. We have had successful holidays, successful medication reductions, developed interesting person centred plans that are reviewed regularly. We do well to have a good understanding of the people we support who have complex communication needs and to have regular staff who have built up good relationships with the people we support. The last visit to 23 Calmore Road told us the service does well to provide good outcomes in six of the eight outcome areas, rating adequate in Individual Needs and Choices and Staffing. Following this visit one recommendation and three requirements were issued. The requirements included having risk management assessments in place, relevant to the people living in the home, ensuring controlled medications are stored correctly and comply with the Misuse of Drugs Safe Custody of Regulations Act 1973, and ensuring the home has evidence that criminal record checks and protection of vulnerable adult checks have taken place on all recruited staff. The home responded to the requirements with an action plan that told us that all requirements had been achieved within the required timescale. The AQAA told us there has been an improvement to the existing medication cabinet, following advice. An inside locked cabinet has been secured to the wall as well as the outside cabinet to conform with legal requirements for controlled medications. The AQAA goes onto tell us that all staff are CRB checked before employment commences and recruitment documents are checked monthly. The home did not make reference to risk management assessments in the AQAA. However a comment received from a
Annual Service Review Page 5 of 8 member of staff told us the home does well to willingly take risks and try new things. The management of risks will be reviewed during the next visit to the service. The AQAA told us the service recognises where they could do better and what their plans are for the next twelve months, these include empowering the people who use the service to have more involvement in the management and understanding of their money and medication. The AQAA tells us Staff commitment will ensure this. The AQAA told us the home also recognises it could do better to involve the people they support to have more involvement in keeping their diaries, accessing local transport, plan more adventurous holidays, provide more accessible communication aids, such as the complaints policy and better management of staff supervisions. We were informed through comment cards that staff feel there is a need for better time management of routines and duty rotas as the nature of the role and working with people with complex needs can be stressful at times. The home could do better to provide more 1-1 support for me. The home could do better to provide better rota planning and use of agency, (But this has been improving). This will be reviewed during the next visit to the service. The Commission has not received any complaints since the last visit to the service and the AQAA informs us that the home has not received any complaints in the last twelve months. The last inspection report and the AQAA tells us the service has systems in place, such as an accessible complaints procedure for the people who live in the home and a complaints procedure for relatives and staff. The people who use the service tell us in the comments cards that although they have limited understanding they are able to let staff know if they are unhappy. Staff told us they know what to do if a concern or a complaint is raised with them. The last report told us in the judgment area for Concerns, Complaints and Allegations that there are Satisfactory systems in place for people to address any concerns or complaints that they may have and to protect them from abuse. Since the last visit to the service a small number of regulation 37 notices have been received. Regulation 37 notices are sent to the Commission when an incident has occurred in the home such as a death, adverse incident affecting the people who use the service wellbeing, and an outbreak of an infection disease and misconduct of staff. Regulation 37s that have been sent to the Commission mainly notify us of incidents involving challenges from the people who live in the home. 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 2nd July 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 8 Annual Service Review Page 7 of 8 Reader Information
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