Latest Inspection
This is the latest available inspection report for this service, carried out on 13th November 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 14 Norfolk Road.
Annual service review
Name of Service: 14 Norfolk Road The quality rating for this care home is: The rating was made on: two star good service 1 5 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: Diane Jinks Date of this annual service review: 1 2 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 14 Norfolk Road Carlisle Cumbria CA2 5PQ 01228592515 Telephone number: Fax number: Email address: Provider web address:
norfolkroad@cic.co.uk www.c-i-c.co.uk Community Integrated Care 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 registered person may provide the following category/ies of service only: Care home only - Code 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 - Code LD The maximum number of service users who can be accommodated is: 6 Have there been any changes in the ownership, management or the Yes 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 14 Norfolk Road is a detached three-storey property. Community Integrated Care provides the care and services. The home is registered to provide care for six people with a learning disability. Service users only use the ground and first floors, with staff accommodation on the top floor. It is situated in a residential street approximately one mile from the City of Carlisle and is indistinguishable from other properties in the area. A staircase provides access between the floors. There is a private and enclosed garden area to the rear of the building and car parking to the front. Information about the home, the service user guide, and details of the current scale for charges are available
Annual Service Review Page 2 of 7 N/A 1 5 1 0 2 0 0 8 from the manager of the home. Previous inspection reports are also made available to people on request. 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 we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was completed and sent to us by the manager. The AQAA is a self-assessment that is filled in once a year by all providers. It focuses on how well outcomes are being met for people using the service. It also gives us some statistical information about the home. We looked at the surveys that people living and working at the home returned to us. The previous key inspection report, particularly where we have made recommendations or requirements to help make improvements to the service. We also checked whether there have been any complaints made about the home or whether there have been any matters regarding the safeguarding of vulnerable adults (abuse). There have been no reports of complaints or anything abusive happening at the home. What has this told us about the service? Mr Dryden the manager, sent us the annual quality assurance assessment when we asked for it. He provided us with information about the home, particularly where improvements have been made. He also told us of the areas where the home could do better and outlined his plans for further improvement over the next 12 months. We looked at all of the information that we have received about the service, including the surveys and comments from people that live or work at the home. Our judgement is that the home continues to provide a good service. The manager has told us that the service bases its targets on helping people to achieve their identified goals. People have person centred care plans that are developed from comprehensive assessments of their care and support needs. The service provides people who are thinking of moving into the home with information about the services that can be provided. The information is contained in the service users guide. The manager has told us that this document needs to be revised and updated and he plans to do this over the next year. People who use this service told us that they were not able to choose whether to move into the home. They also told us that they did not receive any information about the home before they moved there. However, it is some years since they moved to the home from another establishment. People are encouraged and are able to express their views of the service. Annual satisfaction surveys are undertaken and people using this service are said to be involved in the recruitment of new staff. The manager tells us that they are currently Annual Service Review Page 4 of 7 reviewing menus and activity programmes to ensure they reflect the changing needs and preferences of the people that use this service. Information provided by the manager, indicates that people using this service do not have assessments of their nutritional needs. This is something that the manager should give serious consideration to as part of the review of menus at the home. This will help ensure that people using this service continue to receive a nutritious diet and are protected from the risks associated with poor or inappropriate diet. Staff working patterns have been adjusted to help the people that use this service take part in more activities and past times. However, from the surveys we received from people using this service, all said that the home could do better by providing more activities. Indications are that staff are recruited safely with all the necessary checks being carried out before they start to work at the home. Staff undertake a variety of training courses, including National Vocational Qualifications (NVQ) and safeguarding. This helps to make sure that people using this service are supported by staff that understand their needs and requirements. The manager tells us that the safeguarding training and the improvements made to care plans and risk assessments have helped staff to understand individual support needs and reduced the number of incidents of abuse or self harm. The home has undergone an assessment by the National Autistic Society and has gained accreditation. This helps to demonstrate that the service meets the standards expected when supporting people with an Autistic Spectrum Disorder. Some of the staff that work at the home told us that they get up to date information about the people they support. They told us that they are provided with opportunities for training and that there are usually enough staff on duty at the home. These things help staff to meet the needs and expectations of the people that live at the home. We received surveys from five of the people that live at Norfolk Road, they had all been completed with the help of a member of staff from the home. People told us that they are able to make decisions about what they do each day, including the evenings and weekends. They told us that the staff treat them well and listen and act on what they say. All of the people that returned surveys told us that they did not know about the complaint process or who to speak to if they have a concern. They told us that their carer would do it on my behalf. The manager should look at this and try to develop the complaint process in a suitable format so that people using this service understand that they are able to raise concerns or complaints. Comments we received from people using this service included: The home makes a nice environment for me to live in. They make sure that I am well cared for. They give quality care. Staff comments included: The home lets people lead a full and interesting life. We work well as a team. Everyone cares a lot about our clients and know them very well. We give them the best care they need.
Annual Service Review Page 5 of 7 We try to look after the needs of the residents on an individual basis. I think the home is well run. Most staff have worked at the home for a number of years. 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 carry out a key inspection by 15th 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
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