Care Home: 186 Meadow Way

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Annual service review Name of Service: 186 Meadow Way 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: Helen Laker Date of this annual service review: 1 2 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 186 Meadow Way Jaywick Clacton On Sea Essex CO15 2SF 01255431301 01255431301 meadowviewcarehomes@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Mr S T Lewis Number of places (if applicable): Under 65 Over 65 3 0 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: This service was originally part of two houses, registered as one home, consisting of 178 and 186 Meadow Way. Mr Lewis the proprietor sold 178 Meadow Way in February 2009 and therefore only the existing 186 Meadow Way registered for 3 LD service users is now in existence as a two star good service. Mr Lewis the Proprietor plans to change the name of the home to The Sheiling Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Sheiling - 186 Meadow Way is registered as one care home to provide support for up to three people with a diagnosis of mental disorder. The house is situated in a residential area of Jaywick Sands in close proximity to local shops, a public house and the beach and backs onto wide, open areas of meadowland. A local bus service provides access to the nearest town of Clacton on Sea, approximately 2 miles away, for local amenities such as day centres, local hospital, sports centre, swimming pool, Annual Service Review Page 2 of 6 library, colleges and the town centre for shopping. Information about the service is provided to prospective service users in the homes Statement of Purpose. The current fees made known to the Care Quality Commsion at the homes last key unannounced inspection on the 30th May 2008 were 700.00 pounds per week, allinclusive. Previous inspection reports are available from the home and from the CQC website www.cqc.org.uk Annual Service Review Page 3 of 6 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 were sent by us to people using the service and to 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 previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Any relevant information from other organisations. What has this told us about the service? The Sheiling - 186 Meadow Way submitted their AQAA form by the requested date. This document provided information on how the service is presently meeting its service users needs and also the Younger Adults Care Standards. The AQAA advised the CQC of areas that had been developed since the last inspection, and also where the service hopes to improve within the next 12 months. They had completed all sections of the AQAA to a good standard, giving details of what they do well, how they have improved in the past 12 months and their plans for improvement in the next 12 months. At the last key inspection on 30th May 2008, two requirements were made. All the key National Minimum Standards for Care Homes for Younger Adults were considered at that inspection. Outcome groups relating to staffing was judged to be adequate and all other outcome groups were judged to be good. Overall the home was judged to give good outcomes for people using the service. As this home was originally part of two houses we are informed that this house was originally the dormant side of the service with just one house being operational. Since the new registration in February 2009 three new service users have been admitted. The homes AQAA highlights Service Users are consulted on and empowered in all aspects of their daily life in the home within a flexible self choosing approach. Additionally staff support is extended to engagement in leisure and social activities and maintaining positive family relationships to create the climate to a fulfilling lifestyle. Good practice in record keeping and documentation is the basis for such claims. Also an empowering leadership style and teamwork ensures an accountable and competent service delivery. The AQAA also states that We are planning provision of re-decorated bedrooms for three service users adapted to suit their requirements. Further changes to the six-weekly menu to reflect the changing likes and dislikes of the service users have been implemented and a widescreen television has been installed in the designated smoking area. We have also made provision for one service user to have a shed assembled in the garden so that he can continue his gardening interests and continue attending his allotment in Clacton. There will also be an increase in evenings out at the theatre and local restaurants for dinner. The home was confirmed by one professional surveys as The process of introducing my client to the home was without stress. the manager was affable, relaxed, informative and clearly had his clients best interests at heart. One Annual Service Review Page 4 of 6 service user survey stated Always looked after care and cooking good. The home also tells us they have recruited and trained new staff to the expected standard. Maintained standards in the care delivered and the cleaniness of the home, increased the range of activities on offer to service users and their families and incorprorated into the home the suggestions and comments made by service users and vistors to the home. The AQAA states that Active engagement of service users to express their wishes and concerns via meetings and quality assurance questionnaires is providing them with the means to increase the homes awareness of their needs without impinging on their best interest and ensure their protection at all times. Additionally it states We must seek to implement the conditions of the Mental Capacity Act, person centred planning and the planned training strategy so that evidence can be provided that the best interests of the service users are secured and the best skills of the staff can be matched to ensure the best interests of the service users. They are overall regularly reviewing policies and procedures to comply with legislation and best practice, to ensure that the service strives to provide a quality service. The AQAA overall states that they listen and involve residents, their families and staff in what is happening in the home. The homes AQAA states with reference to how it will continue to promote equality and diversity within the home that All service users are encouraged to make their own choices in domestic contributions, e.g. all service users clear away the table after meals and one service user is keen to independently choose when to eat. Two service users are also keen to be involved in their weekly washing. The other service user is not inclined to participate in the same way but their identity is maintained granting them personal space on their terms. This is extended to all social interactions. All service users take pride in their identity by their appearance and attention to detail. None of the service users openly express their religion but they all identify with some of the values in a public way. All bedrooms are decorated to reflect individual personality and identity. The homes AQAA indicates, the home considers itself capable of keeping abreast of changes in legislation. They will find ways to monitor their service to ensure the right development in all aspects of care. One staff survey stated We promote a friendly, family enviroment that promotes the needs of our service users individually to assist them to gain and continue to have independence in their daily lives. The Care Quality Commission has not received any direct complaints relating to this service since the last inspection. In the AQAA it is recorded that the home has received no and that no safeguarding referrals have made. The home has a robust complaints policy overall and the AQAA confirms that they ensure staffs knowledge is continually updated to keep abreast of changes in legislation and any impact that may have on the service. This information has shown us that the service overall continues to provide good outcomes for the people who use it. We looked at the information in the AQAA and conclude that the home has a good awareness of the service and knows what further improvements that they need to make, to continue developing the service. 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 29th May 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 5 of 6 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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