Care Home: 22 St Peter`s Road

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Annual service review Name of Service: 22 St Peter`s Road The quality rating for this care home is: The rating was made on: two star good service 2 8 0 1 2 0 0 9 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: Michele Etherton Date of this annual service review: 2 2 1 2 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 22 St Peter`s Road St Leonards on Sea East Sussex TN37 6JG 01424447851 01424447851 sarahbeaney@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: ASD Unique Services Ltd Number of places (if applicable): Under 65 Over 65 4 0 The maximum number of service users to be accommodated is 4. 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 22 St Peters Road is situated in a residential area in St Leonards on Sea. The home is registered to accommodate four adults with autistic spectrum disorders. The property is a three storey building with bedrooms situated on the first and second floors. The home is close to shops and amenities and there is easy access to Hastings and St Leonards. 22 St Peters Road is one of four homes owned by the proprietors Mr and Mrs Kennard. The current scale of charges for the service range from £,150 to £1,780 each week. Annual Service Review Page 2 of 8 2 8 0 1 2 0 0 9 Additional charges are made for hairdressing, toiletries and magazines. The service provides a contribution to hairdressing costs. Inspection reports are made available at the home and reference to the availability of reports is also included in the homes Statement of Purpose. 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 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. Information we may have about how the service has managed any complaints. Surveys returned to us by residents and staff using the service and other stakeholders we may have asked to comment. 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. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. This was completed comprehensively, was clear and gave us all the information we asked for. We did contact the home also to seek clarity on one or two points. The AQAA informs us that: The service has addressed outstanding requirements in regard to ensuring staff mandatory training is provided in a more timely manner, and that there are systems in place to enable the service to conduct internal audit and review of service quality and take account of the views of residents and other stakeholders. We are informed that in the last twelve months the service has implemented a changes board to keep residents informed, has provided two residents with prompt cards which they can use when they are experiencing difficulties or anxiety. There has been an improvement to the frequency and range of external activities residents are enjoying with activities now including gym attendance, discos and evening clubs, one resident is hoping to join a bible studies group, and another a music and movement class. All residents maintain a good community presence and are well known in the local community and to local shopkeepers. The service promotes healthy eating for residents and uses low fat alternatives where possible, the AQAA tells us that three residents are following a weight watchers menu Annual Service Review Page 4 of 8 currently, and specialist diets are catered for where these have health benefits. Two out of the three residents who currently have prescribed medications have received medication reviews, these have resulted in a reduction in the amount of medication they have to take and they are coping well with these changes. Home managers within the company have been actively involved in reviewing some of the policies and procedures to make them more relevant to the company and individual services. Staff interview questions have also been revised; the manager of 22 St Peters road is keen to more actively involve residents in the staff interview process and is looking at ways to do this. Improvements have been implemented across the company with regard to the management of residents monies,and these are now checked at every shift handover by both parties. There is ongoing review of documentation and records to ensure these are updated, and that some that are relevant to residents are easy to read and accessible. There have been improvements to the environment of the home internally and externally. Redecoration of the lounge and dining rooms, the installation of a wall mounted flat screen TV, and new curtains in these areas, provides a comfortable and modern communal space for residents to enjoy. Some repairs have been made to exterior walls and steps, and further improvements are planned. The front garden has also been tidied up and has an improved appearance by the addition of more plants and garden ornaments. Staff have all received infection control training and guidance and risk information developed to inform them and ensure good cleaning and laundry arrangements are in place, and soiled laundry is properly handled. The AQAA informs us that all health and safety checks are up to date. Residents are provided with opportunities to express their views. The AQAA informs us that as a result of listening to them: one resident has been supported to rearrange furniture in their bedroom, the home has facilitated the wishes of residents to paint a wall mural on a rear garden wall, by preparing a wall for this use. A counsellor has been accessed for one resident to help with listening to their concerns, staff have advocated on behalf of a resident to have medications they consider has an adverse effect on the resident to be reviewed and this is currently ongoing. Two residents have agreed to swop bedrooms and this will help one of them on their return to the home following a planned operation. One resident has requested to do voluntary work and this is being actively pursued by home staff and a worker from the local community learning disability team and a CV has been developed with the resident to help with their applications for voluntary work. The service records that four complaints have been received in the past twelve months and all have been satisfactorily resolved within the 28 day timescale. Ten adult Annual Service Review Page 5 of 8 safeguarding alerts have been raised by the home, six of which has resulted in investigations by the local safeguarding team, we are advised that at present only two safeguarding alerts remain open. The service has highlighted a number of areas where it would like to improve upon current practise or where residents have indicated an aspiration or wish that they would like and plans are in hand to action these. 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 what further improvements they need to make. We surveyed people living in the home and the staff. Although responses have been limited, one resident who responded indicated that they were happy with most things in the home, asked about what the home did well they said I like flowers I like gardening Asked what they thought the home could do better they responded walking I like trains, I like food I like cakes I like 22. Staff survey responses indicate staff to be generally positive about the home, asked what the home does well they commented: does lots of various activities care for the service users endeavour to meet all their needs at all times reassure residents at times when required All staff work as a team and communicate on all levels Asked what the home could do better they reported: make sure there isnt too many staff changes as this can upset service users (sickness happens) prepare service users at all times if changes occur The AQAA information makes clear that there has been some turnover within the staff team and this has been unsettling for residents, however, recent recruitment to posts means that there is now a full staff team and residents are benefiting from this return to consistency, and the reduced need to seek support from relief and agency staff. We are advised that new staff are receiving appropriate induction, training and supervision to ensure they have the necessary skills, knowledge and support to provide effective support to the residents. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 We are not going to change our inspection plan, and will do a key inspection by 27th January 2011. 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. 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