Latest Inspection
This is the latest available inspection report for this service, carried out on 22nd March 2010. 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 29, 31, 33 Kingsley Road.
Annual service review
Name of Service: 29, 31, 33 Kingsley 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: Malcolm Kippax Date of this annual service review: 0 8 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service
Address of service: 29, 31, 33 Kingsley Road Chippenham Wiltshire SN14 0BF 01249445763 01249445763 Telephone number: Fax number: Email address: Provider web address:
www.mencap.org.uk Royal Mencap Society Name of registered provider(s): Name of registered manager (if applicable) Miss Susan Yearley Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 8 4 4 0 The maximum number of service users that can be accommodated is 8. The registered person may provide the following category of service only: Care Home providing personal care only - Code PC to service users of either gender whose primary needs on admission to the home are within the following categories: Learning Disability (code LD) - maximum of 8 places, Physical Disability (code PD) - maximum of 4 places. 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: The registered manager left in January 2010 and a new manager is in post. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Kingsley Road provides care and accommodation to eight adults with a learning disability. Some people who use the service also have a physical disability.
Annual Service Review Page 2 of 8 Kingsley Road is run as a single establishment, although the accommodation is provided in three detached bungalows. The largest of the bungalows accommodates four people and the other two bungalows are each shared by two people. The bungalows were purpose built in 1993 and are owned by a housing association. Each bungalow is self-contained with its own single bedrooms, kitchen, bathroom, communal rooms and area of garden. There are wash hand basins within the bedrooms, although there are no separate en-suite facilities. Support staff are based in the largest of the bungalows, where there is an office and staff sleeping-in room. The scale of charges at the time of the last inspection was from 584.67 - 991.15 pounds per week. A copy of the last inspection report is available from Mencap. Inspection reports can also be seen on the Commissions website at: www.cqc.org.uk 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 in December 2007. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the home. The AQAA is a self-assessment that focuses on how well outcomes are being met for the people who use the service. It also gives us some numerical information about the home. - Surveys that have been returned to us giving peoples views about the service. - Information we have about how the service has managed any complaints. - What the home has told us about things that have happened. - The previous key inspection and the results of any other visits that we have made to the home in the last 12 months. - Relevant information from other organisations. - What other people have told us about the service. What has this told us about the service? We received an AQAA from the manager, which gave us information about the homes strengths and what has happened during the last 12 months. The home summarised what it does well: - This service offers individualised support which ensures that tenant needs are met to the best of our ability. We also ensure we use outside agencies for advice and support to make the services support even better. - We are always striving to improve service provision and to make it individual need led. To this end the rota and staffing provision are always changing. - The staff team are very committed and are flexible so that support can be altered to meet tenant wants. - The service is a happy service with tenants reporting they are happy with the service they receive. 2 tenants made this clear in their Social Service person centred reviews. - Mencap provides clear Policies and Procedures for all areas staff need to consider. - Mencap provides clear training for all its new and existing staff. We were told in the AQAA about changes that have been made as a result of listening to the people who use the service: Annual Service Review Page 4 of 8 - There has been an increase in funding again this year for one tenant with high needs. - The rota is regularly monitored and changed to ensure that we meet tenant wants and needs. Any requests to work with or not with certain members of staff is taken on board. - We are starting to undertake Advanced Care Planning activities for one tenant. - The complaints procedure is discussed at every 1:1 meeting. It was reported in the AQAA: We want to make the information we produce accessible to the tenants. We will do this by discussing with each individual how they would like the information presented. We were told: Mencaps Diversity policy is reiterated through supervision and team meetings as well as training. We adhere to Mencaps Equal opportunities Policy when recruiting. We ensure non-discriminatory practice in the way we work with all tenants as well as their families. There was also information in the AQAA about improvements that have taken place during the last 12 months. These have included: - The Service User Guide includes costings - provided by the service and what the tenant needs to pay for themselves. - The Support Plan includes a What I can do section which help the tenant to see what they can do for themselves and for support to be adjusted accordingly. This enables tenants to see if they wish to move on and what they need to do this. - We have slowly developed more accessible documents in some areas. - Mencap has introduced What Matters 2 Me, a service self-assessment completed by staff and tenants. - Mencap have introduced training in Autism Awareness, Dementia Awareness, Challenging Needs and the role of a Professional Worker. - Staffing has been targeted more and more too individual need so that tenants can undertake the activities they want to. - Ensured that each tenant gets input into meal planning and that staff are aware of and understand their food likes / dislikes. - Changing to Outcome planning from Goal planning. - Support plans reflect all personal care needs and how people like to be supported. - Mencaps reporting systems have been strengthened to enable complaints, incidents, accidents or critical incidents to be tracked effectively.
Annual Service Review Page 5 of 8 - The whole property communal areas was redecorated and the people who we support chose their own colours. - Have a stable staff base and we are fully staffed. - Mencap received its Investor in People registration this year. - Support plans have become more detailed and we have been asking the tenants how they would like them presented. We were also told in the AQAA about improvements that are planned for the next 12 months: - Develop a pictorial Application form for people with Communication issues. Also develop the Needs assessment into an accessible format as we meet with the prospective tenant so they can see what we record. - To develop Person Centred Plans for the people we support to ensure tenants are happy with their access to support plans. - Mencap will be developing its Outcome planning system more to meet CQC standards and Wiltshire Council requirements. - Changes to where equipment stored to make access easier. - Use of some of the Advances Care planning ideas to use with all tenants. - Shed being purchased to accommodate all the specialist equipment the service has acquired. - Complete a decorating and replacement schedule for next financial year. - Continue with NVQ 3 for new staff. - To improve house forums so tenants see that they have more say over the conduct of the home. As part of this ASR, we sent surveys to the home so that these could be given out to the people who use the service, and to staff. We received surveys back from five people who use the service and from three staff members. The people who use the service were generally positive in their responses. People confirmed that they knew who to speak to if not happy with something. One person commented Staff help you as much as they can and another person told us Good staff ... I am happy living here. When asked in the survey What could the home do better? one person commented Bigger Telly. Staff members told us in their surveys that they were given up to date information about the needs of the people who they supported. They said that their employer had carried out checks such as a CRB disclosure and references before they had started
Annual Service Review Page 6 of 8 working at the home. Their induction had covered everything that they needed to know when they started. They knew what to do if somebody had concerns about the home. When we asked in the surveys What does the home do well? staff members commented: - I feel the people in Kingsley Road have their needs met. - The people we support are always going out on trips and holidays. The team is very supportive in all circumstances. The atmosphere is always a vibrant one. A staff member also commented on what the home could do better: New starters need a Mentor and not left to get on with it. What are we going to do as a result of this annual service review? Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 6th December 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 who use the service. Annual Service Review Page 7 of 8 Reader Information
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