Care Home: 2a Court Road

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Annual service review Name of Service: 2a Court Road The quality rating for this care home is: The rating was made on: two star good service 1 2 1 2 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: Odette Coveney Date of this annual service review: 2 4 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 2a Court Road Kingswood South Glos BS15 9QB 01179618737 01179607195 Telephone number: Fax number: Email address: Provider web address:   admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 15 0 May accommodate up to 15 persons aged between 18-64 years with Learning Disabilities 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 2a Court Road is located in an established residential area of South Gloucestershire within approximately a quarter a mile of the shopping area of Kingswood where most community facilities exist. Public transport (buses) is available to Bristol City Centre, which is approximately four miles away. The home is purpose built and was opened in 1996. It has three houses within the same building. Two houses have single level accommodation, while the middle house is based on two floors with stairs to the first floor. Each house is registered to accommodate five people and consists of individuals? bedrooms dining room and lounge. Kitchen and bathrooms. There are staff administration offices and sleeping-in accommodation for staff. The staff team is approximately 38 in total. Aspects & Milestones Trust, a voluntary non-profit making organisation, runs the home. All of the clients previously lived in Stoke Park Hospital Annual Service Review Page 2 of 7 1 2 1 2 2 0 0 8 and moved to 2a Court Road when it opened in 1996. All of those living within the homes have profound learning difficulties. 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 that we have received, or asked for, since the last annual service review. This included; Surveys we have received from service users (3), relatives of service users (3) and staff who work at the home (3), visiting health/social care professionals (1). The Annual Quality Assurance assessment (AQAA) that was sent to us by the service. We received this when we requested it in February 2009 . The AQAA is a selfassessment 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 complaints . Information we have about how the service has managed safeguarding issues in order to protect and support the people living at 2a Court Road. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Information we have about the previous key inspection undertaken in December 2008 . As well as relevant information from other organisations. What has this told us about the service? We spoke to the Registered Manager of this service Tracy Cunningham in November 2009, she informed us that she is working at another establishment for Aspects & Milestones Trust for two days per week, this is a short term arrangement. Mrs Cunningham is at 2a Court Road for the rest of the week and suitable management arrangements for cover in her absence have been made. The home sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. The manager of the home completed the AQAA and returned it to us in February 2009. Within the AQAA the home reported to us about how they ensure that the needs and wishes of those who live at 2a Court Road are known and responded to, they reported to us: - We have very detailed individual Essential Lifestyle Plans which the residents have an active role in as much as possible, along with their families and people who know them well and who can advocate on their behalf. These are produced using photos and pictures to help the person understand them. They include personal goals which reflect the wishes, needs and choices of each person offering new opportunities/experiences. Our activity co-ordinator and the keyworker records these in the house diary to ensure they are met. The service informed us that the plans are working documents. The home are Annual Service Review Page 4 of 7 constantly adding to and changing the information in these plans as they find out and learn more about the person. People never stay the same; routines, likes and dislikes often change over time so the home makes sure the persons information reflects this. These are reviewed on a 3 monthly basis making changes where necessary to meet individual needs and checking on the progress of these goals Within the section of the AQAA where the provider can inform us what their service does well we were informed: We support people as individuals, respecting their rights and dignity and ensuring they are always involved in their person centered plan. We encourage individuals to be involved as much as possible in the daily running of the home. We offer a variety of activities/experiences which reflect the persons needs/wishes within the home and with support from external organisations, i.e. Brandon Daycare, we have a skilled and experienced team that work within the Trusts policies and procedures ensuring the rights of the individual are being met and advocate on their behalf if they are not. We are constantly looking at ways of improving the service we provide. Within the AQAA the service was asked to inform us how they ensure that race, sexuality, gender and equalities is incorporated in all that they do, they informed us; We support people on an individual basis and listen to what they have to say, verbally and, through their body language and behaviours - this is recorded in their ELPs. We value each persons individuality and ensure that the support we give and the records we keep, reflect this. During our last key visit to the service on 12th December 2008 no requirements and no recommendations were made. We recorded that the home is well managed and is run in the best interests of those who live at the home. We reported that we saw that the home had gathered a wealth of information about people, about their support needs with all aspects of their physical and emotional health and welfare, information was also in place about individuals lifestyle choices, activities, relationships and how their rights are upheld and respected. We saw that information in place was person centered and relevant to the individual. Each person had an essential lifestyle plan, (ELP), which contained information about individuals positive reputation, information that was both essential and important to them, information recorded what individuals prefer/enjoy. Information was also in place for each person about how they personally wished to be supported, how they wanted support to stay healthy and safe. Clear information on individuals communication requirements were also in place, these documents are kept under constant review and updated when changes occur. Prior to the annual review of this service ten surveys were received by us; three were from people who use the service, three were from relatives of individuals who use the service, one was from health/social care professionals and three were from staff employed at the home. Relatives commented that they; Have not found any shortfalls to date and in the section of what the service does well; we were informed that that there is a good ambiance in the home, that there is good attention to individual needs and good essential lifestyle planning. One person also told us that the assessment and appraisal of their relative had been quite expedious. The health/social care professional listed 6 key areas in which they believe the service does well, these were that the home provides; a very person centred service is Annual Service Review Page 5 of 7 provided, that the service recognise the constraints of group living and the staff work hard to reach solutions for people, that within the home there is very good leadership, that the staff at 2a Courtview are very good at listening to behavioural communications, the home use professional support effectively and that there are very committed staff teams at the home. Staff commented that they believe the home; Treats the people we care for with respect and understanding and as individuals make sure that their needs are met, The home environment is made as homely and comfortable as possible, we protect and keep people we care for safe. We have good communication within the home and other organisations, we have good training and development of staff, we also have good detailed care plans which meet the needs of people who live at the home. Within the survey section of; What they could do better, staff had commented; If the home had a bigger budget it could improve on the decor and furnishings, another staff member commented; Improve the living conditions eg; landlords work not forthcoming, they agree to do work but are never forthcoming. 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? We are not going to change our inspection plan, and will do a key inspection as required in line with our inspection methodology. 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 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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