Latest Inspection
This is the latest available inspection report for this service, carried out on 8th 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 3-4 Cuthberts Close.
Annual service review
Name of Service: 3-4 Cuthberts Close The quality rating for this care home is: The rating was made on: two star good service 0 4 0 2 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: Dawn Navesey Date of this annual service review: 0 1 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 3-4 Cuthberts Close Queensbury Bradford BD13 2DF 01274818126 Telephone number: Fax number: Email address: Provider web address:
www.sjog.co.uk Saint John of God Hospitaller Services Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Number of places (if applicable): Under 65 Over 65 8 0 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 Three and four Cuthbert Close opened in March 2005. The home provides nursing care for people with severe learning difficulties and challenging behaviour. The home is divided into two sections. Accommodation is provided in eight single rooms all with en suite facilities. There are lounge and dining areas on each side with a large area in the middle where the office is situated. There are ramps to the front of the building and a decked area to the side nearest the allotments. It is situated in Queensbury, on the outskirts of Halifax and Bradford and is within walking distance of the local shops, chemist, pubs, fish shop and post office. One side of the home overlooks allotments that are used by the local community. Parking for the home is roadside only and very limited, and there is no garden space available. There is however some decking to the side of the home where residents can sit in good weather. 0 4 0 2 2 0 0 9 Annual Service Review Page 2 of 7 The home is built next to another home belonging to the same organisation and is close to others in the area. 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 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. We sent surveys to people who use the service giving them opportunity to comment on the service. None of these were returned in time for this report. 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. We spoke on the telephone to the acting manager and registered manager of the service to clarify some issues in the AQAA. What has this told us about the service? The home sent us their annual assurance assessment (AQAA) when we asked for it. It was fairly well completed and gave us most of the information we had asked for. We looked at the information in the AQAA, which was completed by the registered manager, and our judgement is that the home is still providing a good person centred service and they know how they are going to make further improvements to the service. For example, in the AQAA, the manager said that their plans for improvement over the next 12 months include: - Increasing the numbers of staff who have an NVQ (National Vocational Qualification) in care. - Further reducing the numbers of incidents of aggression demonstrated by people who use the service. He did not say how this was going to be managed though. - To look at ways of involving people who use the service more in recruiting their own staff. - To change the complaints procedure to make it more accessible to people who use the service. -To improve peoples choices and opportunities by reveiwing peoples needs and Annual Service Review Page 4 of 7 responses to what they currently do. The manager also told us of improvements that had been made to the service in the last 12 months. He said they have improved the stability of the staff team and increased their skills through training. We noted from the AQAA there had been a low turnover of staff. He also said staff are now better supervised in their jobs and some have received training in autism. However, when we spoke to the service, an acting manager is currently in post as the registered manager has transferred to another service within the organisation on a temporary basis. We had not been informed of this change. The acting manager said she would make sure the organisation informed us properly of the arrangements in place to manage the home while the registered manager is absent. People who use the service are also having more opportunities to get out, as the home has bought a second vehicle to enable this. They have good systems in place to make sure people who use the service have their views listened to and acted upon. In the AQAA, the manager said that most people who use the service do not use verbal communication. He said staff are trained in relevant skills to facilitate communication with people. He also said that regular reviews, which include advocates take place and people have a named nurse and keyworker. The manager also told us that meetings had been set up for parents/carers to air their views but the parents/carers have now said they no longer want these. They are therefore invited on a one to one basis to meet with the manager if they want to. He said that as a result of listening to what people want they have done the following: - Increased staffs training in dealing with complaints. - Purchased the new vehicle as mentioned above. - Secured an allotment in the community for people who use the service to use. - Increased knowledge and awareness on peoples preferences for leisure activities and holiday destinations. The service continues to let us know about most things that have happened since our last key inspection and have shown that they have managed issues well. They usually work well with us and have shown us that their service continues to provide good outcomes for the people who use it. Any concerns we have received about the service in the last year, have been passed on to them. These have been looked into and they have investigated them properly. What are we going to do as a result of this annual service review? It is our statutory responsibility to inspect all care services at least once every 3 years. The completion of the annual service review has not changed our view of the quality
Annual Service Review Page 5 of 7 rating of this service therefore we are not planning to inspect this service before 3rd February 2012. 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
