Latest Inspection
This is the latest available inspection report for this service, carried out on 17th June 2009. 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 31 Whitwell Road.
Annual service review
Name of Service: 31 Whitwell 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: Joyce Bingham Date of this annual service review: 1 7 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 31 Whitwell Road Southsea Hampshire PO4 0QP 02392793941 02392341476 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Bayrose Limited Number of places (if applicable): Under 65 Over 65 9 0 The maximum number of service users who can be accommodated is: 9 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 Yes 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 31 Whitwell Rd is one of a number of diverse services run by Sheila Musslewhite of People First to provide support services to adults with learning disabilities. The home accommodates nine service users and is situated in a residential area of Southsea close to the seafront and local amenities. Accommodation is organised across three floors, with an office in the basement. There is a small, enclosed garden with a conservatory leading to the communal dining room and kitchen. There is a lounge and one of the 2 double bedrooms on the ground floor. The other bedrooms are sited on the upper 2 floors. There are 2 communal bathrooms and a statement in the service
Annual Service Review Page 2 of 7 updating of certificate user guide for the home identifying this shortfall in provision. The home aims to provide residential services that promote the independence of the service users, in line with current best practice. Weekly fees range between £350 and £1,058 and the provider advised us that this includes the cost of toiletries and daytime recreational activities. Evening activities are additional. 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 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 the service meets the needs of people living there. It also gave us some numerical information about the service. --Surveys returned to us by people using the service and from other people with an interest in the service. --Information we have about how the service has managed any complaints. --What the service has told us about things that have happened in the service. These are called notifications and are a legal requirement. --A recent random inspection conducted by a pharmacy inspector. What has this told us about the service? The homes AQAA told us that the home is full and there have been no new service users for approximately four years. As a result of listening to service users views the home has adjusted some routines and activities in the care plans, changed the colour scheme in the lounge and researched college courses. In addition it has refitted some fire doors and revised the fire risk assessment. It identifies the main barrier to improvement as the lack of funding to support people in the community. Staff training is on-going and new areas of training have included understanding of diabetes and the Mental Capacity Act. It successfully identifies other areas where further developments can be made. Out of a staff team of seven persons the homes data tells us that six have obtained National Vocational Qualification (NVQ) Level 2 or above, which exceeds the required expectation of fifty percent of all staff trained to that level. The data from the home identifies the dates when some equipment was last serviced, indicating that portable electrical equipment, fire detection and alarm systems may be overdue. This was checked with the provider and confirmed that servicing is well in date. The homes policies and procedures were last reviewed, according to the AQAA in August 2007. The provider has agreed it is appropriate to review all procedures shortly and make any adjustments necessary to keep in line with developing standards. The last key inspection in June 2008 included two recommendations. These were to further develop staff supervision and also the methodology for quality assurance of the service. The provider has said that both of these aspects of the service are being Annual Service Review Page 4 of 7 actioned. The recent random inspection conducted by the pharmacy inspector informed us that the system used in the home to give people their medicines is for the medication to be transferred from the original pharmacy labeled containers and placed by a member of the staff, on a daily basis, into another container for later administration by another carer. This was stated to be an outdated and unsafe practice. A requirement was made that the home cease to use this system in order to protect the people who use the service. The provider has confirmed that a new monitored dosage system has been brought into use and double dispensing has ceased. The home co-operated with a recent POVA (Protection of Vulnerable Adults) enquiry and this has now been brought to conclusion. The AQAA told us that no complaints have been received by the home about the service although all the service users are informed how they can make a complaint if they feel they need to. Confidential surveys were returned by seven staff. They identified what in their view the home does well. -- gives the service users independence, choice and privacy. -- provides services according to individual needs. -- good atmosphere in which service users lead individual and fulfilling lives. -- provides all the care, help and support each client requires on a daily basis. Each service user was invited to complete a survey. They were assisted either by their next of kin or a support worker. Each expressed satisfaction with where they lived and the freedom of choice in what they can do. Comments included: -- The home is very comfortable and the service user has always been very happy and the staff very caring. -- looks after me well and keeps me safe. -- keeping the clients happy. -- the home knows how to care for their special needs which can be very challenging. A suggestion for an area of improvement was that the home could communicate a little more with their families where the service users lack capacity to do so themselves. The home works well with us and has shown us that their service continues to maintain 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 we will do a key inspection by 18 June 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 7 Annual Service Review Page 6 of 7 Reader Information
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