Care Home: 32 Mays Lane

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Annual service review Name of Service: 32 Mays Lane The quality rating for this care home is: The rating was made on: two star good service 2 8 1 0 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: Laurie Stride Date of this annual service review: 1 8 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 32 Mays Lane Stubbington Fareham Hampshire PO14 2EW 01329668833 01329668833 Telephone number: Fax number: Email address: Provider web address:   www.caremanagementgroup.com Care Management Group Ltd Name of registered provider(s): Name of registered manager (if applicable) Mrs Karen Lee Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 5 0 The maximum number of service users who can be accommodated is: 5 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 32 Mays Lane is registered to provide care and accommodation for five adults with a learning disability. The service is provided in a bungalow within a residential area of Stubbington. Annual Service Review Page 2 of 7 Manager registered January 2009 2 8 1 0 2 0 0 8 The home is a short car ride away from the local shops and transport links. The home has a car for service users with designated staff drivers. All service users have their own room. The home has a hydro pool and a sensory room within the building. It is owned and run by Care Management Group. 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 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. 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. The previous key inspection and the results of any other visits that we have made to the service 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? The homes annual quality assurance assessment (AQAA) gave us all the information we asked for. 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 some of the further improvements they need to make. For example, the Statement of Purpose and Home Brochure could be better formatted, such as in video, audio or story board styles, to assist potential new users to comprehend what the service can offer. The AQAA also identifies a need to establish cohesive guidelines with regard to service users particular and individual ways of communicating. Working towards this, the staff team are learning new methods of communication to try to gain further insight into the individual wants and needs of people who use the service. Staff have also received training from the community learning disabilities team to support them in understanding individuals communication needs and the interpretation of behaviours. The AQAA tells us how support planning has improved and that people who live in the home are leading more fulfilled, more active, more social and more independent lives than they were 12 months ago. The service have restructured the shift patterns to accommodate more staffing availability during the middle of the day. This change has resulted in increased participation in activities, encouraged better opportunities for individuals and enabled a more active and independent lifestyle. The AQAA states that care packages have been re-written to incorporate the Mental Capacity Act and Deprivation of Liberty Safeguards legislation. The service plans to continue to provide appropriate training and coaching to all staff including updating and refreshing staff knowledge in Equality and Diversity issues. New flooring has made a dramatic Annual Service Review Page 4 of 7 difference to the environment as the entire home has changed for the better. Each persons bedroom has become more individual as the communication tools have encouraged and assisted people to express opinions and staff have listened to what they want. There are plans to invite the neighbours to a barbeque event to encourage better relationships and understanding about what the service is about. The AQAA states there are no recorded occurrences of any complaints or safeguarding issues in the last 12 months. All new staff receive initial training about safeguarding adults during their induction and existing staff have refresher training. At our last visit to the home on 28/10/08 we saw that they had met the requirements from the previous inspection. Following our last visit, the manager had sent us an action plan stating how the service were going to meet the one requirement for a specific type of medication cabinet. For this annual service review we received comments through our survey questionnaire from two of the people who use the service, who had received support from their relatives to complete the forms. Both indicated that they had received enough information about the home before they moved in so they could decide if it was the right place for them. Both indicated that they can do what they want to do during the day, in the evening and at the weekend. Both confirmed that the home is always fresh and clean. One person indicated that the staff always listen and act on what they say; the other person indicated that the staff usually do. Both people told us that the staff treat them well and one added that their individual needs, likes and dislikes have been recognised and responded to much more in the past 18 months. We also received completed survey questionnaires form three social and health care professionals who have contact with the service. Their responses indicated that the homes assessment arrangements usually ensure that accurate information is gathered so that the right service is planned for people. All three respondents told us that peoples social and health care needs are usually properly monitored, reviewed and met by the service. They also told us that the home usually seek advice and act on it to meet peoples needs and improve their well-being and usually respect peoples privacy and dignity. Two of the social and health care professionals indicated that the homes managers and staff sometimes have the right skills and experience to support peoples care needs and one said they usually do. All said that the service usually respond to the diverse needs of individual people and usually support people to live the life they choose wherever possible. Two told us that the service always responded appropriately if they, or another person, have raised any concerns; the other said the service usually did. Our survey asked the social and health care professionals what the service does well. Two told us that the home has good facilities for service users and that the service respond appropriately to requests and recommendations. Asked what could the service do better, the same two professionals said increase staff training and knowledge in relation to working with people with profound and multiple learning disabilities, in particular the link between challenging behaviour and communication difficulties. Additional comments we received from the social and health care professionals were: Current manager is an excellent role model for staff, has sound knowledge and Annual Service Review Page 5 of 7 awareness of communication difficulties experienced by those with profound and multiple learning disabilities. She is very approachable and keen to develop staff skills. Another told us The current manager has very good knowledge and awarenenss of engaging and working with service users and is a good role model for staff. Also been very active in implementing positive change and worked well with the community learning disability team. The other professional wrote This service has improved greatly in last two years. Well done to manager and staff. 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 by 28th October 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 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. 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