Latest Inspection
This is the latest available inspection report for this service, carried out on 7th May 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 Excellent.
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 36 Bramley Road.
Annual service review
Name of Service: 36 Bramley Road The quality rating for this care home is: The rating was made on: three star excellent service 0 6 0 1 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: Tobias Payne Date of this annual service review: 0 2 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 36 Bramley Road Market Deeping Peterborough PE6 8JG 01778348125 Telephone number: Fax number: Email address: Provider web address:
www.sense.org.uk Sense, The National Deafblind and Rubella Association Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : learning disability sensory impairment Conditions of registration: The maximum number of residents who can be accommodated is 4. The registered persons may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission are within the following category: Sensory impairment - Code SI Learning disability - Code 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: We have been made aware by Sense that the service had been without a manager for a period of time. A new person had been appointed in December 2009 and was in the process of being registered by CQC. 0 6 0 1 2 0 0 9 Number of places (if applicable): Under 65 Over 65 4 4 0 0 Date of last key inspection: Date of last annual service review (if applicable):
Annual Service Review Page 2 of 6 Brief description of the service 36 Bramley Road is part of a group of homes in the area, managed by Sense East. The home is a two storey house located in a residential area of the town of Market Deeping, not far from the town centre, which has a range of shops and local facilities. The property is domestic in design and in keeping with other houses in the road and has a small garden at the rear. The home is registered to provide personal care for up to 4 people with dual sensory impairments. On the day of our inspection visit there were 3 people living in the home. All of the people live in single bedrooms. There is no stair or shaft lift installed. The stated aims and objectives are to provide a safe and supportive environment, based on best care values for people who are deaf/blind, to promote a presence in the community through the use of local amenities and services and to build and maintain good relationships and a positive image. The homes statement of purpose confirms that the minimum staffing ratio of the home is one staff member to 2 people during the day and at night one wakeful member of staff and one who is sleeping in and on call. The fees at the inspection visit on the 6/1/2009 ranged from £1, 260, 97p to £1, 478, 36p each week. The fees charged then have not changed since then. All information about the home including the statement of purpose, service users guide and copy of the last inspection report can be obtained from the manager of the home. Information could be provided on request in Braille, symbols, audio tape, large print, enlarged digitally printed copy, PDF or MP3 file. Annual Service Review Page 3 of 6 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. 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. 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 previous inspection took place on the 6/1/2009 which as a result the agency was achieved 3 stars excellent. The acting manager sent us their annual quality assurance assessment (AQAA) when we asked for it. It was very clear, detailed and gave us all the information we asked for. The information showed that since the last key inspection improvements have continued to the service. They continue to ensure that the people who live in the home are encouraged to make informed choices about their daily lives. The manager told us that they are consulted and their views sought about their daily timetable, activities, outings and menu and food choice. The staff involve them as much as possible in their person centred planning process where they are encouraged to express their choice in their daily activities, menu choice, holidays and what they like to do. They involve them in their six monthly review meetings which are designed to incorporate the needs of the person and meet their wishes and aspirations where possible. We looked at the information in the AQAA and our judgement is that the home is still providing positive outcomes to the people who live in the home and know what further improvements they need to make. The manager told us that they would like to improve the gardens and give them have a more sensory orientation. In addition they would like to develop a system of photographs to enable the people to make choices. They want to increase the placement hours for one person and want to extend the range of work placements. They also want to develop a wider range of evening and weekend activities. New Annual Service Review Page 4 of 6 furniture has been purchased for bedrooms. They also want to arrange for staff to have enhanced training in the administration of medication. We sent out surveys to obtain the views of the people living in the home but on this occasion did not receive a response. However there is nothing in the information sent to us by the acting manager to show that the home was not able to meet the needs of the people in the home. We continue to believe that people living in the home are cared and supported by a skilled team of staff. We received comments from 3 staff which included, we give a lot of opportunities for the guys to try them out when possible, however we do not have a manager at the moment, the staff cater for deaf and blind people as required and specified in their individual care plans. The home has in the past run well. We have been without a manager at time and staff have worked well to accommodate this. As a result of having no manager the staff do not have a mentor to look up to or speak with if they have any concerns. There is relief manager in post but it would be nice to have our own manager for supervision and we meet individual needs well and are always thinking about what improvements can be made. Sometimes however staffing is a problem as we have no manager but the acting manager is trying hard. As a result of these comments from staff we spoke to the acting manager and were assured all these issues had been addressed as a result her appointment. Staff continue to receive a high level of training in order to understand and support the needs of the people living in the home. All staff receive a 3 day communication training package. Staff have also completed infection control training. The home has 57 of their staff with a qualification in care (National Vocational Qualification). This has exceeded the minimum required (50 ). The acting manager told that they want to increase this over the next year. Staff continue to encourage and support the people to make decisions and choices about their lives. Sense have a very well established quality assurance system. The acting manager continues to let us know about things that have happened since our last key inspection and has shown that they have managed issues well. They have provided information to show us that the service continues to provide good outcomes for the people who use it. We and the home once again have received no complaints. We were aware of one safeguarding adults issue which was investigated by Lincolnshire County Council safeguarding adults team with no concerns. All staff undertake protection training as part of their induction to the organisation, and this concentrates on their role in identifying and preventing abuse. Staff also receive an annual refresher in the form of a questionnaire which is completed with their annual appraisal. Updated handouts and leaflets from the Lincolnshire Adult Protection Committee are made available. Sense also have a Whistle Blowing policy. What are we going to do as a result of this annual service review? The information we have tells us that the service continues to provide positive outcomes for the people who use the service. We are not going to change our inspection plan. The next inspection of the service will be based on the Fees and Frequency Regulations (2007) and the assessment of risk. Annual Service Review Page 5 of 6 Reader Information
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