Care Home: 39-41 Whitehawk Way

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Annual service review Name of Service: 39-41 Whitehawk Way The quality rating for this care home is: The rating was made on: two star good service 0 9 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: Nigel Thompson Date of this annual service review: 2 2 1 2 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 39-41 Whitehawk Way Brighton East Sussex BN2 5QL 01273603110 Telephone number: Fax number: Email address: Provider web address:   whitehawk39@southdownhousing.org Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Southdown Housing Association Ltd Number of places (if applicable): Under 65 Over 65 8 0 The maximum number of service users to be accommodated is 8. 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 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 39 Whitehawk Way is part of the Southdown Housing Association and is registered to provide residence and care to four adults, with a learning disability. The home is a purpose-built bungalow, situated in Brighton. The location of the home offers access to local amenities, including food shops, pubs and restaurants. Each person has their own individually decorated bedroom. Communal areas comprise of a lounge/dining room and kitchen. The building has level access for those service users who use wheelchairs and an enclosed rear garden. The people who live at the home have individual day 0 9 0 1 2 0 0 9 Annual Service Review Page 2 of 8 activity timetables and are supported to participate in their chosen activities by the care staff. The current fees are £1,480 per week. Annual Service Review Page 3 of 8 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 form 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. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and comprehensive and gave us the information we asked for. Our judgement is that the home continues to provide a good service for the people who live there. There was one requirement made following the previous inspection, the inspection report was positive and outcomes for residents were found to be good. The report concluded that: The relaxed, homely and welcoming environment has evolved over many years and continues to reflect the stability and commitment within the staff team and the open and inclusive management style of the established and clearly dedicated Manager and Deputy Manager. The well maintained decor and good quality furniture and furnishings continues to provide a comfortable, pleasant and homely environment for residents. Effective systems are in place for the admission and ongoing care of residents. Communication and consultation with residents family members is effective and relatives have the opportunity to partake in individual assessment, care planning and reviewing processes. Thorough policies and procedures are in place for the admission and ongoing care and support of residents. Effective communication and consultation systems enable residents to be directly involved in developing and reviewing their individual support Annual Service Review Page 4 of 8 plans as well as many decision making processes within the home. Residents are enabled and supported to take part in a comprehensive range of educational and leisure activities, reflecting their individual interests and preferences, both within the home and in the wider local community. Through working closely, sensitively and consistently with residents, staff have clearly developed a sound understanding of their individual care and support needs. Residents are encouraged and supported to make decisions about their day to day living, where appropriate and practicable. They are involved and regularly consulted on many aspects of life in the home, including menu planning, colour schemes and activities. Residents individual needs and choices are assessed and reviewed on a regular basis and are detailed within comprehensive plans of care. Staff support each individual well to undertake a range of activities in order to promote their independence. Community participation evidently remains a focus of the home. The health, safety and welfare of residents is ensured through the homes robust systems for dealing with any concerns or complaints as they arise and the procedures and guidelines that are in place to protect individuals from potential, harm, neglect and abuse. The AQAA indicated a range of areas where improvements have been made during the last year: Documenatation including the Statement of purpose has been reviewed and updated.Southdown has introduced a new format for residents support plans. These have been streamlined and made more accessible for residents, families and advocates. This is particular important with enabling sharing of information during assessments that have occurred i.e. continuing health funding or best interest decision making meetings. Communication passbooks (on wheelchairs) act as a quick reference aid to assist with understanding of basic needs, skills, likes and dislikes of all eight residents. Annual health check documents have been completed. Tighter systems are evidently now in place to ensure all residents have access to the right size slings when their own are not available. Medication errors have been reduced following implementation of revised policies, procedures and checks regarding the storage of medication in residents bedrooms. New medication incident forms have been introduced to improve action and reporting of medication errors to minimise impact and improve practice. My Meds sheets have been updated to include section regarding GP recommendation on what to do if medication is missed. A new recording system is in place for all incidents and accidents. Following advice from GPs, the service now has greater awareness as to how to get the best treatment and support for residents in hospital. On discharge, referrels are made to the Community Learning Disability Team to gain support from the nursing team to Annual Service Review Page 5 of 8 help track courses of treatment for complex issues where nursing background and knowledge is essential. Residents DVDs from their most recent person centred planning meetings are used to aid interaction through a visual commentary of what they like to do and who with. Pictorial day planner boards are now in all residents rooms to assist with their understanding and memory of planned day activities. The manager evidently now has greater awareness relating to safeguarding adults, particularly regarding investigation procedures and external reporting requirements following incidents. Improvements to the physical environment have included one bathroom being refurbished to accommodate residents personal care needs, by removing the bath and installing a wet room. This has enabled all residents to have a shower using commode chairs. A shower trolley has also been purchased to enable residents to have additional washing options. A new lounge carpet has been fitted and a new sofa has also been purchased. New black out blinds have been fitted in two of the residents rooms, the office and lounge area. An overhead tracking hoist has now been installed in one residents bedroom to accommodate his changing health needs. Fire doors have been adapted following advice from fire inspection to update existing fire protection installations, smoke excluders on all doors, and improved fire exit signs. Winches have now been installed in both vehicles to ensure safe and smooth access and exit from adapted vehicles. Boilers in both houses have been fitted with timers that enable water and heating to be on separate timers. Water can now be kept on constant as a preventive measure against Legionnaires disease. Pavement stones in the patio area have ben relayed for safety reasons. Staff are now contracted to work in both bungalows, though they are normally based in one service. Agency staff are no loger employed within the service. There has been an increase in the number of part time staff to ensure greater flexibility and address any recruitment shortages. Improved staff training ensures greater flexibility of the team with skills and knowledge to work in both teams if required. All new staff employed as drivers now complete the pass plus driving tests, via external providers to assess their driving competence prior to supporting residents in service vehicles. A senior support worker has been appinted to assist the management of both services. Both managers have attended Liberty training run by Brighton and Hove Council and have reviewed service delivery to ensure guidelines of good practice are met. Complaints are well managed and residents, staff and visitors have confidence that they are listened to. Annual Service Review Page 6 of 8 Policies and procedures are in place to safeguard residents from financial abuse and all financial transactions are recorded. Robust policies and procedures are in place relating to staff recruitment, annual leave and sickness absence Staff are clearly valued and well supported. Ongoing training is provided to ensure that all staff have the necessary skills and competencies to effectively meet the assessed needs of the residents. There is evidence from the AQAA that the service continues to meet the residents ongoing support needs and the dedicated manager and staff remain committed to providing good quality care and maintaining positive outcomes for the people who live at 39 - 41 Whitehawk Way. 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 8 January 2011. 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. 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