Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd August 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 42 Hillgrove Crescent.
Annual service review
Name of Service: 42 Hillgrove Crescent 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: Sally Seel Date of this annual service review: 2 9 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 42 Hillgrove Crescent Kidderminster Worcestershire DY10 3AR 01562746987 Telephone number: Fax number: Email address: Provider web address:
www.dimensions-uk.org Dimensions (UK) Ltd Name of registered provider(s): 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 of service only: Care Home Only (Code 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) 5 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 42 Hillgrove Crescent is a detached bungalow in a quiet residential street providing a home for five people who have learning disabilities, all of whom also have a physical disability and one of whom is over 65 years of age. The bedrooms of people who live in this home are individually decorated and furnished, with a shared lounge and kitchen/diner and specialist bathing facilities. Local shops and access to public transport are situated on the nearby Bromsgrove Road. The home has its own vehicle for people who live there to use locally. The home aims to provide a homely environment promoting independence and dignity. Individuals receive personal care
Annual Service Review Page 2 of 7 and support to live as ordinary a life as possible in the community. This involves staff teaching skills and creating opportunities on behalf of people who live in this home. Individuals are encouraged to participate in the running of the home and share in the general household activities. The home is committed to helping people who live there to achieve valued and fulfilling lifestyles. Sally Parkes is the home manager and Dimensions UK is the Care Provider. Details of fees for the service are included in the service user guide. 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. 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. What has this told us about the service? The registered manager of 42 Hillgrove Crescent sent us their annual quality assurance assessment (AQAA). It gave us some information together with real practice examples about the services offered. It included details of the improvements they have made in the last twelve months and their ongoing plans for the future. The registered manager has highlighted in the AQAA barriers faced by this service when trying to recognise and meet peoples individual needs and preferences in areas, such as, religion, gender and age to ensure that peoples lives are meaningful to them. The AQAA confirms, Diversity training is not easily available, which makes it difficult for staff to remain up to date. However, the registered manager has shown us in the AQAA that people living in this home are being encouraged and supported to have their say in respect of their support plans with regular meetings to discuss these. Family members, advocates and other professionals are able to express their views to ensure individuals preferences and needs are met in their best interests. We are told that people living in the home take part when interviewing new members of staff. Also people have an identified member of staff who becomes their key worker so that any worries and or concerns people may have can be shared with a staff member who has built up a close relationship with them. The key worker can also make sure individuals are receiving the support and encouragement required to achieve their goals and aspirations. This gives people who live in the home more control over their own lives and empowers people to feel comfortable in stating their likes and dislikes. At the last key inspection the registered manager was asked to focus upon the health care records of people who live in the home. For example, we shared with the registered manager that records should be developed to show when a health concern is raised such as, if a person has sore skin the records need to reflect staff practices to ensure the persons skin heals. These processes should be in place so that it can be seen that peoples health needs are being met and by whom together with the management of identified health conditions. We can see from the information supplied in the AQAA that all individuals have a health action plan where peoples health needs Annual Service Review Page 4 of 7 are noted, monitored and reviewed. The registered manager also states the following to show what practices are in place to reflect what staff do well in respect of meeting the health needs of people who live in this home, Guidance from professionals is incorporated into individual support plans Support plans document individual health needs and how these are to be met Staff support individuals to regularly attend clinics and appointments for health needs Health action plans are in place for individuals. The registered manager has shown in the AQAA that there is a continuing programme which makes sure that people living in this home have a comfortable homely environment that meets individuals needs. For example, the AQAA tells us that there are plans to turn the garden into a bright sensory area so that people are encouraged, stimulated and can feel a sense of relaxation within the garden of their home. Inside the home we are informed that peoples bedrooms reflect their indivdual tastes and preferences. One of the ways this is acheived is by staff supporting people to purchase their own goods. We are also told by the registered manager that there are plans to build a new bathroom and turn the existing bathroom into a shower room. This shows that the home is being well maintained together with the environment inside and outside being changed where appropriate to meet individuals physical needs. This should make sure that all facilities at 42 Hillgrove Crescent give people not only choices but are easy to use whatever the persons abilities are. The AQAA states that the home are striving to improve the knowledge of staff who work at the home. This is reflected in the fact that all eight staff members have acheived Level Two in the National Vocational Qualification, (NVQ), in care and progressing towards gaining NVQ Level Three. The AQAA also informs us that the registered manager is making sure that people who live in this home are supported and assisted by a consistent and familiar staffing team. The registered manager highlights what staff do well and confirms, Positive person centred approach and culture. This means that staff should be able to meet peoples individual needs aswell as the shared needs of all people who live in this home. This goes some way to recognising the differences and similarities when giving support and assistance to people living at 42 Hillgrove Crescent. These improvements should ensure that staff have and carry on gaining the necessary skills and knowledge to provide a good standard of care and protect the people who use the service. The home continues to let us know about the things that have happened since our last key inspection and they have shown that they have managed the issues well. Where necessary we have received notifications of incidents that have happened in the home in the last year together with the appropriate action taken. We have received no complaints and the AQAA also confirms that the registered manager has also not had any complaints during the last twelve months. We looked at all the information we had concerning 42 Hillgrove Crescent, and our judgement is that they are still providing a good service and that they have a clear vision of what further improvements they wish to make. Annual Service Review Page 5 of 7 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 5th May 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
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