Care Home: 44 Massetts Road

Annual service review Name of Service: 44 Massetts Road The quality rating for this care home is: The rating was made on: two star good service 1 2 0 3 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: Jane Jewell Date of this annual service review: 2 4 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: 44 Massetts Road Horley Surrey RH6 7DS 01293822161 Telephone number: Fax number: Email address: Provider web address:   massetts@prospectha.org.uk Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Prospect Housing and Support Services Number of places (if applicable): Under 65 Over 65 7 0 The maximum number of service users to be accommodated is 7. 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: Mental disorder, excluding learning disability or dementia (MD). 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 The premises are a large detached domestic house converted over the years for residential accommodation. The home is managed by Prospect Housing a registered charity who also manages other registered care homes. The home has been operating for fourteen years and is registered to provide residential care and accommodation for up to seven people who have a past or present mental health condition. The home aims to provide programmes of rehabilitation with a view to some residents moving to a more independent lifestyle. Annual Service Review Page 2 of 8 None 1 2 0 3 2 0 0 9 The home is located within walking distance of Horley town centre with bus links close by. Residents accommodation is for single occupancy arranged over two floors with stairs providing access to the first floor. There are communal toilets and bathing facilities. The communal areas include a lounge, dining room, kitchen and conservatory which opens out onto a large garden. There have not been any admissions to the home since 2008 as there are plans for the home to be converted into supported accommodation. The fees for residential care are currently £827.41 to £989.68 per week, depending on the services and facilities provided. Extras such as: newspapers, hairdressing, chiropody, transport, toiletries are additional costs. 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. 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. Any information we have about how the service responded to and manages complaints and safeguarding adults referrals. The previous key inspection which was undertaken on the 12th March 2009 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations, such as the local authority. Information from people that use the service or from those that visits it and work there. This was obtained by the Commission sending out surveys to the home and twelve were returned and their contents are included in this assessment. Three were from residents, one from a relative, six from staff, and two from social and health and social care professionals. In addition the deputy manager, was contacted by telephone for up to date information about the service and to feedback some of the comments given by residents and relatives through completing the surveys sent to the home. What has this told us about the service? This Annual service review was undertaken on the 11th February 2010. The home previously stopped admitting residents in late 2008 as there were immanent plans at the time to convert the home into supported accommodation for other tenants. This plan was abruptly halted by a legal challenge by the residents at the home. This legal challenge remains ongoing with the home at present subject to a court order that prohibits new residents or any changes to the service. Despite this long period of uncertainty the home remains commended on its business as usual approach. A staff member fedback during this time of uncertainty the home offers excellent support to both staff and residents. The manager returned the Annual Quality Assurance Assessment (AQAA) within the dates it was required to be completed. This gave comprehensive information about what was happening in the home and the further developments that are planned for the next twelve months, that will benefit tenants. This includes ensuring that during the ongoing uncertainty over the future of the home residents have regular access to independent advocates. Implement agreed environmental changes to bedrooms and communal areas to enable residents to live more independently. Care planning Annual Service Review Page 4 of 8 designed to address the individual support needs of each resident and to continue to develop IT systems. The AQAA also highlighted areas of improvements that have been made since the previous review of the service by the Commission. This includes ongoing staff training with three further staff achieving National Vocational Qualification (NVQ) qualifications and Mental Capacity Act. Residents are being encouraged to take on more responsibilities around the home and how they plan their days. Involvement of specific mental health professionals for example substance misuse. Closer working relationship with local pharmacist and revision of the organisations medication policy. Promotion of three staff into the the position of senior support worker. The AQAA stated that residents living at the home have been re assessed for supported living in the future. The deputy manager confirmed the work that is being undertaken to enable residents to possible move to lone living and lead a more independent lifestyle. This has involved; changes to the care planning process, which are now computerised and reflect what the individual needs and choices of each resident is and what support they need to be able to live more independent lives. The deputy manager also spoke of the independent living skills and the changes to the homes practises that have occurred to help further empower and enable residents to take control over their lifestyles. This has included residents now having greater involvement in cooking, cleaning, shopping, budgeting and money management. Residents now run their own meetings and have been supported to access the local community resources including colleges. The last key inspection was positive and identified that the home provides a good standard of accommodation and management with the promotion of independence and enabling residents to live their chosen lifestyle central to the ethos of the home. Flexible and respectful personal and health care support respected residents privacy and dignity. There were no requirements made at this inspection. Consistent positive feedback continues to be received regarding peoples experiences at the home. Residents fedback Generally the home is well run the meals are very good with a choice and I am supported by the staff with my personal care. A relative commented provides a caring calm environment. The care my ---- has received has contributed to him slowly becoming more settled and communicative. ---- has made great improvements and it is entirely down to the staff at Massetts road and the tranquil atmosphere there, also with plenty of fun on occasions when appropriate. A sample of comments by health care professionals included The service gives excellent care for its residents. Most of their needs are always met The staff devote a lot of time to ensure that the residents have a high level of support. Their standards are very high for all individuals places at massetts road. This is a very well balanced home with lots of structure to the service users daily live and The clients at massetts road are very happy with their living conditions . They have 24 hour care and attention. Residents when asked for their feedback on what the home does well consistently commented on the good quality food and meals that were available. Feedback was received regarding the impact on residents and staff on the uncertainly over the future of the home. A health care professional commented at the present the home is going through changes, the service users are very unsettled and vulnerable of their future about the changes. A resident fedback I am worried and unsettled about Annual Service Review Page 5 of 8 the future of the home and where I stand in the future as the home is changing in the future. The deputy manager confirmed that during this period of uncertainty residents have a weekly meeting with an independent advocate who has been supporting each resident to make informed decisions around their care, support and accommodation. The AQAA stated that the home operates a key worker system, this helps to ensures that residents have a named staff member to provide any additional support and promote consistency in their support. The manager confirmed in the AQAA that there has been no staff turnover since the previous inspection and that the staff team received their second nominated for team of the year at the annual achievement recognition awards held by the organisation. A relative comments about staff included staff interact very well with residents giving support according to individual needs. All staff make and effort to be consistently supportive and staff encourage residents to engage in some domestic tasks and to pursue any interests they may have within or outside the care home with support if needed. Health care professionals commented massetts road has very skilled carers, good communication between CPN team and the home and staff know patients very well good professional care, if offers to manager difficult complex issues. In response to seeking feedback regarding what the home could do better a staff member fedback I would like more funding to have more day trips holidays and outings. This was fedback to the deputy manager who confirmed that residents do go on individual or shared holidays and outings in accordance with their own preferences and as part of independent living are responsible for organising it themselves. There has been no change in the management of the home with the registered manager continuing to update their own knowledge and skills through further training and self development. A health care professional fedback The home manager is very good and experienced and keeps us all informed of the changes. A staff member commented the home is very well managed and the staff team are well equipped to care for people with enduring mental health problems. The AQAA confirmed that there is a comprehensive quality monitoring process in place to enable the views of residents, relatives and other stakeholders involved in supporting residents to be sought, listened to and any actions taken to improve service delivery. In response to this feedback a resident has been supported to be apart of the organisations service users committee which looks at and comments on the procedures of the organisations. Changes to the environment have been made and opportunities for outings and occupation have been created. The home continues to notify the Commission of certain events that involve and affect residents, this includes any accidents or significant incidents. The AQAA confirmed that there had been no complaints or safeguarding referrals made in the previous twelve months. The information provided by the home and other sources confirmed our previous judgement that the home continues to provide good outcomes for residents. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 There will be no change to the inspection plan and we will do a key inspection by the 12th March 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. Annual Service Review Page 7 of 8 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. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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