Care Home: 4a Archers Way

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Annual service review Name of Service: 4a Archers Way 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: Maureen Richards Date of this annual service review: 1 6 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 4a Archers Way Lane End High Wycombe Buckinghamshire HP14 3DN 01494883179 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Turnstone Support Ltd Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is 6. 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 category: 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: Yes - new manager appointed to apply for registration with the Commission. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The home is registered to provide twenty- four-hour care for six people of both sexes with learning and physical disabilities. McIntyre Housing Association owns the house and the care is provided by Turnstone Support. Annual Service Review Page 2 of 7 The service has been in existence for many years but was registered in March 2007 when it was transferred from the Health Authority to Turnstone Support, a private provider who offers care to people with diverse special needs. The house is a domestic dwelling that has been adapted to accommodate six people. There are two bedrooms on the ground floor (one is shared) and three bedrooms on the first floor. The first floor is accessed by a staircase and is not accessible to those with poor mobility. Communal accommodation is comfortable and includes a sizeable kitchen and dining area. There is a good size garden at the rear of the premises with a ramp provided which makes it accessible to all service users, some who will require staff support. There are limited bathing and toileting facilities, for those people with physical disabilities. The home is approximately three miles from the town centre and there are local facilities within walking distance. It has its own vehicle and some service users are able to access public transport. Please contact the provider for the current range of fees. 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: 1. 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. 2 Surveys returned to us by people using the service and from other people with an interest in the service. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. 5. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. What other people have told us about the service. The last key inspection of this service took place on the 7th August 2008. 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 informative and outlined what progress and improvements have been made within the home and what it aims to achieve over the next year. Surveys were sent to 6 service users, 12 staff, 4 Social and health care professionals and an advocate. 1 service user and 2 staff surveys were returned. The Annual Quality Assurance Assessment document tells us that service users are provided with the key information on the home and that prospective service users have an assessment completed to identify if the home can meet their needs with a transition plan in place which includes visits to the home prior to moving in. The Annual Quality Assurance Assessment document confirms that support plans and risk assessments are in place and these are reviewed regularly or as required. The plan for improvement over the next 12 months is to develop communication dictionaries so that service users preferences can be clearly documented and to use photographs, pictures and objects of reference including tasting sessions to enhance service users understanding of what is happening in their lives and to facilitate choice. The Annual Quality Assurance Assessment document tells us that service users attend Annual Service Review Page 4 of 7 day centres with the aim being to look at increasing activities in and out of the home and looking into holidays for individuals. One staff member commented that staffing is not provided during the week day when the service users are out at day centres and this can cause problems if a service user is unwell and needs to come home. Service users are supported to maintain family contact and are encouraged to be involved in menu planning and develop life skills and independence. The Annual Quality Assurance Assessment document indicates that service users are supported to meet their personal and healthcare needs with service users having access to a wide range of healthcare professionals and being supported with their medication by staff trained in this role. The aim is to offer a more person centred approach in relation to personal care. The Annual Quality Assurance Assessment document indicates that the home has no complaints in the previous 12 months. The Commission have not received any complaints in respect of this service in the period under review. The complaints, concerns and compliments policy is available in a pictorial format and a copy of the complaints, concerns and compliments policy along with a list of contacts has been sent out to families. Written feedback received from the one service user that responded confirm that they know how to make a complaint. The Annual Quality Assurance Assessment document confirms that the home has had three safeguarding of vulnerable adults referrals and one safeguarding of vulnerable adults investigation in the previous 12 months. The Annual Quality Assurance Assessment document tells us that a safeguarding and whistle blowing policy is in place and that staff have up to date safeguarding of vulnerable adults training. The Annual Quality Assurance Assessment document tells us that the home is maintained, clean and homely and that all of the communal areas were decorated in March 2009.The organisation is consulting with service users and families about the redevelopment of the home. The Annual Quality Assurance Assessment document outlines that staff are suitably recruited with service users contributing to the recruitment process. Staff are inducted and trained in their roles with the aim being for specialist and specific training for example values, communication and intensive interaction training to support practice to be made available to members of the team and to increase the frequency of supervision for staff. The home has had difficulty in recruiting into vacancies and is using a recruitment agency to assist them with this. Feedback from staff confirm that they are suitably recruited, inducted, trained and supported in their roles. The home has a new manager in post since November 2008 whom has been on sick leave since January 2009. She is currently on a phased return to work and is aware she needs to commence the process of registration with the Commission. In the absence of the manager the home has been managed by the service manager. The home has kept the Commission informed under Regulation 37 of notifications that affect the well being of service users, including the absence of the manager. On going monitoring systems are in place with service users having the opportunity to Annual Service Review Page 5 of 7 complete an annual questionnaire which is in plain English and in a pictorial format. Any feedback is added to the homes continuous improvement plan and issues acted upon. An advocate from Talkback meets regularly with the service users to provide an opportunity for them to talk to someone independent of the home. The dataset section of the Annual Quality Assurance Assessment document indicates that some policies were updated in 2009.It indicates that servicing of equipment is up to date. The written feedback from a service user at the home indicates that they are happy with the care provided and that they are involved in making choices about daily activities, the home environment and enjoys time with the care team. We looked at the information in the Annual Quality Assurance Assessment document and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. However the manager must become registered with the Commission as required under Regulation and be accountable for the management of the home. 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 the 7th August 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. The content of which can be found on our website. 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