Care Home: 51 Chapel Park Road

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Annual service review Name of Service: 51 Chapel Park Road The quality rating for this care home is: The rating was made on: two star good service 2 5 1 1 2 0 0 8 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: Michele Etherton Date of this annual service review: 1 3 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 51 Chapel Park Road St Leonards-on-sea East Sussex TN37 6JB 01424201340 Telephone number: Fax number: Email address: Provider web address:   sgardhouse.evh@tiscali.co.uk www.eastviewhousing.co.uk East View Housing Management 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 4 0 The maximum number of service users to be accommodated is 4 The registered person may provide the following category 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 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 51 Chapel Park Road is situated in a residential area of St Leonards on Sea. It is a short distance from local amenities and shops. The home is owned and run by East View Housing Management Limited (EVH). It is registered for up to 4 adults with learning disabilities. The building is a detached two-storey older style house. It has a reasonably sized garden to the front and side of the property. Fees are negotiated individually dependent on assessed need. 2 5 1 1 2 0 0 8 Annual Service Review Page 2 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 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 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 may have about how the service has managed any complaints. Surveys returned to us by residents and staff using the service and other stakeholders we may have asked to comment. 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. Relevant information from other organisations. What other people have told us about the service. 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 completed to a reasonable standard and gave us some of the information we needed; some sections of the assessment would benefit from additional content and also specific reference to how previously identified shortfalls have been fully addressed. We have discussed this with the present appointed manager and are assured that all outstanding requirements have now been met. We looked at all the information we have received about the service in the last twelve months including the AQAA, and it is our judgement that the home is still providing a good service and that they know what further improvements they need to make. We have been informed that the previously appointed manager has decided not to progress their application for registration for personal reasons, they will take on the role of deputy once a replacement manager has been appointed. We are assured that recruitment to this role is currently underway. The current appointed manager will retain oversight of the service in the interim to aid continuity for the residents and staff. The AQAA tells us that since the last inspection the service has made some improvements to the environment for the benefit of people living there this includes: changing the way in which fridge and freezer units are housed in the kitchen, upgrading a bathroom, and the provision of a new front path. A pictorial notice board which residents are actively involved in updating has also been installed. Further works are planned including the refurbishment of the kitchen/diner an area popular with Annual Service Review Page 3 of 6 residents. The electrical installation has been serviced. A video camera has been purchased to enable residents to make video contributions to their annual reviews, as they can find these overly formal and intimidating. Life plans have been implemented that require greater involvement from residents. Residents are encouraged to attend activities and access the community, and all took part in and Health and safety day and a health and safety course. There are plans to make more skills development and knowledge courses available to those residents who wish to participate. The independence of residents and development of skills is promoted. Residents now have medication cabinets in their bedrooms, and are at different stages in taking greater control of their medication regimes. One resident is working towards self medication currently. The home has actively encouraged the development of a healthier lifestyle for residents and the promotion of healthy eating. As a consequence of healthier meal options being provided residents have seen a significant weight loss, resulting for some in improved cholesterol levels and for another a reduction in diabetes medication. Staff are working closely with health and social care professionals in CLDT and the hospital to make the experience of hospital appointments less stressful for residents. Residents generally responded positively to survey questions about their experiences of living in the home, indicating a good level of overall satisfaction. One person indicated that they did not always feel listened to by staff and did not always feel that staff treated them well. But all those who responded also said they knew how to complain. The home has implemented a moans and groans book for each resident as this was felt to be a better way of acknowledging and dealing with daily minor concerns that residents have. It is important however that genuine concerns that residents may have are not side tracked into this process trivialising their concerns and undermining their right to access the complaints procedure. We would recommend the manager consider ways of engaging with residents to determine why some residents may feel like this, and why the resident has not felt able to raise these concerns through the many forums available to them or to access the complaints system. We have asked professionals for their views about the service offered and they tell us: Incidents and concerns are reported in a timely way Staff are always friendly and pleasant Appointments are recorded and staff informed when people are coming Annual Service Review Page 4 of 6 Service users always seem happy and at ease in the home Staff we surveyed tell us: The home provides a comfortable safe and friendly environment plenty of support for individual clients Share information about clients and medication interact with clients really well No complaints are recorded for this service, the AQAA tells us that the home has not received any complaints since 2005. There have been two adult alerts, these have been referred on to other agencies by the service and have now been investigated and dealt with appropriately. As a result of these alerts the home has made some changes in the way that residents monies are managed. We are advised that Improvements have been made to the quality of staff recruitment files and the documentation contained within them. Additionally, a recognised programme of induction for new staff has been implemented, this incorporates the Learning disability qualification to underpin knowledge and skills and progression onto NVQ2. Since the last inspection senior management within East View Housing and management ltd have implemented resident surveys and reinstated the periodic service review a quality audit of the service, various forums are in place to give residents the opportunity to talk about themselves and their care. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. 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 25th November 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 5 of 6 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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