Latest Inspection
This is the latest available inspection report for this service, carried out on 26th January 2010. 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 Excellent.
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 535 High Lane.
Annual service review
Name of Service: 535 High Lane The quality rating for this care home is: The rating was made on: three star excellent 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: Linda Clowes Date of this annual service review: 0 1 1 2 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: 535 High Lane Burslem Stoke on Trent Staffordshire ST6 7AE 01782862134 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Choices Housing Association Limited Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users who can be accommodated is: 8 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) 8 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 535 High lane is a Registered Care Home for eight people with a learning disability managed by Choices Housing Association. The residents may also have a physical disability and two people may be over the age of 65 years. The house is divided into two separate flats, with one on the ground floor and one on
Annual Service Review Page 2 of 8 Number of places (if applicable): Under 65 Over 65 8 0 the first floor. Each flat has four single bedrooms with wash basin (not en-suite). Communal facilities comprise assisted bathing, lounge, dining and kitchen areas. There is one laundry situated on the ground floor and this has shared access with the residents living in the upstairs flat. The grounds are neat and tidy, with a parking area to the side, and lawned areas around the property. There is good access to local shops, pubs and churches and healthcare facilitiesl. The home is very accessible by road and public transport, being on a main bus route. Burslem is only a few minutes drive away, with all the usual facilities of a small town. People interested in the service should contact High Lane directly to confirm current fees and charges. 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? Following the last Key Inspection on 4 December 2007 we considered that the service at 535 High Lane was providing a Three Star (excellent) service. We are, therefore, this year carrying out an Annual Service Review. We looked at all the information we have received, or asked for, since the last Key Inspection. This includes: *The Annual Quality Assurance Assessment (AQAA) that is completed and sent to us by the service. Completion of the AQAA is a legal requirement and it enables the service to undertake a self-assessment which focuses on how well outcomes are being met for people using the service. *Surveys from six people who use the service. *Surveys returned by four people who work within the service. *Information we have about how the service has managed 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 inspection findings from the Key Inspection Report dated 4 December 2007. One requirement was made in the last report as follows: 1. All records relating to staff must be available for inspection. Regulations 17(3) & 19 Sch 2 and 4. What has this told us about the service? Since the last inspection we have agreed arrangements how we may access information about staffing. We consider, therefore, that the requirement made as part of the last report has been complied with. The home sent us their AQAA which was clear and gave us information about what they are doing now and what they want to do in the future. The AQAA tells us that the service accommodates seven people who are supported by a staff team of fourteen. The service tells us about how they meet Equality and Diversity through: *Having an Equality and Diversity policy which is promoted during staff induction and incorporated in on-going specialist training for delivery of services to people with learning disabilities (Learning Disabilities Qualification). *All staff have attended Equality and Diversity training. Annual Service Review Page 4 of 8 *Caring for both males and females of different abilities and ages. *All people who use the service have had a full assessment completed by a multiagency team to ensure that a person centred service is provided. They tell us how they have improved in the last twelve months through: *Introducing learning logs. *Mental Capacity assessments are in place. *Care packages have been improved and updated using good practice standards. *A full admissions pack has been introduced. *The Service User Guide and Statement of Purpose have been updated. *Meetings and reviews have been reformated to promote the involvement of people who use the service. *Improved activity options both inside and outside the home. *Focused on providing aids to daily living to promote independence. *Updated the complaints procedure and introduced monthly audits of complaints through the services headquarters. *Replaced and upgraded equipment throughout the home. The service has told us about plans for improvement they have for the next twelve months: *The AQAA tells us that alternative, purposeful occupation is being sourced for several service users. (We wish to) increase individuals levels of independence using creative methods. *Ensure that all service users have a hospital admissions pack to be used to aid communication and provide information. *Create an audio complaints procedure and a grumbles box or book. *Continue with a programme of redecoration and refurbishment throughout. *Review shift patterns to be responsive to the needs of people who use the service. *Create personal development plans for each person. The AQAA tells us that one complaint has been received in the last twelve months which was resolved within the 28 days timescale. The complaint was not upheld. They also tell us that no safeguarding investigations have taken place. We, the commission, have received no complaints about the service or any safeguarding alerts in the last
Annual Service Review Page 5 of 8 twelve months. The surveys we received from people who use the service were completed with the assistance of an advocate or care staff and are positive. All confirm that they know how to make a complaint or who to speak to if they are concerned about anything. They tell us that the staff and manager treat people well and that they listen and act on what people say. They also confirm that the home is always clean and fresh and that they know how to make a complaint if they have concerns or are unhappy. Several comments were added to surveys: We do cooking and go to college to do singing. I would like to play more games, have a coffee evening, attend youth club, computers. I would like to start going to the pictures (cinema). I like to go to Rainbows and out for a coke/coffee. I would like more parties. They keep me safe and happy. They help me to get out and about. Four staff returned surveys. All tell us that they are are given up to date information about the needs of the people they care for and that they get the support and training they need to meet the different needs of the people for whom they provide a service. They also confirm that managers provide enough support and meet with them to discuss how they are working. Staff tell us that there are usually enough staff to meet the individual needs of all the people who use the service. The AQAA tells us that in the last three months 98 shifts have been covered by temporary staff or staff from an agency, although staff turnover is said to be low and sickness is minimal. Staff have added the following comments to surveys: The service is forward thinking - constantly increasing range of activities and interactions with clients to broaden their experiences. We could do with occasionally having another pair of hands so that all service users can be doing instead of sometimes having to make a choice. It is a good home, friendly and relaxed atmosphere. A competent staff team. The service offers wide range of activities and support for all service users. Good quality of care. Teaches plenty of useful life skills to promote best quality of life. We could do with more inside house activities. The service cares for all clients. Organising activities for all clients. We could do with more staff for activities. Since the last inspection the home has kept us informed through notifications of any issues that have occured that have affected people who live at 535 High Lane. We have analysed all of the information available for this Annual Service Review
Annual Service Review Page 6 of 8 including the AQAA and surveys and we are satisfied that the service continues to provide good outcomes for people using the service. 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 4 December 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 7 of 8 Reader Information
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