Latest Inspection
This is the latest available inspection report for this service, carried out on 28th September 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 60 Celtic Road.
Annual service review
Name of Service: 60 Celtic Road 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: Kim Rogers Date of this annual service review: 2 8 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 60 Celtic Road Deal Kent CT14 9EG 01304389294 01304389294 celtic.road@robinia.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Miss Laura Joanne Bailey Conditions of registration: Category(ies) : learning disability Conditions of registration: The Robinia Care Group Ltd Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users to be accommodated is 3. 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: 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The home is owned and run by Robinia Support Solutions. The home is registered to provide personal care and support to three adults who have a learning disability. The house is set in a residential road of Walmer near Deal. There are pleasant gardens to the front and rear of the property, which has three single bedrooms for service
Annual Service Review Page 2 of 7 There is a new registered manager. users. One bedroom has an en suite shower room and is on the ground floor. There is an attractive lounge and kitchen/ dining room. There is a bathroom with a shower and separate ground floor WC. There is off street parking at the front of the property. The current charges for this home are about £100,000 per year. For more information please contact the Provider. The email address is celtic.road@Robinia.co.uk There is a notice in the home to inform people that they can access the current inspection report in the office. 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: 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 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. We had a phone conversation with the registered manager. What other people have told us about the service. We sent out surveys to staff and service users. We received four surveys back from staff and two from service users. This means that staff and service users can tell us what they think about the service. All surveys we received back were positive. What has this told us about the service? The manager completed the AQAA (Annual Quality Assurance Assessment) and returned it when we asked for it. This gives information about how the home has improved and how they intend to improve. The AQAA was well completed and gives good evidence of what they do well, what could be improved and how they intend to improve. The last key inspection of this home was 8/10/07. We carried out an annual service review, ASR, on 8/08/08. We made two requirements at the last key inspection. We found evidence that both requirements have been met. The AQAA shows that they continue to seek and listen to the views of the people who use the service. Some changes and improvements have been made based on peoples views including plans to redecorate some parts of the home and hold more social events. As a result of listening to a persons views, a person now travels on public transport independently. Service users have had training in interviewing skills so can take part in interviewing prospective staff. A service user forum has been established to enable people to air their views about the service. The AQAA shows that issues relating to equality and diversity are understood and supported. The AQAA gives evidence of why and how the home is value for money. The manager has identified barriers to improvement and has ideas about how to overcome these barriers so the home continues to improve. Annual Service Review Page 4 of 7 They continue to use a person centred assessment tool to find out about peoples needs and hopes for the future. This ensures that they have the right number of skilled staff and other resources to meet peoples needs and support personal goals. A service user said that they would like a booklet that explains how the home is run to new staff and service users. The AQAA says that they have information about the home available and plan to improve this. Everyone has been involved in developing an individual person centred plan. This means that what people want out of life is recorded and a plan in place for staff to follow to support this. Everyone is involved in reviewing their plans so staff know they are still providing the right support to enable people to achieve. Everyone has a key worker and has the opportunity for one to one support. They plan to hold more person centred planning meetings and develop a person centred statement of values. People have opportunities to take part in a range of activities including communitybased activities like colleges. People are supported to further their education and to get jobs. Every one is supported to be involved in the day to day running of the home including housework and cooking. This has lead to people increasing their skills and confidence. The AQAA says they plan to support people to create their own day programmes and source more activities especially evening activities. They plan to apply for more college placements and help people to find employment. Each person has a health action plan to enable them to take more control and responsibility for their health with the right support. Medication practice continues to be safe. People are having support to take more control of their health, personal care and medication. Guidelines for medication used on a when needed basis have been updated as required at the last inspection. The complaints procedure has been reviewed and updated to make it more meaningful to people who use the service. The AQAA shows that the home has received 4 complaints in the last year and all have been investigated and none upheld. Staff continue to have training in how to safeguard people from harm and abuse. The safeguarding and whistle blowing policies have been updated. They have kept us and other agencies informed about incidents. They have made one referral to the safeguarding adults coordinator at social services. This means that they suspected harm or abuse and reported it so that it could be investigated. For more information please contact the Provider. Positive behavioural support plans have been developed with the full involvement of service users. These detail how people want to be supported. The AQAA shows that there has been one use of restraint in the last year. There have been some improvements to the home including fitting outside lights, having some carpets cleaned and purchasing new soft furnishings. There is now a vegetable and fruit patch in the garden requested by service users. They plan to refurbish a first floor bathroom and replace the lounge carpet. They also plan to erect a smoking shelter in the garden and put blinds in the kitchen and living room. Annual Service Review Page 5 of 7 Staff have training relating to service users needs like active support, autism and person centred planning. This means that staff have the skills to enable and empower people. The induction of new staff is focused on service users needs so staff get the underpinning knowledge they need. 5 out of 7 staff have a National Vocational Qualification in care at level 2 or above. Recruitment checks continue to be robust protecting service users. Service users have had training on interviewing skills so can be involved in recruiting people that may potentially support them. They plan to include observations of staff in the supervision process so staff can have feedback about the support they give. Staff told us that they have the training and support they need and that there is enough staff. Staff said We work together as a team All staff work well together. Communication and support is very good. The home works well as part of a team It s great to see a good staff team working together to promote service users independence. Employ more drivers to encourage more varied evening activities. The manager has several years experience and has the required qualification to manage the home. The manager previously worked at another company home as a senior staff so knows the service users well. The manager is registered with us. This means she has passed the fit person process and has been judged a fit person to manage the service. There are sound monitoring and audit systems in place to check practice. This protects service users. The AQAA shows that the required health and safety checks are carried out of premises and equipment. They plan to include service users in carrying out checks related to health and safety so people can be more involved. What are we going to do as a result of this annual service review? From the information we have our judgment is that the home continues to provide a good service to the people who live there. We will continue to monitor the service and can carry out an inspection at any time if we feel it necessary. Annual Service Review Page 6 of 7 Reader Information
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