Latest Inspection
This is the latest available inspection report for this service, carried out on 12th November 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 76 Highlands Road.
Annual service review
Name of Service: 76 Highlands Road The quality rating for this care home is: The rating was made on: two star good service 1 6 0 9 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: Christine Walsh Date of this annual service review: 2 7 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 76 Highlands Road Fareham Hampshire PO15 6BZ 01329230121 Telephone number: Fax number: Email address: Provider web address:
www.c-i-c.co.uk Community Integrated Care Name of registered provider(s): Name of registered manager (if applicable) Miss Georgina Finch Conditions of registration: Category(ies) : learning disability Conditions of registration: 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 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 76 Highlands Road is a registered care home, providing personal support and accommodation for three young adults with learning disabilities. It is a bungalow set back from the main A27 road to Portsmouth in Fareham. Community Integrated Care (CIC) are the registered providers, and the manager, is in the process of applying to CSCI for registration to become the registered home manager. Knighstone Housing
Annual Service Review Page 2 of 7 1 6 0 9 2 0 0 8 Association own the home which comprises of three single bedrooms, a communal lounge, dining room, kitchen and a laundry/staff sleep in room. An enclosed garden is situated to the rear of the property. 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. This included. 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 legal requirement. The previous key inspection, requirements, recommendations and the results of any other visits that have made to the service in the last 12 months. What has this told us about the service? The service was last inspected on the 16th September 2008 and received a 2 star (Good) rating. There has not been any further inspection activity such as an annual service review or random inspection in the last twelve months. In order to carry out an annual service review (ASR) it is required of the service to complete an Annual Quality Assurance Assessment (AQAA) and return to the Care Quality Commission by the required date stipulated in the covering letter. The service was required to return the AQAA by the 26th June 2009, after several telephone reminders by the inspector the AQAA was received on the 25th August 2009. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. It provides us with information about the service users, staff and the services administrative procedures. Five surveys have been received from three staff and two from relatives and one healthcare professional. Their comments have assisted in informing this review. The AQAA refers to the people who use the service as service users and therefore will be referred to as service users throughout the body of this review. The AQAA told us that it meets the diverse needs of the service users by ensuring staff support service users using a person centred approach, ensuring care plans are regularly reviewed and all staff, including temporary staff are aware of service users diverse and individual needs. The AQAA also told us service users are supported to celebrate religious festivals and are encouraged to integrate in their local community and with their peers. The last report told us the service meets the diverse needs of service users by providing a person centred approach which is reflected in personal plans and daily life activities. We looked at the information in the AQAA, which identifies the areas of good practice, and areas for improvement the home has made in the last twelve months. The AQAA told us the service dose well to support the service users to live independent Annual Service Review Page 4 of 7 lives, by organising outings and day trips and offering a good standard of care in all outcome areas. The last report told us the service provides good outcomes in all eight outcome areas, which includes choice of home, individual needs and choices, staffing and management. The report told us the service does well to provide a clean, homely, well maintained home, where detailed assessments, care plans and risk assessments allows service user to be supported in daily activities and hobbies of their choosing and integrate into their local community. The report went onto tell us the service does well to ensure service users receive a well-balanced diet, have their health care needs met and be supported by a staff team who have a good rapport with the service users and understand their needs and behaviours. Staff tell us the service does well to: Look after the residents physical and mental needs very well. Trying to promote independence for all service users. Makes sure Drs appointment are made and kept and their dietary needs are met. Takes residents on regular outings to places of entertainment and takes residents on holiday. Keeps the home clean and tidy Relatives told us the service does well to integrate the service users with one another and the community and be able to visit or call the home anytime to speak to staff. Following the last report the service was issued with two requirements in respect of medication administration. The registered person must ensure clear procedures are in place for the ordering recording, handling, safekeeping and disposal of medications. All medications out of date or no longer required must be returned to the dispensing pharmacist and records of this maintained and The registered person must ensure that all service users medication regimes are reviewed by the GP to reflect their current medication needs. The AQAA told us following a review a service user has had their medication successfully reduced improving their quality of life. The AQAA also told us that a recognised high street pharmacy will be offering training in respect of medication administration. The service feels it could do better to have a better understanding of the medications they are administering. This will be viewed during the next visit to the home. The AQAA told us the service is aware of where improvements are required and their plans for the next twelve months, these include ensuring all staff are receiving regular training and the manager liaising with Community Integrated Cares training officer. This will be viewed during the next visit to the home. Mixed views were received from staff in respect of training, support and enough knowledge to meet the different needs of the service users. These comments ranging from always, sometimes and never. Consistently throughout the surveys comments were raised with regards to information sharing and this area in need of improvement, comments included:
Annual Service Review Page 5 of 7 In respect to information sharing communication between the manager and staff could be better. Relatives could be better informed about changes in the house, also contacted about any medical issues. Other areas where staff and relatives felt the service could do better is listening to the views of staff and the turnover of staff. These comments were shared with the manager who informed us the service recently had a staff team away day where issues regarding communication were discussed. The manager told us a further team meeting has taken place since the away day and staff support and supervision has increased. The Commission has not received any complaints in the last twelve months. The AQAA told us the home has not received any complaints in the last twelve months. The AQAA told us all service users have a copy of the complaints procedure in accessible formats to meet their needs. The AQAA went on to tell us they plan to have an audio complaints procedures to further support service users disabilities. The last report told us there are good outcomes in the areas of complaints and protection, The home has a complaints procedure, a copy of which is kept in each of the service users file and is in easy read format and Makaton. The report also told us the people who use the service are supported by staff who are aware of how they communicate and express their needs through their behaviours. The Commission has received a small number of notifications (Regulation 37) in the last twelve months. Regulation notices are sent to the Commission when an incident has occurred in the service, which has affected the health and welfare of the service users. The notice tells us what happened and what action the home took to manage and minimise the risk of the event occurring again. In this instance the Commission has been notified of incidents that has adversely affected the wellbeing of the service user, such as a fall. 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 13th September 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
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