Latest Inspection
This is the latest available inspection report for this service, carried out on 29th 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 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 77 The Street.
Annual service review
Name of Service: 77 The Street The quality rating for this care home is: The rating was made on: two star good service 0 2 1 2 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?
Yes 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: Roy Gregory Date of this annual service review: 0 9 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 77 The Street Kilmington Warminster Wiltshire BA12 6RW 01985844800 01722716029 andynosko@aol.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Ability Associates Limited Number of places (if applicable): Under 65 Over 65 2 0 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 77 The Street is a residential care home registered to care for two adults with a learning disability. The property is surrounded by open countryside and has no immediate neighbours. It is situated three miles north of Mere, where there is access onto the A303 trunk road from London to the West Country. The Registered Provider is Ability Associates Ltd. The Registered Manager, Andrew Nosko, also manages another small care home within the organisation, known as Dalwood Farm. Staffing and policies and procedures are shared between the two homes. The people who live at 77 The Street spend varying amounts of time at Dalwood Farm, either socialising with staff and other service users or undertaking specific tasks or activities. 77 The Street is referred to by staff and residents of both homes, as The Cottage or Dalwood Cottage. The home provides a homely cottage environment with single room accommodation on
Annual Service Review Page 2 of 6 0 2 1 2 2 0 0 8 the first floor. There is a sitting room, separate dining room, small kitchen and an upstairs bathroom. A third bedroom is used for sleeping-in staff, and doubles as an office. Owing to its somewhat isolated position, and its satellite relationship to Dalwood Farm, the company provides a car for journeys as required. Normally the home provides a single member of support staff whenever people are at home. Management and senior staff are available on call from Dalwood Farm, and they also make planned and spot monitoring visits. Annual Service Review Page 3 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 the information we have received about the service, or asked for from it, since the previous key inspection on 2nd December 2008. This included The Annual Quality Assurance Assessment [AQAA] that the service sent to us. This should be a self-assessment that focuses on how well outcomes are being met for people that use the service, and how the service intends to develop. It also provides some statistical information. Surveys returned to us by both people who live at 77 The Street, and four members of staff. The previous key inspection report, and our experience of inspecting another home provided by Ability Associates, with which 77 The Street has close ties. What has this told us about the service? In response to our request for an annual quality assurance assessment [AQAA] on 15th September 2009, the registered manager has sent us a copy of an old CSCI document which is dated 13th March 2008. We know it has been updated because it indicates that some tasks relating to health and safety have been undertaken during 2009, and a number of policies and procedures are also said to have been reviewed in August 2009. However, the content of the AQAA in relation to how the service considers outcomes to be achieved is hardly different to the original document, apart from noting environmental enhancements carried out in the past year. Many of the sections do not give any answer to What we could do better, How we have improved in the last 12 months, or Our plans for improvement in the next 12 months. Therefore we have no evidence that the management maintains a focus on how the service is provided and how it may be further developed. Both people who live at 77 The Street responded to our postal survey. Each received staff assistance to do so, where external support would have been preferable. In our inspection in December 2008 we noted that members of staff supported people living in the home to complete the providers internal response forms. We recommended that they should identify people outside the service who can support individuals living in the home to give feedback to the company, and to the inspection process, by way of questionnaires or other means. We repeated this recommendation in our key inspection of the other home provided by Ability Associates. The responses from people living in the home suggested their experience of life at the home was similar to that which we reported on in December 2008. One person made additional comments, that they would like more freedom and I sometimes disagree with them if they try to tell me what to do. However, they indicated they knew how to address concerns to the manager or their care manager. One person commented on having had their room redecorated in a colour of their choice. Responses suggested people were supported to make a range of choices and continued to engage in a Annual Service Review Page 4 of 6 variety of activities. Four members of staff responded to our survey. One of the questions is, Does your manager give you enough support and meet you to discuss how you are working? Only one person indicated always in response to this, one indicated sometimes. Of the two that answered often, one added from the deputy manager only. All the staff that responded considered they had sufficient support, experience and knowledge to meet peoples different needs and were positive about the training they received. They saw the strengths of the service as supporting people to make choices and engage in activities according to individual needs and preferences. Three of them identified no ways in which they thought the home could improve. One thought the people living in the home should be given more input about maintaining hygiene in the home. The service has given little information to show that matters arising have been managed well. The AQAA does not indicate how requirements and recommendations made at the key inspection have been addressed. We rated the sister home as Adequate and cannot be confident that people experience consistently good outcomes in this service. What are we going to do as a result of this annual service review? Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 2nd 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, and as a result of this Annual Service Review we are likely to bring forward our next inspection activity. Annual Service Review Page 5 of 6 Reader Information
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