Latest Inspection
This is the latest available inspection report for this service, carried out on 30th 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 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 79 Harrow View.
Annual service review
Name of Service: 79 Harrow View The quality rating for this care home is: The rating was made on: three star excellent service 2 1 1 0 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: Judith Brindle Date of this annual service review: 3 0 0 9 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: 79 Harrow View Harrow Middlesex HA1 4TA 02088630981 02088610735 hm79harrow@supportforliving.org.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Support for Living (Harrow) Number of places (if applicable): Under 65 Over 65 9 0 The maximum number of service users who can be accommodated is: 9 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: Mental Disorder, excluding learning disability or dementia - Code MD 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 79 Harrow View is a care home providing care, support, and accommodation for 9 adults who have mental health needs. Support for Living (Harrow) is the proprietor of the care home. Family Action is the care agent and employs the staff. Paddington Churches Housing Association owns the property. The registered care home was opened in 1988. It is a large semi-detached house and consists of three floors, and is located in a residential area close to central Harrow. The residents bedrooms are single, and are located on each floor. Communal space includes two sitting rooms, and
Annual Service Review Page 2 of 8 2 1 1 0 2 0 0 8 a kitchen dining area. The home is within a few minutes walk from a variety of amenities, which include shops, banks, restaurants, parks and leisure services. There are accessible train, and bus public transport facilities close to the care home. The home has a garden, at the rear of the property, which is enclosed, well maintained, and accessible to residents. The home has accessible information about 79 Harrow View and the service it provides. Information with regard to the fees is accessible from the manager. 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? We looked at all the information that we have received, or asked for, since the last key inspection, which took place on the 21st October 2008. This included; looking at the annual quality assurance assessment (AQAA) that was sent to us by the service within the timescales set by us. 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. We also looked at 4 feedback surveys completed by staff, and 3 from people using the service, and we spoke with the deputy manager of 79 Harrow View. We considered information we have, about how the service has managed any complaints, and what the home has told us about things that have happened in the care home, these are called notifications and it is a legal requirement that we are told about them. The previous key inspection report and relevant information from other organisations were also looked at. There were no requirements from the previous inspection. We thank all those who provided us with feedback about the service during this annual service review of 79 Harrow View. What has this told us about the service? We received the AQAA (Annual Quality Assurance Assessment), prior to this review. This document had been completed very comprehensively by the registered manager, and gave us all the essential information about the service that was asked for. The AQAA included examples to demonstrate how positive outcomes are supported and enabled for the people using the service. Key points within the AQAA included reference to listening to, and supporting people using the service to make decisions, and choices about their lives. AQAA told us that at 79 Harrow View all service users have a key worker, and have the opportunity to attend bi-weekly community meetings, six monthly resident away days, and are involved in Quarterly Quality Assurance assessments, and yearly annual development plan, and the home also has a resident interview panel. We were told of developments that had been made to the service as a result of listening to people using the service. These include; residents having had two holidays this year (including one holiday abroad), refurbishing several areas of the home including the bathrooms, purchasing new furnishings, and people using the service being fully involved in the process of recruiting staff including interviewing staff. We were also told that a resident had met with a provider of the service to discuss installing a walk-in shower downstairs and that this request had been carried out and completed. AQAA told us that a person using the service is the residents representative on fire awareness, and supports staff with fire point tests. We were given (recorded in the AQAA) numerous examples of how the equality and diversity needs of people using the service are met. These include celebration of religious festivals, meeting peoples cultural and religious dietary needs, and staff having training with regard to gaining knowledge and understanding of the sexuality needs of people using the service. We were also informed of a significant number of examples of how residents have been supported by staff to be more empowered to take a lead in all Annual Service Review Page 4 of 8 aspects of their lives. We were told that people using the service, (following raising the issue) will in future be taking a full part in the Annual General Meeting of Family Action (the care agent that employs the staff). This is very positive. Previous inspection told us that 79 Harrow View has up to date information (statement of purpose and service user guide) about the service that it provides, and that this documentation is available to people using the service and to others. We were told that the home has updated and developed the service user guide since the key unannounced inspection. We were also told from previous inspection and the AQAA that prospective residents receive a comprehensive assessment of their needs (with their full involvement) before they move into the home, and are supported and encouraged to visit (including overnight stays) the care home before moving in. It was evident from the AQAA that the home has looked at ways of improving, and developing the referral/admission process to ensure that it is as flexible as possible, and not overwhelming for the prospective resident. We were informed that there were plans to improve, and develop (with the residents) their person centred (care plans where the resident is central to, and takes the lead in their own plan of care and support) care plans. We were told from previous inspection, and annual service review that people using the service are supported to take part in the activities, employment, and leisure pursuits of their choice, and that they are fully involved in making decisions with regard to these. We were informed from the AQAA that all residents are free to eat when they wish, and staff support residents to have the choice of healthy, and nutritious foods, and residents can either cook and shop for themselves or in a group taking it in turns for each to cook a meal, staff ensure that all residents specific diets and cultural choices of food are catered for. AQAA told us that the health needs of people using the service are met, and they have access to care and treatment from a variety of health care services, including psychiatry, and psychology services. We were also told that people using the service are supported to self medicate when they feel confident and competent to do so, and that this has enabled residents to be more independent, and to have more flexibility in their lives. Feedback surveys from people using the service told us that they were asked if they wanted to move into the home, and they received enough information about the home before they moved in. Residents told us that; the home is fresh and clean, they can do what they want to do during the day, and they know who to speak to if they are unhappy, staff treat them well, and listen to what they say, and one person told us that 79 Harrow View is a good house. Previous inspection and the AQAA told us that the home has a complaints procedure, (which we were informed all the residents have a copy), and that this is on the agenda for community meetings held in the home. We were given an example of residents complaining about maintenance issues, and the action taken in response to this. We were told that the home continues to support residents to feel confident making a complaint, and to support them in understanding that making a complaint can be a positive action to take. Previous inspection told us that all staff receive safeguarding adults training. It has been evident since the last inspection that the manager has a good knowledge and understanding of safeguarding procedures. Annual Service Review Page 5 of 8 Previous inspection, and the AQAA told us that the care home recruits staff appropriately, retains staff, and staff receive appropriate training including an induction to carry out their role and responsibilities in meeting the needs of people using the service. We were told from the AQAA that the staff team are well motivated, trained, receive comprehensive induction, supervision, and appraisal, and are committed to supporting residents to have real life choices, and empowerment, whilst endeavoring to provide a safe homely environment. We were told that the deputy manager is a qualified social worker, and that most staff have or are completing NVQ (National Vocational Qualifications) level 3 in health and social care. Staff feedback surveys told us that staff are always given up to date information about the needs of the people using the service, their induction covered all that they needed to know to do the job when they started, and they are provided with training that is relevant to their role, and helps them to understand and meet the needs of people using the service. Staff also told us that they are given enough support, and there are enough staff to meet the needs of all the people using the service. Comments from staff included the home is pioneering and forward thinking, the home promotes independence for all residents, and is welcoming and friendly, staff are clear about their roles, staff listen to the individual needs of each resident, and strive to meet their needs, promoting choice and independence, we provide a very relaxed homely environment and staff have regular supervision and appropriate training. The home has systems in place to ensure that safety checks are carried out in the home, policies and procedures are up to date, and appropriate monitoring of the service takes place. We were told that the home carries out an annual development plan (with input from people living in the home) of 79 Harrow View. Staff feedback told us that the response to maintenance issues could be better, and that despite staff being vigilant at reporting health and safety risks, it sometimes takes a while for these to be resolved. This should be looked at by the service. We spoke with the deputy manager who told us that a sitting room has been recently redecorated and there are plans to install a new kitchen in the home by the end of the year. He was positive about the staff team, and told us that the residents were well, and he informed us the home receives on-going positive feedback from residents, and others about the service provided by 79 Harrow View. The manager is very competent and experienced in running 79 Harrow View. He is well qualified (Registered Managers Award (NVQ 4), NVQ 4 H&SC, NVQ D32, D33, Assessors award) and up dates his knowledge and skills. Comments from staff feedback surveys told us the manager is passionate about residents rights, and extremely supportive of the whole staff team. It is evident from previous inspection and from information received since then that the manager (with the staff team) continues to ensure that residents are supported to be as empowered and independent as possible, and that a high quality service is provided to people using the service in conjunction with the full involvement of each person living in 79 Harrow View. What are we going to do as a result of this annual service review? It is evident from the information received about the care home since the key unannounced inspection (21/10/08) that our judgement is that the home is still providing an excellent service to people using the service.
Annual Service Review Page 6 of 8 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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