Care Home: 9 Roseland Avenue

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Annual service review Name of Service: 9 Roseland Avenue The quality rating for this care home is: The rating was made on: two star good service 1 0 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: Malcolm Kippax Date of this annual service review: 0 9 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 9 Roseland Avenue Devizes Wiltshire SN10 3AR 01380728507 01672569477 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Cornerstones (UK) Ltd Number of places (if applicable): Under 65 Over 65 6 1 1 0 Any placement for short-term care or for an emergency placement must be agreed with the Commission before the placement commences. For the purpose of this condition, short-term is defined as a placement that is expected to last not longer than 3 months. An emergency admission is defined as an admission whereby someone is likely to be placed at short notice without an up-to-date assessment of needs having been carried out and the person has not had the opportunity to visit the home prior to placement. Only the one, named, female service user between the ages of 18 and 64 years with a physical disability referred to in the application dated 5 October 2003 may be accommodated in the home and this person must be accommodated on the ground floor. The home may only accommodate one person with a learning disability aged 65 years and over. The maximum number of service users who may be accommodated in the home at any one time is 6. 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: 1 0 1 0 2 0 0 8 Annual Service Review Page 2 of 7 Date of last annual service review (if applicable): Brief description of the service 9 Roseland Avenue is one of a number of care homes in Wiltshire that are run by Cornerstones UK Ltd. The home is in a residential area close to the centre of Devizes. Each person has their own bedroom. Two bedrooms are on the ground floor and the others are on the first floor. The communal rooms consist of a lounge and a conservatory type extension that is used as a dining area. The home has a domestic type kitchen and there is a small office. At the rear of the house there is a paved garden, a garage and a parking area. People who live at the home receive support from the homes manager and a team of support workers. The weekly fee at the time of the last inspection was 765 pounds per person. Information about the home is available in a Statement of Purpose. Copies of inspection reports are available from Cornerstones UK, and can also be seen on the Commissions website at www.cqc.org.uk 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: - The annual quality assurance assessment (AQAA) that was completed by the homes manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for the people who live at the home. It also gives us some numerical information about the home. - Surveys that have been returned to us giving peoples views about the home. - Information we have about how the home has managed any complaints. - What the home has told us about things that have happened. 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 home in the last 12 months. - Relevant information from other organisations. - What other people have told us about the home. What has this told us about the service? We received an AQAA which gave us information about the homes strengths and what has happened during the last 12 months. The home summarised what it does well: - Keeping abreast of new developments within social care. - Constantly evaluate the service we provide to our service users. We then systematically use that information to establish and action plan what we need to do better. - Service users are encouraged and supported to make decisions and make there preferences known. - Training and development of staff. - Good communication with outside professionals in the improving and identifying needs of our service users. - We provide varied opportunities to develop the individual and group needs of the service users. - A strong personal health care and support system. We were told in the AQAA about changes that have been made as a result of listening to the people who use the service: - Person centred planning training has commenced within Roseland, staff and service user awareness of PCP has greatly developed. - Service user one page profiles have been worked on developed, with input from service users, staff and other professionals involved. - Pictorial record of a service users holiday was developed for a service user with no verbal communication, which the service users family were very pleased with. - Colour schemes for redecoration of the home have been chosen in consultation with the service users. - We have recently purchased a camera with the intention of creating more pictorial aspects to documentation. Other improvements had taken place, including some to the environment: - We have fitted door closings to enable doors to close more slowly. - The home has a maintenance plan and renewal programme. - Flooring has been replaced in some areas of the home with service user input Annual Service Review Page 4 of 7 Further improvements were being planned, including replacement of some windows, redecoration, and having better wheelchair access. The manager reported that there is more understanding of the Mental Capacity Act (M.C.A.) and of how this is put into practice. Training has been provided and we were told that some staff have been involved in best interest meetings, regarding a service user going into hospital for an operation. The manager also reported that a When we die booklet had been introduced for service users who wish to make their choices and decisions known. Two service users had already said they would like support to do this. It was reported that the people who use the service did not yet have Health Action plans, although there were plans to complete these. We were told about other plans for the next 12 months. These included: - All staff need to attend equal opportunities training. - Organisational review taking place on policies and procedures. - To develop a service users comments book. Staff to attend refresher course on safeguarding of vulnerable adults. - To work with daycare staff, to develop opportunities for service users. - Developing ways of recording service users wishes on observation charts. - Service user meetings or a suitable alternative to be held at least bi-monthly. - To involve friends, family and if necessary advocates to ensure that the service users needs are being met. Overall we thought that the home had made a number of improvements during the last year, which had enhanced the environment and the service that people receive. As part of this ASR, we sent surveys to the home so that these could be given out to the people who use the service, and to staff. We had surveys back from two people who use the service. They had support with completing their surveys. Their responses were positive about the home. People told us that staff treated them well; they knew who to speak to if not happy; and knew how to make a complaint. People said that they could make decisions about what to do during the week. One person commented I like to go out into town, to the cafe and another I go out when I want, but I tell the staff. We had six surveys back from staff members. They told us that they were always given up to date information about the needs of the people who they supported. Staff knew what to do if somebody had concerns about the home and confirmed that their employer had carried out checks, such as references and a Criminal Records Bureau (CRB) disclosure, before they started work. We asked staff in the surveys about what the home does well. The staff members commented about different aspects of the home: - Caters for the well-being and needs of all service users. - Works well with outside professionals. - Provide a well balanced diet. - Access to training. - The staff team work well together. We were told in the AQAA that no complaints about the service had been made in the Annual Service Review Page 5 of 7 last 12 months. The home has kept us informed, through notifcations, of a number of events that have arisen during the last year and the action that has been taken in respect of these. What are we going to do as a result of this annual service review? We are not intending to change our inspection plan at this time, and we will do a key inspection by 10th October 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 who live at the home. 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