Care Home: Alne Hall Cheshire Home

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Annual service review Name of Service: Alne Hall Cheshire Home The quality rating for this care home is: The rating was made on: two star good service 1 4 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: Rachel Martin Date of this annual service review: 0 5 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Alne Hall Cheshire Home Alne York North Yorkshire YO61 1SA 01347838295 01347838941 alne.hallgeneral@lc-uk.org www.lcdisability.org Leonard Cheshire Disability Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 25 5 15 Nursing (PD & PD(E) - maximum 5 PD (E)) 15 Residential (PD&PD(E)) - maximum 5 PD(E)) Registered for a maximum of 30 persons 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 Alne Hall is a Leonard Cheshire home situated in the rural village of Alne, approximately 12 miles from York. The home provides personal and nursing care for up to thirty younger adults with physical disabilities. It may also provide a service for to up to five people over 65 years of age with physical disabilities, as long as the lotal nuber of residents does not exceed thirty. Respite care is provided by the service using one room reserved for this purpose. The home is a detached listed building, set in its own grounds. There are well laid out gardens, which are accessible to the residents. The home has twenty-eight single rooms and one double room, which is currently used for single occupancy. The building consists of the original Hall which has been extended to provide further bedrooms, facilities and services. At the time of the last Annual Service Review Page 2 of 7 1 4 1 0 2 0 0 8 key inspection the weekly fee was calculated following an individual assessment of prospective service users. Additional charges not covered by the fee included hairdressing, transport , the cost of holiday accommodation and a contribution to activities outside of the home, such as theatre tickets. Up to date information about terms and conditions should be sought directly from the home. 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 had received, or asked for, since the last 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. Surveys returned to us by people using the service and staff who work for the service. Information we have received about how the service has managed any complaints. What the service has told us about things that have happened at the home. These are called notifications and in some circumstances are a legal requirement. The previous key inspection, any other visits made to the service and the last annual service review if appropriate. Relevant information provided by other organisations and what other people have told us about the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA). It provided all of the information we had asked for and had been completed clearly. The information in the AQAA supported our judgement that the service is still providing a good service. It showed that they know what they do well, what needs to be improved and have some plans in place to maintain standards and make things better. This includes involving and seeking the views of the people who use the service. We have received regular notifications from the service since the last key inspection. These notifications and the information in the AQAA suggest that the home notifies us of appropriate events that happen there. There have been no complaints made directly to us since the last inspection. Information provided in the AQAA told us that two complaints have been made directly to the home since the last inspection and that these were both investigated within 28 days. There has been one safeguarding incident since the last inspection. The home notified us of this appropriately and referred it to the local authority. In surveys all seven people who use the service told us that they had someone they could talk to if they were unhappy and knew how to make a complaint if they needed to. The three staff who returned surveys said they knew what to do if someone had concerns about the service. Seven people who use the service completed and returned surveys to us. When we asked if staff treated people well, four said always, two said usually and one said sometimes. When we asked if staff listened and acted on what people said, one said Annual Service Review Page 4 of 7 always, five said usually and one said never. When we asked if people could make decisions about their daily lives, two said always, two said usually and and three said sometimes. Comments made about what the service does well included staff are incredibly friendly, helpful and kind, the chef does beautiful food and makes sure we get what wed like, we are all treated as individuals, I like the fact that staff knock on the door before entering, they respect our privacy when we want it, the care provides everything that she needs, as far as her needs are concerned shes very happy and couldnt think of anything more that the home could provide for her. When we asked what the service could do better peoples comments included more permanent staff, it would be nice to be able to do spontaneous things away from home sometimes, theres sometimes a lack of communication between staff/nurse/doctor/management or between staff, more staff to entertain at weekends and to much time on your own with nothing to do. The manager told us about some of the things they are doing to improve these things saying with our increased staffing we have had the opportunity for impromptu trips out and the opportunity for care staff to spend additional time with individual residents. We purchased a WI gaming console that could be used at weekends and have just replaced the TV with a large flat screen so makes it more enjoyable to use. The computer room with internet access is available at all times and residents do go in and use it over the weekend. Weekends are often when family or friends visit. We do encourage the residents to say what they would like to do and ask for feedback at their meetings. Some residents have chosen to access private physiotherapy and this is on a Sunday. They also told us how staff shifts have changed and that many of the staff have been at Alne Hall for over ten years. Three staff returned surveys. Staff told us that they were recruited properly and that they were given training that kept them up to date, helped them understand peoples needs and was relevant to their role. They also said that their induction training had met their needs when they started work at Alne Hall either very well or mostly. Staff comments included Alne Hall provides a friendly, safe and clean environment for its staff and service users. We have good communication most of the time between staff and residents, although this could be improved at certain times. Alne Hall provides a wide range of entertainment for its service users this has improved over the last six months due to having a full staff team, things would run more smoothly if communication could be improved on and information about new service users was available sooner - although this generally has improved recently and has a good standard of care towards all the service users - greatly appreciated by all their families. The management told us that they were unaware of any serious problems with communication, saying we cannot recall any difficulty with communication between nurses and doctors, but we will monitor. We have had an occasional lapse in communication between staff at different levels but have acted when it has happened and will continue to be alert to any problems. Comments made by health and social care professionals who work with the service included provides a supportive environment for residents and families. The nurses and support workers form very strong, good relationships with their clients. Good communication with local PG via phone/fax. Good liaison with other services. Comments made about what could be improved included they could tailor activities towards individual preferences and more staff would give more opportunities for residents to access the community. Annual Service Review Page 5 of 7 An anonymous version of the full survey results have been sent to the management for information. The manager responded to this promptly and appropriately. 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 14th October 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of people using the service. 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