Care Home: Appletrees

Annual service review Name of Service: Appletrees The quality rating for this care home is: The rating was made on: three star excellent service 0 7 0 8 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: Kerry Kingston Date of this annual service review: 1 4 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Chapel Row Bucklebury Berkshire RG7 6PB 01189713769 Telephone number: Fax number: Email address: Provider web address:   paulthwaite@choiceltd.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Choice Ltd Number of places (if applicable): Under 65 Over 65 8 0 The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category 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 Appletrees is a care home for eight adults with learning disabilies, some people have behavioural difficulties. It is situated in a rural location but close to the local shop and public house. All service users have their own bedrooms that are appropriately individualised. The needs of the current service users are complex and comprehensive assessments are undertaken on an individual basis and are updated and reviewed regularly. The fees are approximately £2000 per week, dependant on the assesed needs of individuals (as at 07/08/09) . 0 7 0 8 2 0 0 8 Annual Service Review Page 2 of 7 Annual Service Review Page 3 of 7 Annual Service Review Page 4 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 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. We checked what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We looked at the previous key inspection report and the results of any other visits that we have made to the service in the last 12 months. We looked at relevant information from other organisations. We looked to see if other people have told us anything about the service since the last inspection which was on the 7th August 2008. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service. The home continues to let us know about things that have happened since our last key inspection, although there have been no notifications this year. The AQAA noted that there have been several developments, such as improved ways of getting people who use the service to express their views by the use of emotion cards and pictures, development of individualised and improved health action plans signed by the G.P and making Adult Protection more prominent in the new induction process. The AQAA told us that 11 staff have left the home in the past year but they also said that this was due to having alot of overseas staff on annual contracts. They are trying to increase the number of local staff that they appoint. The home reports that it uses bank staff, instead of agency to cover any shortfalls of staff and this has improved the continuity of care to the people who use the service. The high turnover of staff this year has resulted in a low percentage of staff being trained to NVQ 2 standard but this is being addressed by the service. The home reported that no complaints have been received by them and there have been no safeguarding incidents or concerns about them or reported by them. No information about complaints or safeguarding issues have been received by the Commission since the last inspection. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 We are not going to change our inspection plan, and will do a key inspection by the 7th August 2011. 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 Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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