Care Home: Ashley House

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Annual service review Name of Service: Ashley House The quality rating for this care home is: The rating was made on: two star good service 1 1 1 1 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: Michele Etherton Date of this annual service review: 1 8 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 120 Aldwick Road Bognor Regis West Sussex PO21 2PB 01243823058 01243841975 tlockyer@grooms-shaftesbury.org.uk www.livability.org.uk Livability Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : physical disability physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 15 16 0 0 The registered person may provide the following category/ies 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: Physical disability (PD) The maximum number of service users to be accommodated is 15. 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 Ashley House is a large property located in the coastal town of Bognor Regis, within a reasonable distance of the town centre and the sea. The home offers full care to people with severe physical difficulties, also some with learning difficulties. Sixteen single bedrooms provide accommodation, none of which are en-suite, however, there are assisted bathrooms throughout. The accommodation, which is on the ground floor only, consists of three units, each with their own dining/sitting areas. There is a large activities area in the centre of the building. The provider is Livability and the registered Annual Service Review Page 2 of 7 1 1 1 1 2 0 0 8 manager is Trudy Lockyer. The fees charged are £728 -£947 per week. 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 or 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. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, 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 service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. Surveys have not been issued on this occasion to inform this review. 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 most of the information we asked for. We last inspected this service in November 2008 at which time it was rated as a good 2* service, and achieved good outcomes in all areas except environment. The service recognises the shortfalls in the environment which is in need of complete updating and is expensive to maintain, they have been working with the resident group in regard to the re-provisioning of the service which will involve a new build. The financial climate and planning of the new service has delayed the progress of reprovisioning, and in the meantime the service is undertaking interim updating and improvement to the communal areas of the home, and a rolling programme of redecoration in place. We have previously identified the need for flooring to be more suited to the needs of wheelchair users and the need to maintain the redecoration of the home. The AQAA informs us that: In the last twelve months the service has purchased and installed two new overhead hoists for specific residents. Redecoration of some communal areas has been Annual Service Review Page 4 of 7 undertaken to brighten the appearance of these areas of the home. One kitchen has been altered to accommodate greater use of the facilities by residents. There are also plans for upgrading of some flooring, and the redesign of other kitchens for better resident use. One unit to the front of the house has been refurbished and this is ongoing. We are informed that more residents are accessing college and day care provision. One resident is successfully maintaining a voluntary job at a local charity shop and another has joined a mainstream fishing club. As a result of resident feedback in regard to the availability of staff to support them get ready for going to their various activities, the staff rota has been revised and will continue to be monitored and adapted to meet the needs of residents. Residents continue to maintain a good community presence and some have been supported to achieve independent travelling, regularly making use of local bus and train transport. Improved links have been established with colleges, day care provision and other professionals working in health and social care to facilitate better communication and understanding of resident needs, and ensuring that issues that arise can be resolved quicker. The service has developed communication tools to ensure that residents have access to the information they need.There are future plans to research availability of advocates and also volunteer support. The service has negotiated improved funding for two residents to enable greater 1-1 support opportunities for them. In response to resident feedback the service is working closely with them to maximise the effective use of staffing hours. Additional staff are also being recruited to minimise the use of agency workers. We are informed that residents actively participate in staff interviews. Opportunities for residents to be listened to are provided in a number of ways, residents spend time with key workers regularly, they have a monthly residents meeting, and are surveyed annually for their views about service quality. Analysis of resident survey feedback is undertaken by the organisation externally to the home, findings are reported back to the manager for actions that need to be taken. The service has been proactive in reminding residents about the complaints procedure and providing each one with their own copy. Residents are routinely reminded about the procedure to ensure they are still confident about understanding the process and using it. The service reports that in the last twelve months they have received four complaints of which 75 were dealt with within the 28 day timescale. The service has also informed us within the AQAA of eight safeguarding incidents in the past twelve months,whilst the service has appropriately notified the commission of incidents they have not made clear within these notifications that adult alerts have been raised as a consequence,the AQAA does not make clear how many safeguarding Annual Service Review Page 5 of 7 alerts remain open. We have consulted with the home and have been advised that all safeguarding incidents are routinely alerted to the local safeguarding team, only one of which remains open at this time. The service is reminded of the need to ensure that information sent to the commission makes clear where safeguarding alerts have been made to the appropriate safeguarding agency. The service provides a staff training programme,and is to be commended on the number of staff qualified to NVQ level 2/3, with only the newest staff member without this qualification currently. Some specific training is provided to staff to better inform their knowledge and skills in regard to the specialist needs of some residents, however, the service acknowledges within the AQAA that this is an area that needs further development, and plans are in hand to arrange more courses next year. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. 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 11th November 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. 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. 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