Care Home: Ashview

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Annual service review Name of Service: Ashview The quality rating for this care home is: The rating was made on: three star excellent service 2 9 1 2 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: Ansuya Chudasama Date of this annual service review: 0 6 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 330 Main Road Duston Northampton Northants NN5 6NJ 01604591179 01604591179 manager.ashview@tracscare.co.uk suehullin@tracscare.co.uk Compass Care Ltd Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 2 2 0 0 No person falling within the category of MD, Mental Disorder excluding Learning Disability or Dementia, may be admitted to Ashview unless that person also falls within the category LD, Learning Disability ie Dual Disability. Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The home has a new manager and they have been managing the service since the 1st of June 09. 2 9 1 2 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Ashview is a residential home providing care to two young adults with learning disability and diagnosed mental health needs. The premises comprises a two bedroom bungalow with sufficient communal space. The home is located in a busy residential area of Northampton close to all main facilities and amenities. Annual Service Review Page 2 of 7 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? 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 and What other people have told us about the service. We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. What has this told us about the service? We received 2 survey questionnaires from two staff working at the home. We are told by one staff that communication between staff is excellent; team work is very good, good staff and client working relationship, good record keeping and reporting. Another staff said that the home has a diverse and dynamic group of staff and they meet the needs of the people. They also say clients have a lot of time with the support staff. The staff also said that their induction mostly covered every thing in their induction. We did not receive any surveys questionnaires back from the people. 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 judgment is that the home is still providing a very good service and that they know what further improvements they need to make. The AQAA says that the home does the following to get the views of the people: Tracscare sends out annual client, staff & external questionnaires, which are collated by the quality director. A report is prepared which includes feedback from all three questionnaires as well as feedback from staff exit interviews, Responsible Individual visits and monthly operational feedback, which is sent to the operations director and complaints feedback. We are told that the Registered Manager & Area Director prepare an action plan in response to these reports. In addition to this we facilitate a client focus day, run by clients in order to gather additional feedback. In -house client meetings are held at least once a month. They are invited to add items to the agenda for discussion. This meeting also enables us to notify clients of any imminent changes to the home or the service. The AQAA says clients are given the opportunity to make a complaint at any time. Complaints leaflets are available in the home and a complaints poster is displayed on the wall informing clients of how they can complain. The complaints procedure is also explained to clients upon admission. When a potential new client comes to visit the home, the clients are asked afterwards for their thoughts and feelings about the possibility of living with this person. Annual Service Review Page 4 of 7 The home has made the following changes since listening to the people. Some of these are changes made to the assessment procedure to ensure that existing clients within the home are asked for their opinion and that this is documented. We have amended Quality Questionnaire for clients to include BILD Quality Indicators. We have changed the questions in the Regulation 26 visits to ask clients very specific questions such as what is good and what is not good? etc. We recently asked our staff to complete surveys on Religion & Belief and sexual orientation (developed by ACAS). We were very proud that the result was green, which means that our policies and procedures are clear, staff and the company have good awareness and attitudes in these areas. The company has appointed a Diversity officer and the following policies and procedures are in place to ensure we promote equality and diversity: Learning Disability Health Action Plan has now been introduced in line with Valuing People White Paper. Introduced our own care standards audit tool. We have developed a care plan review sheet to allow for more detail to be documented when a support strategy is reviewed. We are told that a group has been set up for development of more user friendly documents and have appointed a qualified trainer for POVA training in house. She has developed a training pack for all staff. They say we have begun recording compliments as well as complaints and have reviewed our Wills and Last Wishes Policy and have reviewed our Wake Night Policy following concerns of night time practice, which has now been issued. We are currently arranging meetings with all wake night staff to discuss competencies and roles. These are some of the changes the home is intending to make since listening to the people. To support staff with visual impairment training from the Local adult visual impairment team. Tracscare are developing a new policy on equality in service delivery. Focus more on meeting needs of specific ethnic minority groups through marketing and staff training/recruitment. Improve on details in the contract and discussion/agreement with the client. Ongoing training for all care staff in care planning. More detailed auditing of care plans and related documentation. Plans for quality circle meetings to take place regularly and include clients. We are told that there are ideas to incorporate Expert by Experience being collated e.g. including clients in the auditing process has already begun. There is also planning to begin a taking part service user group which will be a forum for addressing all kinds of issues. Review of POVA policy to include guidance for Appropriate adults and ISA legislation. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. Annual Service Review Page 5 of 7 However we can inspect this service at any time if we have concerns about the care or welfare of any of the people living in the home. 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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