Care Home: Belmont

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Annual service review Name of Service: Belmont The quality rating for this care home is: The rating was made on: three star excellent service 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: Mary Cochrane Date of this annual service review: 0 3 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Stone Street Stanford North Ashford Kent TN25 6DF 01303813084 01797367216 belmont@counticare.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Counticare Ltd Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users to be accommodated is 6. 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: Learning disability (LD). 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 responsible individual for the service has changed. It is now Simon Froud. The registered manager has left. Number of places (if applicable): Under 65 Over 65 6 0 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Belmont is situated in the village of Stanford North, between Folkestone and Ashford. It is a large country house providing accommodation and personal care for six Annual Service Review Page 2 of 7 residents with a learning disability. The home is owned by the Caretech Company, who are providers for other services throughout the East Kent area. Communal areas comprise a lounge, music/quiet room, dining kitchen area, conservatory and laundry room. Within the grounds of Belmont is a large outbuilding, which provides a recreational area for music, relaxation and arts and crafts, and the managers office. The home has extensive gardens with a large swing and greenhouse. The home has use of a minibus and a car to access the wider community, as the village has no amenities other than a local pub. There is no regular public transport links to the home. The current weekly fees at the last key unannounced inspection range between £1084.36 and £1353.77 for service users. There are additional charges for Chiropody, hairdressing, horse riding and bowling. 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 excellent rating was made at the last Key Unannounced Inspection on 8th November 2007. We looked at all the information that we have received, or asked for since the last key inspection or annual service review. This included: 1. 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. 2. Surveys returned to us by people using the service and from other people with an interest in the service. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. 5. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. What other people have told us about the service. 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 completed to a good standard and contained lots of interesting and relevant information about what was happening at the home. It contained all the information we needed to do the annual service review. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service. The home has consistently met and in certain areas has exceeded the National Minimum Standards. Everyone has a support plan, this is developed with the service user and covers all aspects of how they want to be supported, with personal care, social support and healthcare needs. All service users are developing a health care plan that meets their needs. The AQAA gave examples of how the home supports people. For example each person has a key-worker. This makes sure that peoples views are promoted and incorporated into the daily running of the home. The service users at Belmont have 1 to 1 talk times. This is a chat with the persons key worker about areas of the house, their lives, Annual Service Review Page 4 of 7 activities, relationships, their wishes and aspirations. This helps service users to make choices and decisions around all aspects of daily life. There are also regular service user meetings. This means that people can discuss any issues they may have with their home, staff or anything they would like to talk about. The AQAA told us that equality and diversity is incorporated into all aspects of the service. Race, gender identity, disability, sexual orientation, age, religion and beliefs are promoted and incorporated into what they do. This means that people will be treated equally and as individuals. The service supports people to make their own decisions and choices using their preferred means of communication. They have developed many different ways of communicating with service users. They use objects of referencing, pictures, symbols, photos, much of these are displayed around the home to help service users orientate themselves to daily routines and chosen life styles. The staff have developed a doctors communication pack, which has been devised to support communication between doctors and people who have a learning disability. This means that some service users independence and autonomy is promoted. To prepare for decisions about holidays the staff made a scrap book of everything that was on offer. As well as their annual holiday people said they would like to go camping. This was organised and people had a really good time. The home held a summer fete which was attended by friends, family and service users. There was a barbecue, raffle, games, stalls as well as a pirate theme. They raised over £400 for their amenity fund which throughout the year assists with funding trips out and entertainment. The staff receive the training they need to do their jobs effectively and safely and in the best interests of the people who live at the home. They have also received Mental Capacity Act and Deprivation of Liberties training. This has helped to review and improve support given and decisions made by individuals. The home told us that they have received one complaint in the last twelve months and this has been resolved using the services complaints procedure. They have also told us about any event or incident affecting the people who live in the home. We sent surveys to service users, staff and visiting professional. We received five surveys back from people who live at the home five from members of staff and one visiting professional. The overall picture was positive. Comments made in response were, The staff help me . Staff listen to me. I like making tea. Staff told us that there is a strong, supportive staff team who meet the needs of the service users. They said there is a happy friendly atmosphere in the home and people are supported to do what they want on a daily basis. Annual Service Review Page 5 of 7 Staff also said that maintenance and general up-keep of the home needs to be improved. They have to wait a long time for things to get done. They also said they did not feel supported by the organisation. Since the last ASR review the registered manager has left the service. The deputy manager has taken over the day to day running of the home. We have written to the company to ask them when they are going to appoint a new manager. At the last inspection it was stated that the home provides excellent outcomes for the people who live there. This review has told us that Belmont continues to improve and develop its standards. This indicates that the home is performing as well it was at the last key inspection. 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 31st 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 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). 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