Care Home: Bethany House

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Annual service review Name of Service: Bethany House The quality rating for this care home is: The rating was made on: two star good service 1 6 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: Rachel Martin Date of this annual service review: 0 9 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: 3 Margaret Road Harrogate North Yorkshire HG2 0JZ 01423501650 Telephone number: Fax number: Email address: Provider web address:   Maria@franklinhomes.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Franklin Homes Limited Number of places (if applicable): Under 65 Over 65 8 0 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 had a change of responsible individual and a change of manager. The new manager still needs to register with us. 1 6 1 2 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Bethany House is owned and managed by the Franklin Homes Ltd. It is registered to provide personal care and accommodation for up to 8 adults who have mental health problems. The home is situated in a pleasant residential area of Harrogate and is within easy reach of the town centre. The people who live there have single bedrooms, most of which have en-suite toilet facilities. There is a variety of communal space available for peoples use. The accommodation is arranged over four floors, which are accessed by flights of stairs. There is parking available on the road at the front of the house. The fees at the time of the last inspection visit ranged from £334 to £1,136 pounds per week and did not include costs for personal transport, toiletries, hairdressing and chiropody. Up to date information about the homes fees and terms and conditions should be sought from the homes management. Annual Service Review Page 2 of 6 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 key inspection. 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 gives us some numerical information about the service. Surveys that were returned to us about the service. These might include surveys from people who use the service and their relatives, staff who work at the service and health and social care professionals who visit and work with the service. Information we have received about how the service has managed any complaints or safeguarding issues. What the service has told us about things that have happened at the service since our last visit. These are called notifications and in some circumstances are a legal requirement. The previous key inspection, any other visits made to the service or any other annual service reviews we have completed. Relevant information provided by other organisations and what other people may 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 had been completed thoroughly and clearly and was returned to us by the agreed date. The information provided in the AQAA supported our judgement that the service is still providing a good service. It showed that they know what they do well, have continued to make improvements and have plans in place to keep making things better. This includes involving and seeking the views of people who use the service through regular meetings and reviews. However, the AQAA also told us that the home does not currently use nutritional screening or provide staff training on nutritional issues. This is something that the manager should look into developing within the service. Since the last inspection we have received notifications from the service about changes to the homes management. The information supplied in the AQAA also suggests that the home manager is aware of the need to notify us of certain events that happen at the service. The new manager hasnt yet submitted an application for registration, but has given assurances that we will receive an application as soon as the relevant documentation is available. During the last inspection we made one requirement to improve the way new staff were recruited. We asked the new manager what had been done to meet this Annual Service Review Page 3 of 6 requirement since our last visit. He has assured us that all new staff now have the required checks completed before they start work at the home. There have been no formal complaints made directly to us since the last inspection. The information provided in the services AQAA confirmed that there has been one complaint made directly to the home and that no safeguarding allegations have been made in the last year. The complaint was investigated by the service within 28 days and was not upheld. The AQAA also told us about the systems the service has in place to make sure that people can raise things they are concerned about and that these concerns are investigated properly. In surveys we asked people who live at the home if there was someone they could speak to if they were unhappy. All five people who returned surveys said yes. When we asked if people knew how to make a formal complaint, again all five people said yes. We asked staff if they knew what to do if someone had concerns about the service. Four out of five staff who returned a survey said yes. The health or social care professional who returned a survey told us that the service sometimes responds appropriately if someone raises concerns. Five people who use the service returned surveys. When we asked if staff treated people well, two people said always and four said usually. When we asked if staff listened and acted on what people said, three people said always and two said usually. Comments made to us about what the home did well included I like my room. Its near the town. I like the food. I feel I am well looked after. The staff are helpful and help me make music CDs, the home helps me with my needs and motivates me when I dont feel well. The food is very satisfactory and I would like to remain in the care home for a long time and support, always time for me. Comments made to us about what could be improved included sometimes I get cold, less aggression in the home, less arguments and I would like double glazing windows. Five staff returned a survey. They told us that appropriate checks had been completed before they started work. We got mixed responses about the induction training and ongoing training that was provided. When we asked if there were enough staff on duty to meet peoples needs, one said always, two said usually and two said sometimes. Comments made to us about what the home did well included: Basically, the manager and all the staff are doing their best to give the good quality of life that the clients need. Working hard to encourage and get involve all clients in different activities both in-house and in the community, Provides a range of activities for the clients, staff are usually good at looking after the clients interests, in terms of health needs and leisure interests and Promoting independence and choice. Comments made to us about what could be improved included: More staff to give more one-to-one time to clients. Better standard of food. Keep up with house maintenance including testing, decorating and other health and safety concerns. More money should be available to offer more activities, In-house activities - need to buy resources. Furnishings - need up-dating. More trips out to places and More funding for clients activities and other things related to work. More staff training. Immediate action from the management in sorting out problems, mainly basic needs, i.e. warm environment. One health or social care professional who visits and works with the home returned a survey to us. Their comments about the home included: Well intentioned, but seem lacking in resources to offer really individually tailored support and New manager Annual Service Review Page 4 of 6 doing best, but Im concerned as to the extent of support company providing. Comments made about what could be improved included: Clearer plans for promoting meaningful activity and progressing towards independent living. An anonymous copy of the survey results has been provided to the manager. We have asked them to look into the results and comments and to write to us and let us know what is being done about the issues raised. What are we going to do as a result of this annual service review? We are not going to change our inspection plan at this time and will do a key inspection by 16th December 2011. However, we will monitor the response we receive from the home and any other information that we receive about the standard of care provided. 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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