Latest Inspection
This is the latest available inspection report for this service, carried out on 14th December 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Bisley Drive (18).
Annual service review
Name of Service: Bisley Drive (18) The quality rating for this care home is: The rating was made on: three star excellent 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: Elsie Allnutt Date of this annual service review: 1 1 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 18 Bisley Drive South Shields Tyne and Wear NE34 0PY 01914544871 Telephone number: Fax number: Email address: Provider web address:
molly.watters@reallifeoptions.org www.reallifeoptions.org Real Life Options Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability sensory impairment Conditions of registration: Number of places (if applicable): Under 65 Over 65 7 7 7 0 0 0 The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category of service only: Care home only - Code 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 - Code LD, maximum number of places: 7 Physical disability - Code PD, maximum number of places: 7 Sensory impairment - Code SI, maximum number of places: 7 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Bisley Drive is a short breaks service. It provides a holiday type break for people. Real Life Options is a voluntary not for profit organisation. None 1 1 1 1 2 0 0 8 Annual Service Review Page 2 of 7 It is adapted from a childrens home. There is level access to the ground floor bedroom and facilities. Every one has their own bedroom. Nobody has to share. The home is a short distance from the town centre. There is a car here to help people get out and about. 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 carried out a key inspection on the 11th November 2008 and the rating was 3 Star excellent. We looked at all of the information that we have received or asked for since the last key inspection and this includes the following: - 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. - Surveys returned to us by people using the service and from other people with an interest in the service. - Information we have about how the service has managed complaints. - What the service has told us about the things that have happened in the service, these are called notifications and are a legal requirement. - The previous key inspection report and the results of any other visits that we have mader to the service in the last 12 months. - Relevant information from other organisations. - 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 clear and gave us the information that we asked for. We looked at the information in the AQAA and our judgement is that the service provided is still excellent and that they know what further improvements they need to make. The service tells us that they continue to develop the service in a way that has positive outcomes for the service usrs and complies with government legislation. The service works hard to empower the people who stay at Bisley Drive for a short break by encouraging them to be involved as much as possible in the running of the service. They do this by helping them to understand how the service is run. One way they have achieved this is by making the services procedures easy to undersand. Procedures tell you how something is to be done and by using pictures certain procedures are now easy for guests to understand. For example information about the staff rotas, which tell everyone who is on duty at different times of the day, are now supported with the pictures of the members of staff and this informs guests who will be supporting them on each shift. In addition to this the food menus are also illustrated in pictures so that guests can make an informed decision about the choice of food available and so that the same process can be made when choosing activities an activities file illustrated with pictures has been introduced. This has empowered the Annual Service Review Page 4 of 7 people who use this service with the opportunity to make informed choices. The manager and staff at Bisley Drive have recently attended training regarding the Mental Capacity Act/Depravation of Liberty. This has equipped them with the knowledge and understanding needed to ensure that the guests attending the service are supported in a way that meets current good practice and legislation. It has also encouraged the service to review their protocol in relation to how they record care plans and risk assessments. As a result improved and further developed records regarding the care and support needs of the guests are now in place. Risk assessments are now carried out to cover all aspects of a persons life when staying at Bisley Drive, including health and social care and safety networks are in place to encourage independence and the opportunity of offering new experiences. Guests have been involved in consultations about the activities they want to see at Bisley Drive and in particular what they as individuals want to experience. Information about such activities is displayed around the building so that guests know what is going on and when. A green house has recently been purchased so that those with gardening interests can grow flowers and vegetables. People who use the service made the following comments, When at Bisley I go on lots of outings, shows at the Customs House, Flamingo Land, the pictures and bowling. It provides me with good food and takes me out. I like the staff to take me out and have a meal. I like the staff at Bisley Drive. Over the past 12 months a decoration programme has been ongoing. This has improved the environment including individual bedrooms and all of the carpets have been cleaned. This has ensured that guests have a comfortable and attractive place to stay and so that guests can help themselves to cold drinks a water cooler has been purchased. So that service users continue to be supported by staff who have the appropriate skills and knowledge staff have attended training related to their roles. This includes; training regarding the administration of medication, equality and diversity and confidentiality and mandatory training being updated. Staff continue to be committed to their work and feel confident about the service that they deliver. They made the following comments when asked what the service does well, Personal care, give choices and try to get guests out on outings. Provide a very good short break service. Care for guests and give them a varied amount of activities. Friendly homely atmosphere for the guests. Supports guests out into the community to various activities they choose to do. Supports and promotes choice, individuality and respect. The staff team continues to establish good relationships with health and social care professionals and comments from professionals include, The service treats everyone as individuals taking into account any health needs that are evident, they ensure choice and independence. They ensure effective communication with client/carer and professionals involved. The service is flexible with regards to difficult situations and complex individuals.
Annual Service Review Page 5 of 7 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 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
