Latest Inspection
This is the latest available inspection report for this service, carried out on 30th September 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 Good.
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 Blenheim House.
Annual service review
Name of Service: Blenheim House The quality rating for this care home is: The rating was made on: two star good 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: Kim Rogers Date of this annual service review: 3 0 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 28 Blenheim Road Deal Kent CT14 7DB 01304362534 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Emma Cathryne Roberts Conditions of registration: Category(ies) : learning disability Conditions of registration: The Robinia Care Group Ltd Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users to be accommodated is 3. 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 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 Blenheim House is part of the group of homes owned by Robinia Support Solutions. The home is registered for three people with learning disabilities. The property is a terraced house in a residential area of Deal, within easy walking distance to the main town, beach and leisure facilities. The property has three storeys,
Annual Service Review Page 2 of 7 with the basement floor opening onto a paved rear garden. The bedrooms are on the ground and first floors. There is a lounge on the first floor, and the kitchen and dining room are in the basement area. The Registered manager is also responsible for Westbury House, a larger home nearby. The basic fee for this home ranges between about £718 per week to £1044 per week. Previous inspection reports are available from the home. For more information about the fees and services please contact the Provider. 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. What has this told us about the service? The last key inspection of this home was 29/10/07. We carried out an annual service review, ASR, on 22/08/08. We made two requirements at the last key inspection. We found evidence that both requirements have been met. The manager completed the AQAA ,Annual Quality Assurance Assessment, and returned it when we asked for it. This gives detailed information about how the home has improved and how they intend to improve further. The AQAA was well completed and gives good evidence of what they do well, what could be improved and how they intend to improve outcomes for people who use the service. The AQAA shows that they continue to seek and listen to the views of the people who use the service. Service users meet together each week and have the opportunity to meet with their key workers on a one to one basis. Service uses are planning to join a self advocacy group to enable them to have the confidence to speak out. Some changes and improvements have been made based on peoples views including involving service users more in the cooking, shopping, household chores and activities. The AQAA shows that issues relating to equality and diversity are understood and supported. The AQAA gives evidence of why and how the home is value for money. The manager has identified barriers to improvement and has ideas about how to overcome these barriers so the home continues to improve. They continue to use a person centred assessment tool to find out about peoples needs Annual Service Review Page 4 of 7 and hopes for the future. This ensures that they have the right number of skilled staff and other resources to meet peoples needs and support personal goals. They continue to carry out an assessment of a persons needs before they move in. They listen to current residents views and offer trial visits and stays so people can get to know each other. There is information available about the service which is produced in ways that means something to people. Everyone has been involved in developing an individual person centred plan. This means that what people want out of life is recorded and a plan in place for staff to follow to support this. Some people have written their own plans and everyone is involved in reviewing their plans so staff know they are still providing the right support to enable people to achieve. Everyone has a key worker or named member of staff called a paperwork assistant and has the opportunity for one to one support. They have made improvements in how they communicate with people. This means that people have the support they need to make choices and decisions. The AQAA says they are developing more person centred risk assessments to ensure that people are supported and enabled and not restricted. People have opportunities to take part in a range of activities including community based activities like colleges. People are supported to further their education and to get jobs. Two people have had support to gain employment. Every one is supported to be involved in the day to day running of the home including the housework and cooking. This has lead to people increasing their skills and confidence. People have the support they need to keep in touch with family and friends. The AQAA says that people are achieving their goals and skills through their person centred plans. This means that people have increased opportunities. Each person has a health action plan to enable them to take more control and responsibility for their health with the right support. Medication practice continues to be safe. People are having support to take more control of their medication, health and personal care needs. People have support to attend checks with their doctor. They plan to continue to monitor health action plans so any change in health needs can be picked up quickly. The complaints procedure has been reviewed and updated. People have the opportunity to raise concerns or complaints at regular one to one meetings with key workers. The AQAA shows that the home has received 1 complaint in the last year. This complaint was responded to within 28 days. Staff continue to have training in how to safeguard people from harm and abuse. They have kept us and other agencies informed about incidents. There has been one safeguarding investigation in the last year. For more information please contact the Provider. There are good systems in place to safeguard service users money. Positive behavioural support plans have been developed with the full involvement of service users. These detail how people want to be supported. Annual Service Review Page 5 of 7 There have been some improvements to the home including the redecoration of a bathroom, the lounge and the dining room. Service users have had new flooring in their bedrooms. They are planning to replace an existing bathroom and en suite, lay new paving slabs in the garden and purchase a new television and furniture for the lounge. Staff have training relating to service users needs like active support, autism and person centred planning. This means that staff have the skills to enable and empower people. The induction of new staff is focused on service users needs so staff get the underpinning knowledge they need. They have updated the induction pack for new staff so it has more information for staff. Staff have access to a training manager who organises mandatory and service specific courses. Staff can also access e learning course while at work or at home which is a flexible way for staff to have training. Staff have the opportunity to attend staff meetings and have one to one meetings for support and mentoring. Recruitment checks continue to be robust protecting service users. Service users are involved in meeting and interviewing prospective staff. They have improved the application form so they get more information about a persons employment history. They are planning to recruit to the one staff vacancy so they have a full staff team. The manager has several years experience and ensures she is up to date with mandatory and service specific training. The AQAA says the manager plans to continue her management training. The management and staff team have been stable since the last inspection giving consistency to service users. There are sound monitoring and audit systems in place to check practice. This protects service users. Service users have been involved in some parts of the audit system. The AQAA shows that the required health and safety checks are carried out of the premises and equipment. Service users have been involved in carrying out health and safety checks and training for service uses in these areas is planned What are we going to do as a result of this annual service review? From the information we have our judgment is that the home continues to provide a good service to the people who live there. We can inspect the home at any time if our judgement changes. Annual Service Review Page 6 of 7 Reader Information
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