Care Home: Bradwell House

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Annual service review Name of Service: Bradwell 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 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 14 Brockhill Road Hythe Kent CT21 4AQ 01303239439 01303239391 bradwell.house@achuk.com www.achuk.com Aitch Care Homes (London) Ltd Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 10 0 The maximum number of service users to be accommodated is 10. 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 Bradwell House is owned by Aitch Care Homes Limited (ACH). It is a large detached house located in Hythe that provides care for ten people with a learning disability. The home is close to the high street, supermarkets and the beach. A train station and bus service to local towns is close by. The current core charge for Bradwell House is about £1354.77 per week. Additional one to one time with services users is charged extra by the hour. There are also Annual Service Review Page 2 of 7 additional charges for personal items, clothing, hairdressing, newspapers and magazines. For more information 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 or 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. We received 8 surveys back from staff, 1 survey from a service user, 3 surveys from care managers, 3 surveys from GPs and 1 survey from a health professional. All the surveys were positive about the service. We spoke by phone to the manager. What has this told us about the service? The last key inspection of this home was 12/11/07. We found that the people who use the service experience good outcomes. We made no requirements at this inspection. We carried out an Annual Service Review of the home on 30/11/08. Copies of these reports are available from the Provider. The manager completed the AQAA (Annual Quality Assurance Assessment) and returned it when we asked for it. The AQAA was well completed and gives 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 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. The AQAA shows that they continue to seek and listen to the views of the people who use the service in a range of ways. As a result of listening to peoples views they have introduced person centred activities and booklets. They are supporting people to have a say about who supports them. They continue to support people moving into the home by carrying out thorough Annual Service Review Page 4 of 7 assessments, including family and friends in the process and ensuring people have information they need to help them make a decision about moving in. They are developing individual person centred planning booklets with people so people get to have a say about what they want out of life and their aspirations for the future. We received three surveys back from care managers. Care managers said, They listen to service users wants; therefore support in a person centred way. Good person centred approach for meeting individual needs and choices. The service as worked excellently with the family and the service user and this has been the key to the success of the placement. They produce detailed reports prior to review meetings and share these beforehand. The AQAA shows that they continue to support opportunities for activities, employment and life long learning as well as supporting spiritual and cultural needs. People have the support they need to access local community facilities and to keep in touch with family and friends. A care manager said there is a good choice of resources sourced locally, therefore lots of opportunities available to service users. A service user told us they can choose how they spend their day. Everyone is involved in planning and preparing meals and nutritional needs are monitored and supported. They are planning to develop a pictorial system of food items to promote choice making. One staff survey suggested the menu could be improved. They continue to work with health professionals to ensure that people remain well and healthy. All three surveys from General Practitioners were positive. One GP wrote They are quiet and efficient in caring for severely learning disabled adults. There are systems in place to ensure that medication practice is safe. There is a complaints procedure and complaints are dealt with promptly. They have received three complaints in the last year, two were upheld. For more information please contact the Provider. They have a whistle blowing policy and a policy and procedure in place for safeguarding vulnerable adults. Staff have training in how to recognise and respond to possible abuse or harm. The AQAA shows that there have been four safeguarding referrals leading to four investigations in the past year. This means that the safeguarding coordinator at social services was alerted about possible harm or abuse and carried out an investigation. For more information please contact the Provider. Due to the number of allegations and incidents we spoke to the manager who will be carrying out an internal investigation to review these incidents. This will include revisiting their induction of all staff, home and from overseas, to ensure their attitude and behaviour toward service users is congruent with current practice and expectations. The AQAA shows that the home environment continues to meet peoples needs. They Annual Service Review Page 5 of 7 have made adaptations and improvements to ensure this continues. The surveys received from a service user said the home is always clean and smells fresh. The AQAA shows that they continually monitor staffing levels to ensure there are enough staff on duty. Staff have an induction and training that is mandatory and related to peoples needs. Nearly all of the staff have a National Vocational Qualification in care at level 2 or above. Recruitment checks are carried out before a person starts work at the home protecting service users. Staff get support by way of regular staff meetings and supervision meetings with a line manager. Most of the eight staff surveys said they have the training and support they need and most said that communication between staff is good and that there are enough staff. One person felt that training relating to each persons individual needs would be beneficial. One person suggested that more equipment for the sensory room would be a good idea. A service user told us that staff listen and treat them well. Staff comments include, I love going to work at Bradwell House Each service user has lots of opportunities to develop their interests and skills. There is an open culture, so communication between people is very good. The home manager Sam Long is very supportive to all staff. The manager always listens to what people have to say and always has time for both staff and residents. They provide training for staff and allow individual strengths to grow. The home has an open door policy and is very open to suggestions. The company are very supportive. Both the manager and deputy manager have several years experience in working with people with a learning disability. The manager has the qualification required by the Minimum Standard. The management of the home is stable and is supported by a senior management structure. A care manager said I have seen a dramatic improvement in all aspects of the home since Sam Long became home manager. There are systems in place to monitor and audit the service. The AQAA shows the required health and safety checks are carried out of the premises and equipment. There are systems in place to keep peoples money safe. A care manager said, quick and efficient communication regarding any incidents. What are we going to do as a result of this annual service review? We will wait for the outcome of the safeguarding investigations and the managers own internal investigation. We will continue to monitor the home and we may carry out a key inspection. 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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