Care Home: Bright Care

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Annual service review Name of Service: Bright Care 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?   Yes 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: 0 4 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 20 Taylors Lane St Mary`s Bay New Romney Kent TN29 0EU 01797366866 01797366866 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Bright Care Ltd Conditions of registration: Category(ies) : learning disability physical 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) Physical disability (PD). 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 Bright Care, 20,Taylors Lane is registered to provide personal care and support for up to six adults with a learning disability (four may also have a physical disability). Bright Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 6 6 0 0 Registered manager has left the home. Care Ltd (part of Caretech) is the registered Provider and there is currently no registered manager. The home provides single bedroom accommodation and is situated in a quiet road in St Marys Bay close to a bus route, local shops, pubs and the beach. Fees are approximately £907 a week. For more information about 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 two annual quality assurance assessments (AQAA) that were sent to us by the service, one in July 2009 and one in November 2009. 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, concerns and safeguarding issues. 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 10/10/07. At this inspection we found that the people who use the service experience good outcomes. We carried out an Annual Service Review of the home on 30/09/08. Our opinion changed about the service at this time because the registered manager was on long term sick leave and there was a new provider. Copies of these reports are available from the Provider. An acting manager completed the AQAA (Annual Quality Assurance Assessment) and returned it when we asked for it. We received a second completed AQAA in November 2009 from another acting manager at the home. We looked at both of the AQAA documents. The AQAAs give evidence of what they do well, what could be improved and how they intend to improve outcomes for the people who use the service. The AQAAs show that issues relating to equality and diversity are understood and supported. The AQAAs give evidence of how the home is value for money. Barriers to improvement have been identified including a lack of leadership, a staff team resistant to change and staff vacancies. They have ideas about how to overcome these barriers so the home continues to improve. They use a range of ways to seek the views of the people who use the service. They have introduced monthly one to one meetings between service users and key workers called My Time. This means that service users get the opportunity to speak to someone they know about things in private. They continue to carry out assessments of a persons needs before they move in and Annual Service Review Page 4 of 7 have updated the information about the home. They have introduced person centred planning so the details about what sort of life people want to lead including their goals and aspirations is recorded and supported. They are working on developing communication systems and improving record keeping. The AQAA shows they plan to improve the range of activities on offer including more age appropriate activities. New staff have been recruited who can drive the homes vehicles which means that service users can access the wider community. The AQAA shows they continue to work with health professionals when necessary and have introduced health action plans to support people to remain well and healthy. People have medication reviews and staff are trained to administer medication. They are supporting people to take more control of their medication. There is a complaints procedure which is produced so it is user friendly and meaningful to the people who may need to use it. The AQAA shows the home have had no complaints in the last 12 months. During this time, concerns have been raised directly to the Commission on two separate occasions. We passed these concerns to the provider to look into. For more information please contact the provider. They have a safeguarding policy and procedure as well as a whistle blowing procedure for employees to use. Staff are trained in how to recognise and respond to abuse. The AQAA shows there have been two safeguarding alerts in the past 12 months. This means that possible abuse or harm was suspected and reported to the safeguarding coordinator at social services. The local social services department are responsible for carrying out safeguarding investigations. These alerts are now closed. The provider took steps to address the issues raised and three staff were dismissed for using inappropriate restraint and reported to the Independent Safeguarding Authority by the provider. For more information please contact the provider. There has been some redecoration of the home and more is planned. They plan to improve access to the outside patio area. The AQAA shows that there are some outstanding maintenance issues. Some new staff have been recruited including 2 team leaders. The AQAA shows that recruitment checks are carried out and people have an induction in line with the Minimum Standards. They continue to use temporary or agency staff although the amount of shifts covered by temporary staff is reducing. They plan to ensure that staff have regular one to one meetings or supervision so they get the coaching, mentoring and support they need. There are plans for training related to peoples needs including sensory awareness and dementia. The AQAA shows that 7 staff have left in the last 12 months and under half of the staff have a National Vocational Qualification in care at level 2 or above. Following a long absence the registered manager has recently left the service and the provider organisation is in the process of recruiting to this post. There have been several acting or temporary managers running the home since the last inspection. They have been supported by an area manager and other senior managers. There is evidence that the lack of permanent effective, consistent leadership has impacted negatively on outcomes for the people who use the service. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We will continue to monitor the service and will carry out a key inspection within six months. 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. 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