Care Home: Brownhill House

Annual service review Name of Service: Brownhill House The quality rating for this care home is: The rating was made on: two star good service 2 3 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: Janet Ktomi Date of this annual service review: 2 4 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Lower Brownhill Road Maybush Southampton Hampshire SO16 9LA 02380771808 Telephone number: Fax number: Email address: Provider web address:   beverley.kenchenten@southampton.gov.uk Name of registered provider(s): Name of registered manager (if applicable) Southampton City Council Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: The maximum number of service users to be accommodated is 39 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: Physical disability (PD) Old age, not falling within any other category (OP) 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: Registered manager resigned June 2009. The home does not currently have a registered manager. 2 3 1 2 2 0 0 8 Number of places (if applicable): Under 65 Over 65 0 39 39 0 Date of last key inspection: Date of last annual service review (if applicable): Annual Service Review Page 2 of 6 Brief description of the service Brownhill House operates as an older persons resource centre under the management of Southampton City Council. It is located in a suburb to the west of Southampton, Maybush with reasonable local transport links. The home makes provision for three separate services, Orthopaedic Rehabilitation, Social Rehabilitation and Residential/Respite Care. The first two services are classified as intermediate care, whilst the later as stated is residential. All accommodation in the home is single occupancy with many rooms having en-suite facilities, especially those within the newer Orthopaedic Unit. Respite care costs are established following assessment, there is no charge for intermediate care (rehabilitation), services for up to six weeks. Annual Service Review Page 3 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 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. Surveys returned to us by people with an interest in the service. 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. Other information we have received 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. The AQAA was completed by the service manager as the home does not currently have a registered manager. The AQAA must be completed by the Registered Person; in this case the Responsible Individual. The AQAA provided some but not all of the information that was required. The previous inspection was undertaken in December 2008. One recommendation was made following that inspection. This was in relation to activities. The report identified that the home was not providing many leisure activities for people. The AQAA contained little information about how the home had addressed this requirement and what activities are now provided. The AQAA stated that they could provide a better variety of activities and that they were looking at trying to get more outside entertainment for the home. Five surveys were received from people who live at the home, four stated always and one usually that the home arranges activities that they could take part in. We sent comment cards (surveys) to the home to give to people who live at the home to complete. We received five completed comment cards. These showed that people are happy with the service they receive at the home. Some people added comments including I am happy, I am glad I choose Brownhill. Another stated I cant fault this in any way, its clean and Im looked after always. Service users also commented about the care staff at the home stating that they are caring and considerate, picking up when I need assistance and help, give us every care and attention immediately and willingly. We sent surveys to the home for staff to complete. No completed staff surveys had Annual Service Review Page 4 of 6 been received at the time of completing this ASR. We also sent surveys to the home to give to external health and social care professionals. No completed surveys have been received from them either. The AQAA did not give information about the number of care staff who have an NVQ in care. There was also little information about the training that staff have undertaken. The AQAA identified that the home has a number of staff vacancies and that they are using agency staff as they are unable to recruit to these positions as they will be filled by staff who are currently working in other homes owned by the council that are due to close in the future. The home is also without a registered manager. The previous registered manager left the homes employment in June 2009. The home are also not intending on recruiting a new manager as the manager from a home that is due to close is to become the homes registered manager. The AQAA did not state how long the home will be without a registered manager or relying on agency staff. The previous report identified that there had been a number of medication errors but that the home had taken action and these had reduced. Since the previous inspection the home has continued to notify the commission about medication errors. In April 2009 a commission pharmacy inspector visited the home to undertake a random inspection focusing on the homes medication management systems. This concluded that the home was managing medication appropriately and had taken action to ensure that people receive their medication as prescribed. The random report also identified that the home did not have any procedures in place for people who may require medication for minor ailments such as headaches. There was no information in the AQAA about the action the home had taken to address this issue. Since the pharmacy inspection in April there have been further notifications of medication errors at the home. No concerns or complaints were raised in any of the surveys received by the people who live at the home. Four of the five people who completed comment cards stated that they were aware of the homes complaints procedure. What are we going to do as a result of this annual service review? There is no evidence to indicate that the service is not continuing to provide good outcomes for people who live there however we will continue to monitor the home as it does not have a registered manager and medication errors continue to occur despite the measures that have been put in place to prevent these. We are not going to change our inspection schedule and will undertake a key inspection before 16th November 2010, however we may inspect the service at any time should we decide we need to. Annual Service Review Page 5 of 6 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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