Care Home: Cana

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Annual service review Name of Service: Cana 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: 0 7 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Chapel Hill Eythorne Dover Kent CT15 4AY 01304831739 Telephone number: Fax number: Email address: Provider web address:   canahouse@tiscali.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: L`Arche Number of places (if applicable): Under 65 Over 65 5 0 The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primay care needs on admission to the home are within the following category: 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 Cana is home for five people with learning disabilities. It is situated in the village of Eythorne. It is a detached property set back from the road. There is parking on the site for a maximum of four cars and parking is not restricted on the road. Accommodation is provided in five single bedrooms, one on the ground floor and the others at first floor level. There is a lounge/dining room, television lounge and a small conservatory. There is a garden at the front and side of the house. Annual Service Review Page 2 of 7 The village has a shop and there is a bus service to Canterbury and Dover. Some of the staff are permanent but others come from many different countries to be part of the community within the home and within the area for a specific period of time. Information about the home, including a copy of the last inspection report will be made available on request. Fees range from about £650 to £920 per week. 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. We sent out surveys to people. We received 3 surveys back from service users and 4 back from staff. All were positive about the service. One person said the home is safe and they like cooking. They said they like meeting staff from different countries. Another person said it feels like my home. All service users surveyed said staff listen and treat them well. Staff said they have the training and support they need. What has this told us about the service? The last key inspection of this home was in January 2008. We carried out an annual service review, ASR, on 21/11/08. Copies of these reports can be viewed on our website or are available from the Provider. 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 the 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. Some changes and improvements have been made based on peoples views including making care plans more user friendly, improving communication support and support for people to take more control of their money. The AQAA shows that issues relating to equality and diversity are well 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 Annual Service Review Page 4 of 7 these barriers so the home continues to improve. The assessment process continues to be person centred and thorough so the staff know about peoples needs and hopes for the future. 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. 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 named member of staff as a link person and has the opportunity for one to one support. The number of staff has been increased to enable a person to have some one to one support. They have made improvements in how they communicate with people. Pictorial information about meal options and various tasks is used so people know what is happening from day to day. Everyone takes a role in the running of the home including the cooking and cleaning. Staff work with people to develop and increase their skills. One person has moved onto more independent living as a result. There are opportunities for people to take part in various activities in the community and when at home. They have provided a computer for people to use with internet access. Relationships with family and friends are supported. People continue to have the support they need to remain well and healthy. People have a health action plan detailing the support they need. They continue to work with health and other professionals to ensure that people have the support they need. Medication practice continues to be safe. There is a policy and procedure for dealing with complaints. There have been no complaints about the service since the last inspection. They continue to safeguard people from harm and abuse by way of training staff, being open and accessible and having policies and procedures in place. Prospective staff are checked before they start working at the home protecting service users. Some parts of the home have been redecorated and some new furniture purchased. Two vegetable plots have been created so people can grow their own fruit and vegetables. They plan to improve access to the garden. Staff continue to have a sound induction and training that is related to peoples needs. Nearly half of the staff has a National Vocational Qualification in care at level 2 or above. We received four surveys back from staff. Two staff suggested that transport arrangements could be improved at weekends due to a limited bus service. Staff said it is very important to build a community life. We support people to have a meaningful life. It is a welcoming and homely environment. We are trying to be an ordinary, normal household. Everyone is committed to person centred care. The same manager is in post and she has the necessary skills and experience to Annual Service Review Page 5 of 7 manage the service. This means that service users have consistent support. The manager has reviewed and updated policies related to health and safety. The AQAA shows that the required checks of the premises and equipment are carried out. There are sound monitoring and audit systems in place to check practice that fully involve service users. This means that people have a say about their support. 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 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. 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