Latest Inspection
This is the latest available inspection report for this service, carried out on 19th October 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 Chiltern View (A).
Annual service review
Name of Service: Chiltern View (A) The quality rating for this care home is: The rating was made on: two star good service 2 0 1 1 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: Chris Schwarz Date of this annual service review: 1 9 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: Oving Road Whitchurch Aylesbury Bucks HP22 4ER 01296641146 F/P01296641146 Telephone number: Fax number: Email address: Provider web address:
www.voyagecare.com Milbury Care Services Ltd The registered provider is responsible for running the service Name of registered provider(s): Name of registered manager (if applicable): Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users who can 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 2 0 1 1 2 0 0 8 Number of places (if applicable): Under 65 Over 65 10 0 Annual Service Review Page 2 of 8 Chiltern View is a detached bungalow located in the village of Whitchurch, outside of Aylesbury. It is set in a rural location with limited public transport access and a few shops in the village centre. Accommodation for service users is in single bedrooms which are close to toilet and bathroom facilities. There are communal spaces and garden areas for people to use. Annual Service Review Page 3 of 8 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 which took place on 20 November 2008. This included: 1.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. 2. Surveys returned to us by people using the service and from other people with an interest in the service. Thirteen staff surveys were returned, two from social and health care professionals and four from relatives. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the service, these are called notifications and it is a legal requirement for the service to tell us about them. 5. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. What other people have told us about the service. What has this told us about the service? The Annual Quality Assurance Assessment was returned in good time and had been completed to a satisfactory standard to be able to carry out this review, which summarises the information we have received about Chiltern View over the past year. Statistical information showed that there had been one new admission to Chiltern View in the past year. Information provided in the Annual Quality Assurance Assessment confirmed that prospective users care needs are assessed and they have opportunity to visit to see if the service is right for them. We were advised that there is information available to people in the form of a statement of purpose and service users guide and that these are available in pictorial format to help people with learning disabilities understand them. Care plans and risk assessments were said to be in place and kept under review. We were told that people using the service are supported to make decisions in their everyday lives with input from relatives or advocates if needed. We were told that there were individual activity plans in place and records to show what activities people had been involved in, including accessing the community. We were informed that the range of external activities had improved in the past year. The Annual Quality Assurance Assessment informed us that peoples preferences for Annual Service Review Page 4 of 8 being supported with their personal and health care needs were recorded in their care plans and that they have access to health care professionals as necessary. We were advised that staff are respectful of peoples privacy and dignity. Medication sounded well managed with audits carried out by the pharmacy and training provided for staff before they handle peoples medicines. Statistical information showed that there had not been any complaints made to the service. We were told that there is a clear complaints policy which people using the service and relatives are made aware of and a pictorial version is available for users. Complaints procedures were said to be reinforced in house meetings and during peoples reviews. Information in the Annual Quality Assurance Assessment confirmed that the service has safeguarding procedures in place and a copy of the local authority guidance on safeguarding. Staff were said to have received training to protect people using the service from abuse. One safeguarding referral was indicated, which we had been made aware of when it occurred. We were told that peoples money is protected through the organisations policies and procedures and restrictions on who can access their money. We were advised that improvement had been made at the service through providing each service user with accessible versions of the complaints and safeguarding procedures. There were plans for the organisation to set up a national service users forum so that people can share their views with senior managers. Information showed that the premises are being kept clean and comfortable. A significant improvement is a dining room extension which provides greater space for people using the service. The premises have also been redecorated and a gardening contract has been set up to maintain the grounds. Cleaning schedules were said to have improved. We were advised that staff had received training on fire safety, food handling and infection control. Statistical information showed that the staff team comprises twenty people, all of whom have undertaken an induction in line with the Skills for Care common induction standards. Nine people had achieved National Vocational Qualification at level 2 or above. The staff team had been relatively stable with just two care staff leaving in the past year. The manager advised us that all staff have been recruited thoroughly and they are supervised and appraised in their work. We were told that job descriptions were in place and that staff were familiar with the General Social Care Council code of practice. The manager told us that improvements had been made to staffing; all staff have been fully trained in mandatory areas and service specific courses, the staff team now has an on site trainer who covers manual handling training, the manager has completed the organisations management development programme in the past year and two staff have completed their National Vocational Qualification level 2. The manager is experienced in working with people with learning disabilities and has been a registered manager at the service for seven years. She has achieved the Registered Managers Award and National Vocational Qualification level 4 in care and has a City and Guilds management foundation certificate. She has kept us informed of significant events such as hospital admissions and the recent death of a service user. We were advised that the service has the full range of policies and procedures for care homes for younger adults and these had been kept under review. We were advised that the operations manager visits the service regularly to monitor quality of care and
Annual Service Review Page 5 of 8 that there is an annual quality assurance audit to assess standards at the service. Statistical information showed that equipment is being serviced as recommended such as hoists, the heating system, fire fighting equipment and portable electrical appliances. We were told that written assessments were in place for hazardous substances and that there was an action plan to deliver best practice in prevention and control of infection. Relatives who completed surveys said the service was meeting peoples needs and helping them keep in touch. They said support matched the care that was expected and that staff had the right skills and experience and was helping people to live the life they choose. Most relatives knew how to make a complaint and said the service responds appropriately if concerns had been raised. Comments included the staff at Chiltern View are brilliant, the service does everything well and one said of their son I can see a big improvement. One considered that staff could be better trained but gave no further details. Staff said in surveys that they are given up to date information about peoples needs. They said employment checks had been carried out before they started work and that their induction covered the areas they needed to know about. All said they receive training which is relevant to their role, helps them understand and meet the individual needs of people, keeps them up to date with new ways of working and gives them enough knowledge about health care and medication. They said they receive enough support from their manager and knew what to do if anyone raised any concerns. They considered the ways in which information is shared worked well and that there are enough staff to meet individual needs. They said they always felt they had enough support, experience and knowledge to meet different needs, such as those related to disability, gender, faith, sexual orientation, ethnicity and race. Areas which staff considered were done well included: cares for the service users, provides indoor and outdoor activities, work as a team, promotes independence, dignity and rights, gives help and support when required and meets all personal care needs, always provides the care that is required, uses local resources for example activity centres, swimming pools, places to visit such as farms, libraries and other places in the community and always ensures that care, welfare, safety and security of the service users is to a high standard. Areas where staff felt the service could improve were: healthier meals, more one to one time with service users, more activities outside of the home and less time cooking and cleaning so we can give more one to one care. Social and health care professionals indicated that the service has good assessment arrangements and that peoples social and health care needs were always being properly monitored, reviewed and met by staff. They said the service always seeks advice and acts upon it to meet needs and improve well being and that medication was being managed appropriately. They said peoples privacy and dignity were always respected and that people are supported to live the life they choose. They considered staff had the right skills and experience to support peoples social and health care needs and that the service responds to needs arising from equality and diversity. One said the service supports all residents. Responds well to safeguarding concerns/incidents, the other commented Chiltern View has a really nice atmosphere. The clients have very different needs and everyone is catered for and cared for as an
Annual Service Review Page 6 of 8 individual. The food always smells delicious. The clients have different activities and often are taken for walks on an individual basis and involved with the local community. The information that has been provided in order to carry out this review indicates that the service continues to provide a good standard of care to people living at Chiltern View and that we do not need to alter our planned inspection schedule. What are we going to do as a result of this annual service review? The next key inspection of Chiltern View will be carried out before 19 November 2010 to review our assessment. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using it. Annual Service Review Page 7 of 8 Reader Information
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