Care Home: Chy Keres

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

Annual service review Name of Service: Chy Keres 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: Alan Pitts Date of this annual service review: 2 7 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Chy Keres Tregadillett Launceston Cornwall PL15 7EU 01566779805 Telephone number: Fax number: Email address: Provider web address:   www.hft.org.uk HF Trust Ltd Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Number of places (if applicable): Under 65 Over 65 6 0 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 This home was registered to provide services from 3/10/05. The building is designed to a high specification, providing level access, good furnishings, fittings and equipment. The detached property is situated in the small rural village of Tregadillett, close to the A30 and the facilities of Launceston. The home is designed to offer a flexible short break for adults with a learning disability who are 18-65 years. A maximum of 6 guests can be accommodated in ground floor bedrooms that have en suite bathrooms. One bedroom also has overhead tracking provision for the use of a hoist between the bedroom and bathroom. The facility has been designed to operate as a 6 bedded unit or 2 self-contained wings, each with kitchen, lounge and 3 bedrooms. There are no permanent residents, and the home offers respite care only to the people of Cornwall. None Annual Service Review Page 2 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 this service (the AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service, and it also gave us some numerical information about the service); Surveys returned to us by people using the service and from other people with an interest in 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 random inspection. What has this told us about the service? This service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us the information we asked for. We looked at the information in the AQAA and our judgement is that the care home is still providing a good service and that they know what further improvements they need to make. The AQAA told us the home does the following to incorporate the views of people that use the service: An initial assessment of the needs and risks of the person is completed by a social worker prior to a service being offered. This is then agreed by a Care Manager from DASC. During this time I generally meet with the PWS (Person We Support) and their family. This enables me to do my own assessment. The Support Plan is entered on to SPARS (Support Planning Assessment and Recording Planning) which is a computer programme which HFT use. By recording this way it enables us to enter logs and information received from all concerned / agencies of the PWS. We can assess tasks and goals and enter all the information that is generally required for the individual PWS. The more we get to know the PWS, the more information gets recorded and this includes information that we obtain from the individual PWS, their needs and wishes may get recorded this way as well as entering onto Paths. The initial assessment enables us to identify how the individuals wants and needs are to be supported, including physical, social, spiritual and emotional needs. Known behaviours and routines are necessary for support staff to provide appropriate care. It is not always known what the routine is and this is sometimes developed the longer the person stays or if they wish to discuss what they require as a routine. HFTs core values respect everyones contribution and uniqueness. This is supported by a robust framework of policies and procedures and standards that underpin our practice. These include: person centred approaches / practice, diversity, policy and action plan, recruitment, DDA policy and learning and development policy. Evidence can be obtained from reports and documents held within the service. On a yearly basis we complete a questionnaire for all guests (Guests are what we generally Annual Service Review Page 3 of 6 call our PWS and throughout this document both references may be recorded) The questionnaire ensures the views of the PWS are being met. We ask for feedback on the service to see what areas we could improve on. The results of the questionnaire can be inspected by anybody and is available in a file marked Chy Keres Information and is kept in the hallway. There is also an HFT Family Satisfaction Survey which was completed this year by all services in HFT, this can also be viewed with the break down of the Cornwall Service. Recently DASC did there own questionnaire which included all short break centres including Chy Keres. The questionnaire was based on the Chy Keres questionnaire as we were asked to provide ours. I am unsure at the time of recording in this document as to the results but with the Freedom to Information Act, this could be obtained and information with regard to Chy Keres could be obtained. Each guest at Chy Keres has a keyworker to explore views, goals and general well being of the individual person. Guests are encouraged to be involved in all areas of independent living skills as well as joining in of indoor and outdoor activities which primarily is to have fun and to make new friends. The guests Support Plans are updated accordingly to changes in that persons life, reviews, or information given by the guest and or parent / carer. Goals are in place if they have been agreed at reviews or created, or if there is a specific thing the guest wants to do. This is the same for Risk Assessments. Reviews are generally headed up by Social Workers but can be from day centres or indeed our service. The HFT Cornwall Service Manager Barry Knight visits Chy Keres at least monthly and one of his tasks would be the Quality Assurance Monthly Monitoring Visits. He will speak to guests if they are present about how things are going and what can be done better, this is all documented, and can be viewed via the Intranet or hard copies are kept in the filing cabinet at Chy Keres. The Annual Quality Assurance Assessment also told us the home made the following changes as a result of listening to people that use the service: Our IT skills continue to improve as well as our photographic evidence. The SPARS system has generally improved within HFT which enables us to record more clearly and this in turn ensures we are covering the needs and wishes of the guests. We also consider the outcomes of what DASC require for their client and this makes it easier to deliver the service that is being asked for, providing the assessed work, to enable the PWS the best possible outcomes for the present and their future. Our photo evidence has increased as we found that our guests requested that they wanted the photos to put on the notice board. This has had a positive affect for individuals as one they can show their family and friends and the other if that other guests want to do similar things. This could be anything from independent skills such as cleaning their room to social skills where they may go somewhere to enable them to achieve this. The notice board for guests continues to be a good taking point mainly because of the constant update of photos and although we have not made any major changes to the board, its the fact that guests have become more inquiring towards what is on it and in return conversation is struck up with others and therefore small Annual Service Review Page 4 of 6 changes happen at Chy Keres for the PWS. The Parent / Carers Meeting was difficult to maintain and there was never a lot of interest from many of Parents and Carers and so last month in September we had a joint Parent / Carers forum in Bodmin where we discussed the issues that the parent and carers asked for from the questionnaire that we had sent out. Although the speakers were excellent and the venue sandwiches and cakes good, there was still a disappointing amount of people that turned up. The people that attended said it was good and so we will try and do another one next year. This will replace the Chy Keres only, Parents and Carers meetings, unless of course the interest increases. The Chy Keres Newsletter which is sent to all our families quarterly continues to be a success. It is set up so that it is user friendly i.e. many photographs and short informative news. This can all be viewed by anybody as it is available in the file in the hall. The meeting room which was changed into a Chill Out room last year, has had a bit of a revamp by adding more colour to the walls and seating areas. Different lights and equipment have been bought and there has been positive responses from our guests. We have also bought a Wii consol, bar table and seats for the Activity room and we have increased the music for the ever popular Karaoke machine. Many of our guests have their own PECS files and guests are supported to use them. Staff were given training by the SALT dept in the PCT so as to get the confidence in their use. This in turn has given some of our guests more opportunities in making their own choices. From Last years AQAA we have now: Purchased a Karaoke machine We have done the Lets go Shopping by catalogues and Internet and have purchased a variety of items. We have tried a couple of Parent / Carers meetings, but they have not been that successful (See above section) We have purchased some items to enhance our Activity room and Chill Out room. We are just waiting for the final stages of having all of the six bedrooms painted. This will enhance the new colour schemes to modernise the bedrooms that would be more appropriate for a younger person. Obtained a second vehicle (family car) for the use of how we were using the mini-bus. We received five completed surveys from staff that work at Chy Keres. One made no particular comments. The remaining four made positive comments about how well the service supports the people that live there in a pleasant environment. Two made comment that staffing levels can sometimes be an issue (due to holidays or illness). The AQAA also informed us that staff recruitment, retention, and training is a priority. Reviews of policies and procedures occur. The AQAA also told us that they have received 5 complaints since the last service review, all of which were resolved within 28 days. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 27th November 2010. 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 the service. 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. 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 6 of 6 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!