Care Home: Coppice and Oakside

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Annual service review Name of Service: Coppice and Oakside The quality rating for this care home is: The rating was made on: two star good service 3 0 1 0 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: Claire Williams Date of this annual service review: 0 5 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Shipley Common Lane Off Heanor Road Ilkeston Derbyshire DE7 8TS (0115)9329603 01159443690 Telephone number: Fax number: Email address: Provider web address:   www.unitedhealth.co.uk United Health Limited Name of registered provider(s): Name of registered manager (if applicable) Mr David John Wagstafe Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 10 0 Two Units - one manager Oakside - be occuppied by a maximum of 4 service users Coppice - be occuppied by a maximum of 6 service users 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 Coppice and Oakside is a purpose built Home offering 10 places for adults with a severe learning disability, set in 2 bungalows linked at the rear through the enclosed garden areas. The range of abilities demonstrated by the 2 groups of people is quite different, with the 4 people in Oakside being more independent and having higher communication and self-help skills. Because of their levels of disability, the service provides people with an Annual Service Review Page 2 of 7 3 0 1 0 2 0 0 8 intensive package of support on a 24 hour basis and staffing levels are accordingly high. 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 which was undertaken on 30th October 2008 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 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. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and detailed and gave us all the information we asked for. We looked at the information provided, and at the feedback provided in the surveys that were returned by the staff team, people that use the service, their relatives and social care professionals. Our judgement is that the service is still providing good outcomes for the people that use the service and that they know what further improvements they need to make. The information provided, told us that the service has not received any complaints or had any safeguarding incidents within the last twelve months. The service told us in the information that each person has a detailed plan of care in place, which is regularly updated. They said there aim is to encourage people to have more control over their own lives. This ensures the staff members know how people want to be supported, in accordance with individual preferences. The information told us that the people are encouraged to access activities of their choice and these are often risk assessed to ensure any potential risks are minimized. They told us each person has a rolling record of activities, and where necessary these activities are done on an individual or group basis depending on the needs and preferences of the person. This ensures people have access to varied life opportunities in accordance with their support needs. The information provided told us that all staff receive an induction following their employment and on-going training, to ensure they have the skills and knowledge for their role. All staff are encouraged to undertake a National Vocational training (NVQ) Annual Service Review Page 4 of 7 course, in order to develop their skills further. The service currently have 18 staff who have completed an NVQ at level 2 or above. This ensures people are supported by a skilled and competent staff team. We sent out surveys to people, that use this service and we had 14 returned, even though the service is only registered for ten people. The information provided told us that people had completed these surveys with support from other representatives. In the feedback they told us; people were supported to make a decision about moving into this service. People are supported to make decisions by using their individual method of communication. They are able to choose within the limitations of their disability how they wish to spend their day. If people were not happy, they would express their feelings through their method of communication and the staff would be alerted to this. People said the service is always fresh and clean. All people told us the staff listen and act on what they say. The following comment was made on these surveys about what the service does well: We are able to go out when we can. We sent out surveys to the staff team and we had eight returned. In the feedback they told us; they are always provided with the required information in order to meet peoples assessed needs. They were recruited in accordance with the legal requirements to ensure people using the service are protected. They told us they had an induction, and receive on-going training opportunities to enable them to have the skills and knowledge for their role. They said they often receive support from their manager. They said there is sometimes enough staff on duty to meet the needs of all the people who use the service. The staff members made the following comments about what the service does well: We centre everything we do on people needs. The home is very clean and equipped. Routines are led by people. We provide good care to people, and the staff support each other. All staff work well together to give a good environment to people and fellow staff members. We have a high standard of hygiene. The staff team communicate very well with people. We ensure peoples needs are well met. Staff communicate well between each other and we share information regarding people. We receive regular training. Both homes are relaxed and friendly, but we work to strict laws and policies. Staff members also told us about areas in which the service could improve upon and some of these comments included: Staff need more support from management. Regular team meetings in order to discuss changes that could be met. We need more staff on duty. Annual Service Review Page 5 of 7 We need to have a better relationship with the management, and then we may feel more at ease to talk to staff in higher roles. We are often short staffed. The environment could do with more decoration more often. We received six surveys from peoples relatives/carers and advocates and they told us: they received sufficient information about the service to support people to make a decision about using this service. They think the service always meets the needs of the people and supports them in the way agreed. The service usually helps people keep in touch and they are kept up to date with important issues. The staff seem to have the skills and experience to look after people properly. They are aware of how to make a complaint. The following comment was made about what the service does well: The service has always looked after my relative as an individual and cares for them with great kindness and sensitivity. My relative enjoys the trips out and holidays very much. The following comment was made about the service could do better: Keep carers informed about review meetings and about the welfare of our relatives. It would be helpful to receive a copy of the minutes from meetings held concerning my relative. There appears to be very frequent changes of staff these days, with some of them having very little understanding of the needs of the people that live in this service. We received two surveys from a social/health care professionals and they told us; peoples needs are accurately assessed and the right service is planned for them. Peoples needs are properly monitored, reviewed and met by the service. Staff respect peoples privacy and dignity and support people to live the life they choose. The staff usually have the skills and experience to support peoples needs. The service continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. 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 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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