Latest Inspection
This is the latest available inspection report for this service, carried out on 16th February 2010. 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 Eastbank.
Annual service review
Name of Service: Eastbank The quality rating for this care home is: The rating was made on: two star good service 1 6 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: Jean Littler Date of this annual service review: 1 2 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 26 Ledbury Road Hereford Herefordshire HR1 2SY 01432266177 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Mr Russell Vance James Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users to be accommodated is 6. The registered person may provide care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Learning Disabilites (LD) 6 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 Eastbank is registered to provide personal care for up to six adults with learning disabilities. The Home is situated in a residential road in Hereford within walking distance of the city centre. The house is four storeys with a garden and comprises of six single bedrooms, staff facilities, a kitchen, laundry, bathrooms, a lounge and a dining room. Information about the Home is available from the provider on request. The weekly fees are currently £367 per week. The residents are expected to pay for personal services such as haircuts and chiropody and personal items such as clothes 1 6 1 2 2 0 0 8 Annual Service Review Page 2 of 6 and some toiletries. They also have to pay for holidays, transport costs and social activities. 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, the Commission, looked at all the information that we have received, since the last key inspection 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 includes some numerical information about the service); Surveys that were sent to people using the service, staff and some professionals involved. Complaints and Safeguarding issues that we have been made aware of. Notification of incidents, that the registered person has a legal duty to report to us. What has this told us about the service? In the last year the management arrangements have been stable and the same people are living in the home. The homes AQAA was clear and it gave us all the information we asked for. No staff have left in the last year and there are very low levels of staff sickness. These factors will help provide a consistent service for people living in the home. Five of the nine staff hold a NVQ award in Care. There are two male staff, which is positive as all but one of the residents are male. No complaints have been received by the service this year or by us. The service made one referral to the local authority under the multi-agency safeguarding procedures. This was in relation to one persons emotional wellbeing and associated behaviour. Mr James is cooperating fully with the process and is positive about professionals becoming involved. The support being provided is proving helpful to the resident. The AQAA explained the improvements made in the last year. These included: Residents have developed confidence in their ability to make choices over leisure activities; all now make their own packed lunch when they attend the day service; a Keyworker system has been set up to help people achieve their personal goals; residents now have greater contact with their families; the staff team has been increased and is now made up of nine part time workers; staff work a variety of hours to suit the needs of the residents; two Saturdays each month there are now two staff on duty to enable specific activities to take place; people are now happy to eat in smaller groups or alone and are beginning to make suggestions about meal choices; the bathrooms have been refurbished. Plans to further improve the service included, We are assessing each persons money management knowledge, as we hope to provide a programme of support them to increase skills in this area; bedrooms are being redecorated and residents are being encouraged to be involved every step of the way; we hope to support two people to start to look after their own medicines; we plan to develop a quality feedback survey for our residents that is in a format they understand; we aim to work with people and their families to gain historical information so people can develop their own life story book; we aim to work with people to help them understand about a health lifestyle. Annual Service Review Page 4 of 6 Five of the six people using the service returned surveys that were positive. Comments included, The staff are good at helping and protecting us from hazards; The staff look after us really well and the meals are great. Five relative of people living in the home all gave positive feedback. Comments include, The home is now first class, I cannot fault it and my relative is so happy there; They are good at listening to residents problems and helping in all aspects of life; They provide an excellent level of care and take a real interest in the residents. Two external professionals gave positive feedback. Comments included, The service provides good care for the people who live there and respect their views; Communication is usually good between the home and the day service. Two staff gave feedback. Both felt people using the service are supported to be as independent as possible and make their own choices. One felt that because staff often work alone there should be more frequent staff meetings so staff get to know each other, offer support and ensure they are working consistently. Another reported that activities are encouraged but these can sometimes be limited due to staffing levels. The evidence indicate that people using the service are being well supported. The owner is continuing to improve the outcomes for them. What are we going to do as a result of this annual service review? We looked at this information and our judgement is that the service is still providing a Good service and the owner knows what further improvements can be made. We will continue to monitor the outcomes for service users through Annual Service Reviews. 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
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