Care Home: Elmers Green (73)

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Annual service review Name of Service: Elmers Green (73) The quality rating for this care home is: The rating was made on: three star excellent 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: Christine Mulcahy Date of this annual service review: 2 2 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 73 Elmers Green Skelmersdale Lancashire WN8 6SG 01695732615 01695559299 elmers.green@unitedresponse.org.uk www.unitedresponse.org.uk United Response Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 4 0 The registered person may provide the following category of service only: Care home only: Code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability: Code LD The maximum number of people who can be accommodated is: 4. 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 73 Elmers Green is a detached bungalow in its own grounds in a quiet cul-de-sac in the Elmers Green area of Skelmersdale. The home provides ground floor accommodation for up to four service users with learning disabilities. The accommodation comprises four bedrooms, separate toilet and bathing facilities, kitchen/dining area, large lounge and attached quiet area, office, and an attached garage. There is a garden at the back of the home. Local community facilities can be accessed via a bus route approximately 10 minutes walk from the home, although the home does have its own transport. Current charges for the home range from £1393.12 to £1399 per week. No changes in the last 12 months Annual Service Review Page 2 of 7 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? An annual service review is a report that we write for services that we have rated as good or excellent and have not had a key inspection in the last year. This report does not routinely include a visit to the service. The review is an analysis of all the information that we have gathered about the service since the last main inspection. Every year the registered manager is asked to provide us with written information about the quality of the service they provide by completing an Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. We have used information from surveys returned to us by people using the service and information we have about how the service has managed any complaints. We also got information from what the manager has told us about things that have happened in the service, these are called notifications and are a legal requirement. This information is used in part to focus our annual service review. What has this told us about the service? The home sent us their AQAA when we asked for it. The information we received in the AQAA was brief and lacking in detail. We were therefore unable to fully rely upon the content of this document as a credible source of evaluation and development planning at the home. Furthermore, as we received minimal information within surveys from people using the service and their relatives, we found it difficult to make a judgment about some of the outcomes experienced by people living at Elmers Green. 4 people using the service and one relative of a person living at the home completed and returned our surveys. A person completing the survey needed help to do so and made the following comment. They give me a lot of support, acknowledge when I need help or assistance. They help with my finances, assist me with day to day activities, and support me in the community. They make my life a happy one. We also received 5 completed staff surveys that contained a lot of detail about the care given in the home. The following comments were made. They make sure everyone goes on training courses and are up to date so we can support our service users. All staff have to do an induction. We get our service users out into the community, we have various activities. We have service users involved in day to day chores to implement choice giving service users respect for choice, belief and culture at all times. The home could communicate more. Annual Service Review Page 4 of 7 We treat the service users as individuals, know their likes and dislikes, have a very good rapport with their families and encourage visits and updates with them. The dispensing and signing of medication is done well by the home. The home is run very well all staff have a good bond with each other and service users. We have a good manager who often bends over backwards to listen and help her staff. The manager always keeps you informed about changes or new plans. We have a community mapping folder which broadens our scope of what activities are around for the service users to get involved in on a day to day basis. Service users are more active in their own home with household chores and their choices. Communication with managers and staff is done on a regular basis in team meetings or individually. Most things work well and we are in regular contact with outside organisations, GP, community liaison officers, local organisations, Mencap, Hospitals and Learning Didability Teams. The staff at the home support the clients to a very high degree. Regular meetings take place to make sure everything needing to be done is done. Staff are trrained well. Clients have a varied diet. Clients are encouraged to help themselves around the home. They have a varied package of outdoor activities and are encouraged to participate in these. The home could do better by introducing a fairer system of workinf as some staff dont work weekends. Some shifts finish at 10pm and start again at 7am. Staff are allowed to work 16 hour shifts so they are continually tired. There needs to be a larger amount of money for food, the current amount is small and staff find it difficult to run a home on the amount given. Elmers Green creates opportunities and new activities for service users. There could be better funding for food shopping. Too many female staff in an all male house. Elmers Green has introduced new activities and I like the way the way their is a freedom to choose an activity on every shift. It gives the service users a variation of activities and a sense of everyday living like going to the shops or for a walk. A shortage in employing males is apparant and I feel that the service users would benifit from male guidance and approach. A relative of one of the service users told us, Im sure they must do a lot of things well but Im not there 24hrs a day so I could not say. But if at any time I think they are not coming up to standard I have no problems about saying what I think. Every one can always do better in any job and would hope that United is no exception. We have no concerns about this service and this would indicate that the quality rating is unchanged. 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 the 20th December 2010 However we can inspect the service at anytime if we have concerns about the quality of the service or safety of the people using the service. Annual Service Review Page 5 of 7 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. 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). 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