Care Home: Fiennes House

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Annual service review Name of Service: Fiennes House The quality rating for this care home is: The rating was made on: two star good service 1 8 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: Alison Philpott Date of this annual service review: 0 6 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: Drakes Park North Fiennes House Wellington Somerset TA21 8SZ 01823661529 01823662319 s.mudway@seeability.org Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability sensory impairment Conditions of registration: SeeAbility Number of places (if applicable): Under 65 Over 65 7 7 7 0 0 0 Registered for 7 persons in categories LD, PD and SI. 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 Fiennes House is registered with the Care Quality Commission to provide personal care for up to seven people under the age of 65. It is registered in the categories of sensory impairment, physical disability and learning disability. The registered manager is Mr Steve Mudway and the providers are See Ability, a registered charity. The home is purpose-built and situated close to all the amenities of Wellington. All bedrooms are single occupancy, all have en-suite facilities. No 1 8 1 2 2 0 0 8 Annual Service Review Page 2 of 6 The home is surrounded by well maintained landscaped gardens, including a sensory garden. The gardens are fully accessible for wheelchair users. In addition to the home, there is an activity and resource centre adjacent to the home that people living at the home can access. This is known as the Bill Cooke Centre. The fees at the home range from £92,000 to £104,000 per year (at the time of the key inspection 18/12/08). 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 looked at all the information that we have received, or asked for, 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 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. We received 4 surveys from people who live in the home; 4 staff surveys and 2 health professionals surveys. - 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 the results of any other visits that we have made to the service in the last 12 months. - Relevant information from other organisations. - What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. People living in the home always tell us that they are happy there. Comments included keeps me happy and active and care and look after me and my friends, meet all my care needs. The home told us on the AQAA We have developed person-centred plans and individual support plans that are based on assessed needs and wishes, and are outcome focused. Encouraging individuals to develop their skills in making decisions and their participation in the running of the home through individual one to one, and group meetings, staff recruitment processes and support planning etc. Staff told us they are given up to date information about the people they support. The home told us we are good at addressing the many health and communication issues that arise because of the complex needs of those we look after. We have fostered good relationships with all of those who provide services for us, and are considered a welcoming and relaxed home by visitors. Health professionals told us that the home usually ensures that individuals social and health care needs are properly monitored, reviewed and met. Staff told us much emphasis is placed on enabling individuals out to access the community and also to explore opportunities of choice making. People who live in the home told us they choose what they want to do during the day. Two people said they always choose what they want to do in the evenings and at weekends. Two people Annual Service Review Page 4 of 6 said they sometimes choose what they want to do in the evenings and weekends and this depends on staff availability. We asked are there enough staff to meet individual needs; two staff said usually; one said sometimes and one said never. When asked what could the home do better staff comments included more staff at times; short staffing levels means that the individuals lack personal/individual leisure/1-1 activities and attention time within their home. The home identified in the AQAA that staffing levels have been an issue. They told us I have recruited a further 4 bank team members, who will enable us to operate more flexibly and I have restructured the staffing establishment to provide some extra cover at weekends and in order to cover specific activities, should they arise. Staff commented Fiennes house is generally well run and is clean and tidy. The home told us Fiennes House offers good quality, spacious and homely accommodation. The premises have been adapted to enhance orientation for people have a visual impairment through use of contrasting textures and colours. People who live in the home told us it is fresh and clean. People who live in the home told us that staff treat them well and listen and act on what they say. Staff told us that they are being given relevant training. People confirmed that they know how to raise concerns. The home told us that they have received one complaint in the last 12 months. This was resolved within the appropriate timescale. The home 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? We are not going to change our inspection plan, and will do a key inspection by 18th December 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. 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