Care Home: Francis House

Annual service review Name of Service: Francis House The quality rating for this care home is: The rating was made on: two star good service 1 1 1 1 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?   Yes 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: Amanda Lyndon Date of this annual service review: 1 1 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Cofield Road Boldmere Sutton Coldfield West Midlands B73 5SD 01213547772 01213547772 kate@lisieuxtrust.org.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Lisieux Trust Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users who can be accommodated is: 9 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 9 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 Francis House is a purpose built modern property in the style of a large residential dwelling and is owned by the Lisieux Trust, a local voluntary organisation. The home is registered to provide accommodation and support for nine people with learning Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 9 0 There has been a change of home manager. 1 1 1 1 2 0 0 8 disabilities. All nine single bedrooms are situated on the first floor of the house, as is the Managers office. The home is furnished and maintained to a high standard and residents have helped in choosing how both their individual rooms and shared areas have been decorated. Downstairs is a comfortable lounge, with an additional room next to it that is used for a range of activities. The kitchen is roomy and open plan, and includes the main dining area. There is no lift facility within the home, so it would not be suitable for people with significant mobility problems. There is an attractive private and enclosed garden to the rear of the property, with a patio and seating area. The house is situated close to Boldmere village, and offers easy access to local amenities including shops, pubs, restaurants, and Sutton town centre is a short drive away. The area is well served by public transport. There is sufficient off road parking at the front of the house for five cars, including the services own vehicle. Information regarding fees was included in the statement of purpose for the home. The reader is advised to contact the home for information about the current levels of fees charged. Copies of our inspection reports are available for people to read in the home, on request. 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 on 11th November 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. 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. Since our last visit to the home, we have not received any complaints, concerns or allegations about this service. What has this told us about the service? The home manager has been in post since 14th August 2009 after transferring from another home within the Lisieux Trust. She told us that she has completed a nationally recognised care management qualification, and is in the process of registering with us. This should mean that the home continues to be run in the best interests of the people living there. The home sent us their annual quality assurance assessment (AQAA) and we found that 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. There are opportunities for people living at the home, and other people important to them, to put forward their views and suggestions about the service provided. Group meetings and monthly key worker sessions are arranged. There is also an auditing system in place, in order to seek the views of people living at the home. They gave us examples of changes introduced in response to suggestions made by people living at the home. This included the creation of a steering group consisting of six individuals, voted for by their peers in an election. The aim of the group is to voice the opinions of people using the service, in order to aid decision making. We were told that the group meet every six weeks and that this has boosted the self- esteem of people involved. There is a rolling programme of redecoration and refurbishment in place, and people living at the home are involved in decisions regarding this. This means that they should be comfortable in their surroundings. They told us that they adapt the living environment to meet the needs of the people living there. For example, they had adapted a door bell for a person who could not hear the staff knocking on the door. Annual Service Review Page 4 of 7 Since our last visit, the office has moved from the first to the ground floor, so that it is easily accessible to visitors and people living at the home during day time hours. The manager told us that another reason for relocating the office was to promote the privacy and dignity of people living at the home. The former office had been directly next to peoples bedrooms and at times, people who had chosen to be in their night clothes, could be seen by visitors from the office. We sent five surveys to people living at the home and people important to them, and to five staff members. We received comments from five people living at the home and two people important to them. We did not receive any completed surveys from staff members. The majority of comments were positive about the service provided and included: I am confident that my relative is happy at Francis House and receives good care, good food and a safe secure environment. The home helps me clean my room and helps with my laundry The house is nice and I am happy here Everybody cares about me. Activities are good. The staff deal with my relatives health problems and keep doctors and hospital appointments and really caters for his needs. When the members of the family visit the home, we are made to feel welcome by the manageress and staff. They are all friendly and approachable. Two people living at the home stated that they would like more opportunities to go outside of the home. However, the majority of people stated that they were happy with activities provided both within and outside of the home. They told us that a new activity room had been created, and that this was proving to be popular. A sensory room is being created in order to relax and improve the quality of the lives of people living at the home. They told us that a Nintendo games console had recently been purchased for people to use. People told us that they could make choices and decisions in order to lead fulfilling lives. A comment was made by a relative that although they were happy with the service provided, they had noticed that staff turnover was high. They said that this could have a negative impact on the people living at the home. The home told us that they had recently increased the staffing levels by recruiting three new staff members. In addition the use of agency staff is low, and this should promote continuity of care for the people living there. People living at the home are involved in the staff recruitment process. This means that they have a say in who supports them. The vast majority of staff had achieved a nationally recognised care qualification (NVQ 2). This should mean that they have the necessary skills and knowledge to provide a good standard of care for people living at the home. The home told us that they had not received any complaints since our last visit, and Annual Service Review Page 5 of 7 that they had not made any safeguarding referrals. Since our last visit we have not received any complaints or made any safeguarding referrals about the service provided at the home. People told us that they knew how to make a complaint, should the need for this arise. They told us that staff had received training about adult protection in order to safeguard people living at the home. 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 11th November 2011. 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. 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 7 of 7 - 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!