Care Home: Glasshouse Project

Annual service review Name of Service: Glasshouse Project The quality rating for this care home is: The rating was made on: two star good 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: Gerard Hammond Date of this annual service review: 0 9 0 3 2 0 1 0 Annual Service Review Page 1 of 9 Information about the service Address of service: Wollaston Road Stourbridge West Midlands DY8 4HF 01384399400 01384399401 liz.mcdonald@ghc.rmet.org.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Eveline Munns Conditions of registration: Category(ies) : learning disability mental disorder, excluding learning disability or dementia Conditions of registration: Ruskin Mill Educational Trust Number of places (if applicable): Under 65 Over 65 44 44 0 0 2 Service Users to be accommodated at: 12 South Road Stourbridge DY8 3XZ 2 service users to be accommodated at: 14 South Road Stourbridge DY8 3XZ 2 service users to be accommodated at: 234 Chester Road North Kidderminster DY10 1TE 2 Service Users to be accommodated at: Glasshouse Flat C/O The Glasshouse College Wollaston Road Amblecote Stourbridge DY8 4HF 2 Service users to be accomodated at: 118 High Street Wollaston Stourbridge DY8 4NY 3 Service users to be accommodated at: 1 Coalbourn Lane Amblecote Stourbridge DY8 4HQ 3 service users to be accommodated at: 64 Gauden Road Pedmore Stourbridge DY9 9HS 3 service users to be accommodated at: Vale Head Flat Kinver DY7 5NJ 4 service users to be accommodated at: 4 Kenrose Mill, Kinver DY7 6LA 4 Service Users to be accommodated at: Harlestone House c/o The Glass House Annual Service Review Page 2 of 9 College Wollaston Road Amblecote Stourbridge West Mids DY8 4HF 4 service users to be accommodated at: Old Mill Farm Bromsgrove Road Clent DY9 9QB 4 service users to be accommodated at: Vale Head Farm Kinver DY7 5NJ 4 service users to be accommodated at: Woodfield New Wood Lane Blakedown Kidderminster 5 Service Users to be accommodated at: Coach House C/O The Glasshouse College Wollaston Road Amblecote Stourbrdge DY8 4HG Registration is subject to the requirements as detailed in our letter of 17 March 2004 to Mr Gush, being met by the 17 June 2004. Service users to include up to 44 LD and up to 44 MD, of which may include services users aged between 16 and 17 years. The three bedrooms in the property known as 4 Kenrose Mill, which do not currently have washing facilities, are fitted with wash hand basins within 3 months of this registration. 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 The Glasshouse College is part of the Ruskin Mill Educational Trust. The College aims to meet the needs of young people between the ages of 18 and 25, whose needs cannot be met in mainstream colleges. Places are available for some students who are between 16 and 17 years old. There are opportunities for students to develop skills in various areas, including glass making, stone carving, green woodwork, basket weaving, photography, gardening and performing arts. The work undertaken at the college draws inspiration from Rudolf Steiner, John Ruskin and William Morris. All students are encouraged to discover their potential and creativity and to appreciate the cycles of nature. The college provides day and residential placements. Residential students are accommodated in houses that are situated in the community. Students are encouraged to play a part in the running of the household, including cooking and domestic duties as part of their preparation for independence. The college, including the houses, is registered as a care home for younger adults. As part of the range of provision of accommodation, the college also has independent training flats, where students have greater opportunities to develop life skills. Some workers are close by to provide supervision and support to these students. These facilities do not form part of this registration and are therefore not subject to inspection. The college provides a service for students with a wide range of needs and the fees charged for this service Annual Service Review Page 3 of 9 are based on the individual assessed needs of each student. Annual Service Review Page 4 of 9 Service update since the last key inspection or annual service review: What did we do for this annual service review? The last key inspection of this service was on 16 January 2008. We looked at all the information we have received, or asked for, since we last reviewed the service on 5th March 2009. This included: The Annual Quality Assurance Assessment (AQAA) that the Manager sent to us. This is a self assessment that focuses on how well outcomes are being met for people who use this service. It also provides us with some numerical information about the Project. Surveys that we sent to people who use the service, their families or advocates, and staff involved in their care. Information we have about how the service has managed any complaints or safeguarding referrals. What the service has told us about significant events or things that affect the wellbeing of the people living at the home. These are called notifications and are a legal requirement. The previous key inspection report and the result of any other visits we have made to the service in the past twelve months. Relevant information from other organisations, and what other people have told us about the service. What has this told us about the service? The Manager sent us an Annual Quality Assurance Assessment (AQAA) when we asked for it. It contained clear information and told us what we needed to know about how the service is supporting the people that use it. We looked at the information in the AQAA and the other information we hold about the college, and our judgement is that the Glasshouse Project is still providing a good service for the people it supports. The last inspection report shows that the college operates good processess for the referral and assessment of prospective students. Also that detailed care plans and risk assessments are produced for each student and reviewed regularly, so that important information is kept up to date. In the AQAA, the Manager told us that people are provided with the information they need to make an informed choice about whether the college is able to meet individuals needs. The AQAA also shows that the college plans to produce a booklet with photographs of residential staff and the houses they occupy. This is intended to help students picture where and with whom they would be living if they come to the Project. The students termly and annual review meetings encourage their active participation and expression of their views about their needs, life at the college and decisions about their futures. The AQAA shows that a lot of work has been done to adapt the systems and structures now in place to support students and staff more effectively. Annual Service Review Page 5 of 9 Previous reports show that Students are provided with excellent opportunities for personal development and are supported to participate in a range of activities in the home, at college and in the local community. They are supported to maintain positive contact with family and friends and to develop new relationships. Advice and guidance is provided to assist them to make informed decisions about their lifestyles. We received very positive feedback from students who returned surveys to us, and some of their comments can be found at the end of this review. The AQAA shows that the Houseparenting model provides a family setting where students can live and receive high levels of support to foster their personal development. Recent improvements to the support and opportunities available include a new art therapy post and additional counselling support, with a specialist focus on mental health. By listening to what students tell them, the service has identified an issue regarding peoples access to places of worship. Positive action has been taken to address this by circulating information about this to all the households. The Manager also told us that the service plans to carry out a healthy living survey. The Project already actively promotes healthy eating through its shop sales of organic food produce and household menu planning. The last inspection report shows that Students feel their views are listened to and acted on. All of the people replying to our surveys told us that they know to whom they should speak if they are not happy, and that they know how to make a complaint. The AQAA shows that the Project has dealt with 8 complaints during the past 12 months. We have not received any complaints about this service during that time. The AQAA also shows that 3 safeguarding referrals have been made during this period.The college has members of staff with designated responsibility for this area of work. We have not made any safeguarding referrals during this time. The college continues to work with the Local authority to access appropriate safeguarding training for staff. They have shown us that they deal with these matters appropriately, so that people get the support they need to stay safe. The AQAA shows that efforts to improve the residential housing stock are continuing. Students have their own rooms which are equipped with furniture necessary for them to be comfortable. They are encouraged to personalise their rooms with their own bits and pieces and to display and have pride in any artefacts that they have made. Houses also have shared spaces to socialise in and to share meals. THe Residential Student Co-ordinator carries out regular house visits so as to identify any maintenance issues in each household and report them for attention. Previous reports and the AQAA show that recruitment procedures are appropriately robust. Staff replying to questionnaires all confirmed that required checks (e.g. through obtaining written references, and Criminal Records Bureau clearance) had been done before they started work. All but one member of staff returning surveys told us that they had an induction covering everything they needed to know about the job either very well or mostly. All but one told us they received training that is relevant to their role, helped them understand and meet individuals needs, and keep up to date with new ways of working. All but two said they had training that gave them enough knowledge about health care and medication. However, the AQAA shows that only nine out of forty permanent care workers currently hold qualifications at NVQ level 2 or above. This is well below National Minimum Standards. The Project has a defined management structure, which has been reviewed since the Annual Service Review Page 6 of 9 last inspection and continues to evolve. Systems are in place for monitoring and quality assurance of the service, and this includes actively seeking the views of the people that use it. Staff working to support students told us that they think that things the project does well include: The Glasshouse College is a wonderful place to learn and be with other young people with special needs. It has an amazing atmosphere. Support the needs of the students, gives them opportunities to become independent. Provides holistic learning curriculum. Gives them the opportunities to develop independent travelling skills and choice in their eating and activity plans. We promote autonomy and create a safe warm friendly atmosphere. Fantastic place for young, disabled people, giving a chance to change their lives Our home is a friendly peaceful place. Students are happy with the atmosphere and our support. Things they told us that could be improved included: We would be able to do the above more effectively if we did not have such an abundance of paperwork. Have a transition plan for when students leave college. More basic teaching on communication, word and number. Provide more realistic living environment, with organic food on delivery. Could be nearer to the town of Stourbridge to enable easier access to services such as the library, later buses, leisure centres and so on. Feedback from students was generally very positive. These are some of the things they told us the service did well: Cooking and learning to cook. Activities home and outside. Keeping the home clean. I feel safe in the house nad the people I live with are nice. The home supports me in my day to day living. Great for sense of humour. Nice, kind and I love it! They listen to me about what I want. A lot of things. My house parents are the nicest people Ive met in a long time. Everyone is equal and respectable (sic) to each other. We can do things on our own and as a household. Answering a question about what could be better they said: Annual Service Review Page 7 of 9 Nothing. Im happy here. Not to be so far away from bus stops and shops. No, its great as it is. The college continues to let us know things that have happened since our last key inspection, and have shown that they have managed issues well. They work well with us and have shown that their service continues to provide good outcomes for the people that 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 16 January 2008. However, we can inspect the service at any time if we have any concerns about its quality or the safety of the people using it Annual Service Review Page 8 of 9 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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