Care Home: Hanover Drive

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Annual service review Name of Service: Hanover Drive 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: Rajshree Mistry Date of this annual service review: 1 2 1 0 2 0 0 9 Annual Service Review Page 1 of 9 Information about the service Address of service: 50 Hanover Drive Brackley Northants NN13 6JS 01280840577 01280701314 Telephone number: Fax number: Email address: Provider web address:   www.livability.org.uk Livability Name of registered provider(s): Name of registered manager (if applicable) Ms Jill Lammond Conditions of registration: Category(ies) : learning disability Number of places (if applicable): Under 65 Over 65 3 0 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 Hanover Drive is a care home, which is registered to provide personal care and accommodation for three people with a learning disability. Hanover Drive is one of six homes in the area that are owned by the Grooms - Shaftesbury, and known as The Brackley Residential Project. 50 Hanover Drive is situated in a residential area of Brackley in Northamptonshire. The home is within walking distance of Brackley town centre where community resources include shops, pubs, restaurants, gymnasium and a swimming pool. The accommodation consists of two bedrooms upstairs, and one on the ground floor. There is a dining area, kitchen and lounge on the ground floor. There is a wellAnnual Service Review Page 2 of 9 New Registered Manager maintained garden at the rear of the property. The Registered Manager is also Registered Manager for the sister homes: Holly Close, Remus Gate, Westmister Croft, Tudor Way and Hawkins Close; and has an office base on the first floor at Hanover Drive. The range of fees for 2009/10 are not known. People who are interested in using Hanover Drive should contact the Registered Manager or the home directly for the range of fees. Further information about Hanover Drive can be obtained from the home in the form of a Service User Guide and a Statement of Purpose. The latest Inspection Report is available at the home or can be accessed via the Care Quality Commission (CQC) website: www.cqc.org.uk Annual Service Review Page 3 of 9 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. This AQAA is a self-assessment that focuses on how well outcomes are being met for the people using the service. It also gave us some numerical information about the service. We assessed the information we have about the service and how the complaints received have been managed. We looked at what the service told us with regards to the things that have happened in the service. These are called notifications and are a legal requirement. We looked at the last Key Inspection Report dated 23rd October 2007 and the last Annual Service Review dated 8th October 2008 and any other visits that we have made to the service in the last 12 months. We looked at the relevant information from other organisations and what other people have told us about the service. We sent out surveys to the people who use the service, which included surveys for their relatives. We also sent out staff surveys. What has this told us about the service? Hanover Drive 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 service is still providing a good service. Hanover Drive has demonstrated how it continues to maintain the standards to benefit the people who use the service. The AQAA was completed by the Assistant Manager, which provided us with details of what the service does well and the evidence to support the practice. There were details about the new developments and practice to improve the quality of service people experience. This showed the service recognises the need to continuously improve in response to concerns, changes in best practice and legislation. The AQAA demonstrated that people considering using the service and their relatives are given information to help them decide whether the home can meet their needs and aspirations. The information people receive is the comprehensive Statement of Purpose and the Service User Guide, which are both available in written and pictorial format. This has information about the range of services offered to meet needs and aspirations and is reviewed annually. Annual Service Review Page 4 of 9 The AQAA demonstrated that there is a comprehensive pre-admission assessment to ensure the service is able to meet individual needs. People considering using the service are encouraged to have several visits including an overnight stay. This enables people to decide if this is the right place for them and ensures a planned move to the home. People who choose to move to Hanover Drive are given a contract that has the fees and the terms and conditions of the stay. Hanover Drive has a person centred care plan that takes into account individual choices, interests, health and personal care needs, which are reviewed monthly. People who use the service are supported by a key worker. Care plans are reflective of the risk assessments and safety measures, which are agreed with the individual. The AQAA states people who use the service are encouraged to take control and make decisions. People choose their own bedroom furnishings and colour scheme for their bedroom. They also take an active part in keeping the home clean and tidy. Individual needs and choices are highlighted in their person centred plans that includes contact with friends; social interests and aspirations. There are monthly house meetings whereby people are consulted and influence changes and the daily life at the home. The AQAA states people who use the service do the weekly shop and choose their own menus. They also help with the preparation of meals. Individual likes and dislikes of meals are recorded and known to the staff, which promotes peoples well-being. The improvements made with regards to individual needs and choices includes more access to activities than before through having one-to-one support. This promotes peoples well-being and aspirations. The AQAA states people who use the service have at least one holiday a year with staff. Individual holiday diary is kept for people to share with their family. People keep contact with their family and friends. Some people also invite friends for meals and parties. People who use the service have the right to form appropriate personal relationships, which are supported by staff. The AQAA states everyone who at present uses Hanover Drive attend the local day centre for four days a week. They have the opportunity to take part in peer and cultural activities. The link worker from the day centre meets with the people who use the service and the staff to identify changes to support and needs. People who use the service are given guidance in managing their finances and they have agreed a weekly budget. One person who uses the service has purchased a car, which has enabled them to go to different places, promoting their independence. The AQAA states people who use the service are supported to be as independent as possible with regards to receiving personal care support and meeting their health needs. Staff have a good understanding of individual needs and how to support them. People are registered with the local surgery and have regular visits to the dentist, podiatrist, optician and have annual health checks. At present the Clinical Psychiatrist is supporting the people who use the service. Records are maintained with regards to individual health and personal care needs in the care plans. The improvements made Annual Service Review Page 5 of 9 include, the life skills assessment carried out by the Community Team with the individual with regards to promoting their independence. Hanover Drive has a good system for the management, storage and administration medication. The staff have received accredited medication training, which includes annual epilepsy training. The AQAA states the complaints procedure is provided to everyone using the service, in the form of a booklet how to make a complaint. This is provided in a format suitable for individuals. The complaints procedure is also included in the service user guide and the statement of purpose, with details of the process and timescales. The AQAA states all complaints are recorded and addressed. Staff are aware that some people who use the service do not always know their rights and are supported through the complaint procedure. There are monthly house meetings and private monthly care plan meetings where people may express any concerns they may have. There are monthly monitoring visits carried out by the Operational Manager who has the opportunity to meet with the people who use the service and receive any concerns. The AQAA states the service received 5 complaints, all were resolved within the set timescales. The Care Quality Commission received no expressions of concerns or complaints about Hanover Drive. The AQAA states the staff receive protection of vulnerable adults training and the policy is in place. Protection of vulnerable adults is also known as safeguarding. This means the promoting and protecting the well-being of people using the service from harm, risk and abuse. All staff are aware of their role and responsibility with regards to safeguarding adults. The service made a number of safeguarding referrals to the local authority in line with the procedures to protect vulnerable people. The AQAA states a number of improvements were made. These included all staff receiving training in the Deprivation of Libertys and the Mental Capacity Act. This is to help staff have a better understanding of what is meant by libertys and capacity, with regards to supporting the people who use the service. The information how to make a complaint, has been improved. The people who use the service also have the opportunity to comment and express their views and concerns through the annual quality questionnaire and survey. The Care Quality Commission has received timely notifications with regards to events that have affected the well-being of individuals who use the service. The AQAA states Hanover Drive is a well maintained property that blends in with the other private residential properties. People who use the service choose the decor and furnishing for their bedroom to reflect their personality and interest. They are responsible for keeping the home clean and tidy with the support from staff. There is a programme of routine maintenance of the home. There are details in the AQAA of the systems, servicing and testing of appliances and equipment in the home. The monthly monitoring visits conducted by the Operations Manager also monitors and assess the home environment in relation to health and safety. The AQAA states the service has Annual Service Review Page 6 of 9 received approval to purchase new flooring throughout the communal areas within the home. The AQAA demonstrates the staff recruitment process is robust, whereby people who use the service are involved in the recruitment of staff. Pre-employment checks are carried out and maintained on file such as two satisfactory references, criminal records bureau (crb) check and protection of vulnerable adults (pova) check. This is a check to assess the suitability of the applicant to work with vulnerable people. The service also uses agency staff who undergo the same pre-employment checks. The AQAA states all staff complete a six week induction programme and are expected to complete the Learning Disability Qualification (LDQ) within 6 months of employment. Agency staff are required to complete induction training before they can work alone. All staff receive mandatory training and updates. The service has three staff that have attained National Vocational Qualification (NVQ) level 2 and above and a further two staff that have started NVQ level 2. All staff, including agency staff receive supervisions, and an annual performance review. There are monthly staff meetings, which include agenda items such as adult protection, health and safety, care standards, care plans and sharing of information with regards to the things that have happened in the service. The AQAA states the Registered Manager is experienced in managing a care home and working with people with a Learning Disability. She has attained NVQ level 4 and the Registered Managers Award. The management of the service meets the needs of the people who use the service through good recruitment procedure and staff deployment. The AQAA states the policies and procedures are reviewed and some were last updated in June 2009. The AQAA states there is a range of quality assurance and monitoring systems in place. The Operations Manager conducts the monthly visits known as Regs 26 visits and produces a report on the findings. There are monthly house meetings, whereby the people who use the service are consulted and informed about any changes that may affect or influence the quality of life they experience. People who use the service are involved in the annual reviews with the stakeholders. This is the organisation who financially supports individuals using the service, such as the Local Authority. People also have the opportunity to express their views and opinions about Hanover Drive through the annual quality assurance questionnaires. We sent out 3 surveys to the people who use the service that included relatives surveys. We received completed surveys from the 3 people who use the service and 2 from relatives. People completed the surveys with the help of the staff or their key worker. The responses indicated people were given information about the home to help them decide if the home was the right place for them. All the responses indicated people made decisions about what they do each day and at weekends. The majority indicated that they can do what they want in the evenings. All the responses indicated people know who to speak with if they are not happy and how to make a complaint. All the responses indicated that the home is fresh and clean. All the responses indicated staff treat people well, listen and act on what they say. The additional comments received in the surveys were: Annual Service Review Page 7 of 9 ... helped me, she works in my house as a support worker and is my key worker .... helped me, she is my key worker I can not fault the care my .... receives I believe the staff at Hanover Drive treat my .... with great respect and dignity even when times are difficult due to the nature of his disability We also received a couple of comments with regards to how the service could be improved. These related to communication between staff and with relatives. We shared these comments with the Registered Manager, who welcomed the comments and gave us assurance that they would address them. We sent out 3 surveys to the staff that support the people who live at Hanover Drive. However, none were returned. Hanover Drive continue to let us know about the things that have happened since our last Key Inspection. They have shown that they have managed issues. They work well with us and have shown that the 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? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. 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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