Latest Inspection
This is the latest available inspection report for this service, carried out on 12th April 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Hardwick Close (2 and 4).
Annual service review
Name of Service: Hardwick Close (2 and 4) The quality rating for this care home is: The rating was made on: two star good service 1 4 1 0 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: Claire Williams Date of this annual service review: 0 3 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Holmewood Chesterfield Derbyshire S42 5RL No2:(01246)856232 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Rachel Williams Conditions of registration: Category(ies) : learning disability Enable Care & Home Support Limited Number of places (if applicable): Under 65 Over 65 8 0 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 care home is purpose built and has been open since 1993. There are two interconnecting four bedded units, which provide ground floor, single room accommodation for people. Each unit has its own kitchen, adapted bathing facilities and a laundry, in addition to communal areas for the people. The accommodation is homely, spacious and accessible, and has a secure garden area. People who live in the service have learning disabilities and require a high level of care and support. 1 4 1 0 2 0 0 8 Annual Service Review Page 2 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 which was undertaken on 14th January 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. 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. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and detailed and gave us all the information we asked for. We looked at the information provided, and at the feedback provided in the surveys that were returned by the staff team, people that use the service, their relatives and social care professionals. Our judgement is that the service is still providing good outcomes for the people that use the service and that they know what further improvements they need to make. The information provided, told us that the service has not received any complaints or had any safeguarding incidents within the last twelve months. The service told us in the information that; each person has a detailed person centred plan of care in place, detailing their choice, preferences and aspirations, and these are regularly updated. This ensures the staff members know how people want to be supported. The information told us that the people are encouraged to access activities of their choice, which enhance their individual development. They said they respect individuals rights in regards to their physical, spiritual, emotional, and social development and support people to meet these needs. This ensures people have access to varied life opportunities in accordance with their support needs. The information provided told us that all staff receive an induction following their employment and on-going training, to ensure they have the skills and knowledge for their role. All staff are encouraged to undertake a National Vocational training (NVQ) course, in order to develop their skills further. The service currently have 6 staff who Annual Service Review Page 3 of 7 have completed an NVQ at level 2 or above. This ensures people are supported by a skilled and competent staff team. We sent out surveys to people, that use this service and four were returned. The information provided told us that people had completed these surveys with support from other people. In the feedback they told us; some people were supported to make a decision about moving into this service, and some did not have a choice. People are able to make decisions through non-verbal expressions. They are able to choose within the limitations of their disability how they wish to spend their day. If they were not happy, they would express their feelings through non-verbal means and the staff would be alerted to this. Three people told us the service is always fresh and clean, and one person said it usually was. All people told us the staff treated them well. The following comments were made on these surveys about what the service does well: It provides good support and care for people. The service provides a warm and friendly atmosphere. Provides a lovely, caring and clean environment. Friendly atmosphere generated by staff. We also received comments on these surveys about what the service could improve upon and some of these included: More outings and stimulation. A weekly timetable of events would be good. Make better choices with my help about what to wear and to stop keeping all my clothes for best. We sent out surveys to the staff team and we had eight returned. In the feedback they told us; they are always provided with the required information in order to meet peoples assessed needs. They were recruited in accordance with the legal requirements to ensure people using the service are protected. They told us they had an induction, and receive on-going training opportunities to enable them to have the skills and knowledge for their role. They said they often receive support from their manager. They said there is usually enough staff on duty to meet the needs of all the people who use the service. The staff members made the following comments about what the service does well: We work very hard to look after people. We maintain a high standard of care. Have a good team of staff and manager, who are committed to the well being of people. This service is a very pleasant place to work. Good care and support at all times. The service meets the daily needs of all people encouraging their independence for a better life. Annual Service Review Page 4 of 7 We are welcoming and provide good care, and support. We have good training opportunities. We maintain a high standard of care. Staff work well as part of a team. We provide people with excellent care and support for all their needs. The staff work well together and care for people. We make sure all needs are catered for. We have good training opportunities. Our manager is approachable and welcomes any new ideas and respects the staff. Staff members also told us about areas in which the service could improve upon and some of these comments included: For middle management to listen to there staff and take on board there ideas. Increase the housekeeping budget and decorate peoples bedrooms. More one to one time with people. We received six surveys from peoples relatives/carers and advocates and they told us: they usually receive sufficient information about the service to support people to make a decision about using this service. They think the service usually meets the needs of the people and supports them in the way agreed. The service usually helps people keep in touch and they are kept up to date with important issues. The staff seem to have the skills and experience to look after people properly. They are aware of how to make a complaint. The following comments were made about what the service does well: We are totally satisfied with the staff who care for our relative. They provide a loving caring environment and we are grateful to all the staff that work here. The service is clean, bright and organised. Good food, clean and friendly caring staff. The staff ensure my relative has a better life than you and I. They have a good social life with regular outings. I have no worries about the care my relative receives. The staff are very dedicated and we are always made to feel welcome. They provide a friendly and caring service. The relatives/carers and advocates made the following comments about how the service could be improved. Provide more one to one support and improve upon the person centred approach. Provide more motivational activities, outings, and a timetable of events so relatives can be involved. Not spend funds on inappropriate often unnecessary items of clothing.
Annual Service Review Page 5 of 7 Staff morale can at times appears low. There appears to be high levels of sickness. I think the staff need more training which is specific to the particular needs of the client group for example, knowledge and understanding of people with profound and multiple learning disabilities. More staff should have an NVQ Level 3 qualification. Core training is provided but I think there should be a more rigorous continuing professional development programme. We received two surveys from a social/health care professionals and they told us; peoples needs are accurately assessed and the right service is planned for them. Peoples needs are properly monitored, reviewed and met by the service. Staff respect peoples privacy and dignity and support people to live the life they choose. The staff usually have the skills and experience to support peoples needs. The following comments was made: Supports people to live a healthy and happy life. The service ensures peoples personal and social needs are met with appropriately qualified staff. They ensure people receive care and support in a dignified and respectful manner. The service 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? 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. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
