Latest Inspection
This is the latest available inspection report for this service, carried out on 20th January 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 Harestock Hostel.
Annual service review
Name of Service: Harestock Hostel The quality rating for this care home is: The rating was made on: two star good service 3 0 0 9 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: Christine Walsh Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: Upton Grey Close Winchester Hampshire SO22 6NE 01962886361 01962889422 paul.dundas@hants.gov.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Miss Marian Wilson Conditions of registration: Category(ies) : learning disability Conditions of registration: Hampshire County Council Number of places (if applicable): Under 65 Over 65 15 0 The maximum number of service users to be accommodated is 15. The registered person may provide the following category/ies of service only: Care home only - (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). 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: Since the last inspection visit a new manager has been appointed and has applied to become the registered manager. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 3 0 0 9 2 0 0 8 Harestock Hostel is a residential service in Upton Grey Close, Winchester for people with a learning disability managed and is owned and managed by the local authority.
Annual Service Review Page 2 of 8 The service comprisesd of three purpose built houses which can accommodate up to fifteen service users. Two of the houses provide long-term placements and one is used for respite and assessment. Annual Service Review Page 3 of 8 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. 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, requirements, recommendations and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? The service was last inspected on the 30th September 2008 and received a 2 star (Good) rating. There has not been any further inspection activity such as an annual service review or random inspection in the last twelve months. Since the last inspection visit a new manager has been appointed and has applied to become the registered manager. In order to carry out an annual service review (ASR) it is required of the service to complete an Annual Quality Assurance Assessment (AQAA) and return to the Care Quality Commission by the required date stipulated in the covering letter. The CQC received Harestock Hostels AQAA on time. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. It provides us with information about service users, staff and the services administrative procedures. Six surveys have been received from service users. Their comments have assisted in informing this review. The AQAA refers to the people who use the service as residents and therefore will be referred to as residents throughout the body of this review. The AQAA told us whilst it doesnt enquire about the specific gender identity and sexual orientation of residents, on entering the service an appointed member of staff will undertake anAbout Me book. The About Me book supports staff to have an understanding of the residents individual beliefs, cultures, expectations and aspirations. The AQAA told us: Listening at an early stage to the wants, needs and preferences within this document (About Me book), supports staff to work collectively in bringing about the lifestyle, wants and needs and involving others (health, Annual Service Review Page 4 of 8 representatives, advocacy, etc) as appropriate. This demonstrates the service has adopted a person centred approach and listening to the people they support. The last report told us the service meets the diverse needs of residents by providing a person centred approach which is reflected in personal plans and daily life activities. The residents who completed a survey indicated they are always supported to make decisions and they can do what they want during the day, evening and at weekends. Residents told us: I like the people I live with. I also enjoy working in the kitchen. I do the cooking with staff and we have two cats that live with us. I like going to the pub. We looked at the information in the AQAA, which identifies the areas of good practice, and areas for improvement the home has made in the last twelve months. The AQAA told us the service dose well to support the residents to provide consistent staffing levels and maintain good relationships with residents and their representatives. The AQAA told us it does well to support residents to integrate within its local community, listening and responding to residents and providing an adaptable environment to meet physical needs. Residents surveys told us they like living at Harestock Hostel, however some commented on the need to improve their environment. The home could do better to: We need new curtains and a carpet in our lounge. I would like new chairs in my lounge. To have the kitchen modernised to have a lower sink, cooker and oven that I can reach. The AQAA told us in standards 24 - 30 Environment Each house will have a complete kitchen refit. This will also take into consideration what residents are requesting and include locking cupboards for those who take control of their own house keeping budget in preparation for moving into supported living. This demonstrates that the service is responding to the needs and requests of residents. The last report told us the service provides good outcomes in all eight outcome areas viewed as part of the inspection process, which includes choice of home, individual needs and choices, staffing and management. The report told us the service does well to provide a clean, homely, well maintained home, where detailed assessments, care plans and risk assessments allows residents to be supported in daily activities and hobbies of their choosing and integrate into their local community. The report went onto tell us the service does well to ensure residents receive a well-balanced diet, have their health care needs met and be supported by a staff team who have a good rapport with the residents and understand their needs. Annual Service Review Page 5 of 8 Despite the service providing good outcomes in all eight outcome areas the service was issued with four requirements following the last visit to the service. These included the administration of over the counter (Homely Remedies) medicines, safe storage of medications, infection control and fire procedures. The CQC (Formerly CSCI) received a response to the report from the service, which included what action had been taken to meet the requirements. The response told us measures were being taken to relocate medication storage to residents individual bedrooms and No medications, homely remedies or otherwise will be given unless prescribed by a general practitioner. The response also told us that the home was seeking advice in respect of minimising infection control risks and a fire risk assessment was been undertaken in respect of fire safety procedures. The AQAA told us there is a new policy for the management of medications and all staff have received training. It told us all staff have received training in infection control and an environmental fire risk assessment has been undertaken. All requirements are viewed as part of the inspection process during the next visit to the service. The AQAA went on to tell us it is aware of where improvements are required and their plans for the next twelve months, this includes evidencing and reviewing the skills of staff. The Commission has not received any complaints in the last twelve months. The AQAA told us the home has received one complaint in the last twelve months, it is indicated in the AQAA that the service responded to the complaint within the stipulated timescale of twenty - eight days. The AQAA told us all residents have a copy of the complaints procedure in a format that meets their diverse communication needs. The last report told us there are good outcomes in the areas of complaints and protection. Six residents surveys were received and in answer to Do you know how to make a complaint? four residents told us they know how to make a complaint, one resident said no and another said it would be depend on what staff were on duty. In answer to Do staff listen and act on what you say? three residents told us always and three said Usually. In answer to Do staff treat you well? Five residents said Always and one said Usually. The area of concerns and complaints will be viewed during the next visit to the service. The Commission has received a small number of notifications (Regulation 37) in the last twelve months. Regulation notices are sent to the Commission when an incident has occurred in the service, which has affected the health and welfare of the residents. The notice tells us what happened and what action the home took to manage and minimise the risk of the event occurring again. In this instance the Commission has been notified of incidents that has adversely affected the wellbeing of the resident, such as leaving the service without staff knowledge thus placing themselves at potential risk of harm. Annual Service Review Page 6 of 8 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 29th September 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 7 of 8 Reader Information
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