Latest Inspection
This is the latest available inspection report for this service, carried out on 6th 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 Hawkins Close.
Annual service review
Name of Service: Hawkins Close 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: 2 2 1 2 2 0 0 9 Annual Service Review Page 1 of 9 Information about the service
Address of service: 3 Hawkins Close Brackley Northants NN13 6HG 01280840577 01280840049 jlammond@livability.org.uk www.livability.org.uk Livability Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 3 0 A maximum of three (3) service users in the category of LD may be accommdated in the home at any one time No one in the category of LD may be admitted to the home when three (3) service users in this category are already resident. 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 Hawkins Close is a care home, which is registered to provide personal care and accommodation for three people with a learning disability. The service is one of six homes in the area and owned by Livability and are known as The Brackley Residential Project. Hawkins Close 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.
Annual Service Review Page 2 of 9 New Registered Manager The accommodation consists of three single bedrooms and a communal lounge, kitchen and dining area. There is also a well-maintained garden. The Registered Manager is also the Registered Manager for the sister homes: Westminster Croft, Holly Close, Remus Gate, Tudor Way and Hanover Drive, where the main office is based. The range of fees for 2009/10 are not known. People who are interested in using Hawkins Close should contact the Registered Manager or the home directly for the range of fees. Further information about Hawkins Close 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 of the service. 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 are 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 1st November 2007, the last Annual Service Review report dated 6th 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 and surveys for the staff. This was to gather their views about the quality of service provided at Hawkins Close. What has this told us about the service? Hawkins Close 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. Hawkins Close 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 practices in place to improve the quality of service people experience. This showed the service recognises the need to continuously adapt and improve in response to needs, concerns, changes in best practice and legislation. The AQAA demonstrated that people considering using the service are given information about Hawkins Close in the form of a Service User Guide and a Statement of Purpose. This information is available in written and pictorial format to suit peoples preferred form of communication and comprehension. These documents have details about the range of services and facilities available to meet individual needs and aspirations. Both documents are reviewed annually. Annual Service Review Page 4 of 9 The AQAA showed that there is a comprehensive pre-admission assessment process to ensure the service us able to meet the individual needs. The assessment process takes into account individual needs, preferences, routines and aspirations, which may involve other professionals and organisations. People considering using Hawkins Close are encouraged to visit several times and have overnight stays. This enables people to decide if this is the right place for them and ensures a planned move to the home. The people who live at Hawkins Close are given a contract of stay that has the agreed fee, terms and conditions. This contract has been developed in a pictorial format to suit individual needs. People who use the service are supported by key workers and use a person centred approach to care and support. Care plans are developed with individuals taking into account their choices, interests, health and personal care needs and social aspirations. Assessments of risks are completed to ensure peoples independence is promoted safely. The care plans are reviewed monthly with the individual to ensure changes are reflected and they have continued support. The AQAA states people are encouraged to make the home environment comfortable. They choose their own bedroom decor and furniture. People also take responsibility to keep the home clean and tidy. The AQAA states people using the service take control of their life and make decisions about their daily routines and lifestyle. People use the local amenities in the community ranging from the local shops to health centres and places of entertainment. The AQAA states people who use the service have at least one holiday a year with staff. Individual holiday diaries are kept for people to share with their family. People maintain contact with family and have regular visits. The organisation has identified a company that specialises in holidays, which may be used in the future. There are 2 vehicles available for staff to use at weekends to take people out. In addition, people who use the service all have bus passes that enables staff to travel free with them. People are encouraged to be involved in menu planning. People help with the weekly food shopping. People are encouraged to help staff prepare the meals. The AQAA states people who use the service all attend the local day centre, where 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 staff to review individual needs, support and aspirations. Hawkins Close has an Activities Co-ordinator who supports people using the service with their individual interests and social aspirations. The AQAA states the people who use the service are supported to be as independent as possible with regards to receiving support with their personal care needs. People are registered with the local General Practitioner (GP) surgery. They also have regular visits to the dentist, optician, podiatrist and have the opportunity for annual health checks. The improvements made include the life skills assessments carried out by the Community Team and the annual health checks carried out by the GP with regards to
Annual Service Review Page 5 of 9 promoting health and well-being. Hawkins Close has a good system for the management, storage and administration of medication. The staff have accredited medication training and are responsible for administering medication. The improvements made with regards to medication errors, these are now part of the safeguarding alert and are formally investigated in line with the procedures. The AQAA states people are supported to manage their own money, where possible. Individual financial records are kept for people that prefer to have their money held in safe-keeping. There are plans to support people to manage their individual budgets in the future. The AQAA states the complaints procedure is given to people who use the service in a booklet form and is available in pictorial format. The complaints procedure is also detailed in the Service User Guide and the Statement of Purpose that is provided to people when they move to the home. The numerical information in the AQAA states Hawkins Close received no complaints. The Care Quality Commission received no expressions of concerns or complaints about Hawkins Close. The Care Quality Commission has received timely notifications with regards to events or incidents affecting the well-being of people who use the service. These are known as Regulation 37 notifications and are a legal requirement. The AQAA states people who use the service have house meetings once a fortnight and private monthly meetings where they may voice any concerns. Staff are supporting people to complete their My Year folder where they record what they have been doing each week/month in preparation for the Annual Review. This is to empower them to take control of their review. All incidents, accidents and concerns are reported to the Operations Manager, the Ordinary Living Team (Care Management) and to the Care Quality Commission. The AQAA states the staff have received training in safeguarding of vulnerable adults (sova) and have supporting policies and procedures in place. Safeguarding means promoting and protecting vulnerable people who use the service from risk, harm and abuse. All staff are aware of their roles and responsibilities with regards to safeguarding adults. The improvements made includes the staff receiving training in Mental Capacity Act and the Deprivations of Libertys. This is to help staff have a better understanding of liberties and capacity. The AQAA states the monthly monitoring visits carried out by the Operations Manager also looks at any complaints, concerns and safeguarding matters that affects the wellbeing of people who use the service. This shows the service has internal communication and monitoring systems in place. Hawkins Close is a well-maintained detached property that blends in with the other private residents properties. People who use the service choose their bedroom furniture, furnishing and decor to reflect their interests. People take responsibility to
Annual Service Review Page 6 of 9 keep their bedroom and the home, clean and tidy. People have the opportunity to raise concerns at the house meetings with regards to health and safety issues in the home. The monthly monitoring visits by the Operations Manager also monitors the home environment with regards to health and safety. The improvements made to the home includes a new floor covering and a new chair in one bedroom. The AQAA demonstrated that staff recruitment process is robust, whereby the people who use the service are involved in the recruitment of staff. Pre-employment checks are carried out and maintained on file. These include two satisfactory written references, criminal records bureau (crb) check and the protection of vulnerable adults (pova) check. These checks are to assess the suitability of applicants to work with vulnerable people. The service also uses agency staff who undergo the same preemployment checks to ensure they are suitable to work with vulnerable people. The AQAA states all staff complete a 6 to 8 week induction programme and are expected to completed the Learning Disability Qualification (LDQ) within 6 months of employment. The agency staff are required to complete an induction programme before they can work alone. All staff receive mandatory training and updates. The AQAA states all staff including the agency staff receive supervisions and an annual performance review. There are regular staff meetings that includes standards agenda items such as safeguarding adults, health and safety, care standards and sharing information with regards to the things that have happened in the service and the people who use 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 the National Vocational Qualification (NVQ) level 4 and the Registered Managers Award. The management team includes an Assistant Manager who has attained NVQ level 2 and a full time support worker who has also attained NVQ level 2. In addition, the service regularly uses agency staff. The management of the service meets the needs of the people who use the service through staff recruitment, training and staff deployment. We have been advised that there will be changes to the management team whilst the Registered Manager has sabbatical leave for 3 months and will be returning in February 2010. They have sent us information with regards to the personnel that will be managing the service, the support systems in place and gave us assurance that people who use the service will not be affected. The AQAA states the policies and procedures are reviewed regularly and some were last updated December 2009. The AQAA details the range of quality assurance and monitoring systems in place. These include the Operations Managers monthly monitoring visits known as Regulation 26 visits and these are a legal requirement. There are fortnightly house meetings whereby the people who use the service are consulted and given information about any changes that may affect or influence the quality of life they experience. There are also the annual reviews conducted by the people that financially supports the people at Hawkins Close, such as the local authority. We sent out 3 surveys to the people who use the service, which included surveys for
Annual Service Review Page 7 of 9 their relatives. All 3 surveys were returned, which people completed with the support from staff and 1 from a relative. All the responses indicated people were given information about the home and were asked if they wanted to move to the home. All the responses indicated people made decisions about what they do each day, evenings and at weekends. All the responses indicated people know who to speak with if they are unhappy or have a complaint. All the responses indicated that the home is fresh and clean. All the responses indicated that staff treat people well, listens and acts on what they say. We received the following additional comments with regards to what the service does well: Looks after me and cooks me nice food Helps me, takes me out, looks after me We sent out 3 staff surveys of which 1 was returned. The survey was only partly completed indicating staff receive up to date information about the people who use the service; they were appointed with satisfactory pre-employment checks and received induction training that covered their roles and responsibilities. There were no additional comments. We concluded from the responses in the surveys that peoples experiences of the service is consistent with the practice detailed in the AQAA, the self-assessment. Hawkins Close continues to let us know about the things that have happened since the 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 quality 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
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