Latest Inspection
This is the latest available inspection report for this service, carried out on 26th March 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 Hawthorn House.
Annual service review
Name of Service: Hawthorn House The quality rating for this care home is: The rating was made on: two star good service 1 2 1 1 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: Mandy Brassington Date of this annual service review: 2 3 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Burton Old Road West Lichfield Staffordshire WS13 6EN 01543252211 F/P01543417499 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Staffordshire County Council Social Care And Health Directorate Number of places (if applicable): Under 65 Over 65 29 0 The maximum number of service users who can be accommodated is: 29 The registered person may provide the following category of service only: Care Home Only (Code 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) 29 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 Hawthorn House is a Local Authority home within the residential area of Lichfield and provides long-term care and support for twenty nine adults with a learning, physical disability and more complex needs including sensory disabilities, challenging behaviours and mental health issues. The home consists of two buildings, both purpose built and provided care within four separate units. Upper and Lower Hollies provide twelve bedrooms and Upper and
Annual Service Review Page 2 of 6 1 2 1 1 2 0 0 8 Lower Rowans provide sixteen bedrooms. Both units have a ground and first floor. Each unit consists of three communal lounge/dining areas kitchen or basic kitchen facility, bathroom, shower room and each individual had a single room. There is an industrial kitchen and laundry room in each building. In Upper Rowans, the unit has a small flat where people can be supported to live semiindependently. Lower Hollies provides a six bedded special care unit for people using the service who have more profound disabilities. People have access to Lichfield Day Services. Annual Service Review Page 3 of 6 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 registered person on 23.09.09. The AQAA is a self-assessment tool, which focuses on how well outcomes are being met for people using the service. It also gave us some statistical information about the service. Surveys were sent to the home to distribute to people who use the service, staff and professionals. We received six completed surveys from people who used the service and four surveys from staff members. 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 report. Information we have about how the service has managed any complaints. What has this told us about the service? The registered person completed and returned the AQAA within the required timescales, and it provided some good information about the outcomes for the people using the service. To ensure the views of people who use the service are promoted and incorporated into what the service does the AQAA recorded that the service holds Person Centred Plan reviews every six months for all individuals. Following these meetings care plans are reviewed and updated to ensure they are still meeting the needs of the people who use the service. People who need assistance to make any decisions are supported to do so at multi agency meetings where everyone involved can assist in the decision making, to ensure it meets the wishes and needs of the person. Advocacy agencies can be involved if there are no family members or the person lacks capacity or wishes them to be involved. Care plans are individual,comprehensive and reflect the needs and wishes of individuals and respects their choices. Staff reported within completed surveys that Care plans are reviewed at regular intervals to enable peoples interests to be carried out and The service promotes peoples independence at all times and respects peoples privacy and dignity. The AQAA recorded that the service holds regular residents meetings where people have the chance to discuss any issues, concerns or to make any suggestions for improvements. Social activities, menus and other choices are also discussed and Annual Service Review Page 4 of 6 planned at these meetings. People are assisted to complete menu questionnaires to ensure their likes and dislikes are incorporated in planning of the menus. Quality questionnaires are sent to all carers and families to complete to ensure that everyone is happy with the quality of the service provided. They told us the results from the last survey were very positive. They told us the staff teams are consistent with a low turnover of staff so staff have a good knowledge of the care plans, needs and wishes of all people who use the service. There is a a link worker system in place so all people have a named worker they can talk to about any issues they may have. As a result of listening to people who use the service they told us that they have arranged several day trips to various locations chosen by people who use the service and changed the menus taking into account feedback from questionnaires that were completed. One person has moved bedrooms due to changing needs with moving and handling and personal care. This means that the person can remain living in the home. The AQAA recorded that the service is developing day opportunities so that everyone does not automatically go to the same day services. The personal plans are being reviewed so people can choose what they want to do and where they go each day. To ensure equality and diversity issues are incorporated into the service they told us that all staff are having an opportunity to attend Equality and Diversity training and more than 50 of the care staff have completed a National Vocational Qualification in care. This means that staff have been able to achieve a recognised qualification in care by being assessed completing their actual job. Staff and managers attend the Safeguarding Vulnerable Adults training course and the Management team have all completed training in Mental Capacity act and the manager has completed the Deprivation Of Liberty training. This Act governs decision making on behalf of adults, and applies when people do not have capacity to make a decision. Having this training means people can be confident that staff know how to act appropriately if their freedom may need to be restricted. We looked at the information in the AQAA, and our judgement is that the home is still providing a good service and they know what further improvements they have to make. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, 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 5 of 6 Reader Information
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