Care Home: Heath Lodge

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Annual service review Name of Service: Heath Lodge The quality rating for this care home is: The rating was made on: two star good service 0 9 1 2 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: Julie Porter Date of this annual service review: 1 9 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Heath Lodge 34 Green Lane Padgate Warrington Cheshire WA1 4JA 01925816702 F/P01925816702 heathlodge@googlemail.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Potensial Limited Number of places (if applicable): Under 65 Over 65 7 0 The maximum number of service users who can be accommodated is: 7 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 category: Learning Disability, Code 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: The number of people who can be accommodated has increased from six to seven. 0 9 1 2 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Heath Lodge is a care home for seven adults with a learning disability. The home is located in a residential area of Warrington, close to shops, other local facilities and is on the bus route to Warrington town centre. Five of the bedrooms for the people living in the home are on the ground and first floors of the three storey building. Access Annual Service Review Page 2 of 7 between the ground and upper floors is by the stairway. There is a self contained flat next to the main building that accommodates one person. The bedrooms in the main building are single and contain an en-suite toilet and shower. There is a shared bathroom and toilet on the first floor and a communal toilet on the ground. There is a large communal lounge and separate kitchen on the ground floor as well as a dining room which is located in the conservatory. The garden to the rear of the home provides a secure area for use by the people who live in the home. The area to the front of the home is used as a car park. Staff are on duty twenty four hours a day to support the people who live in the home. Further information on the fees and other charges for living in the home can be obtained by contacting the manager. Annual Service Review Page 3 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 the information that we have, 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 document that focuses on how well outcomes are being met for people who live at the home. It also gave us some numerical information about the service. On this occasion we did not send surveys to people living in the home and at the time of writing this report no comments had been received from staff working at the home with their views of the service offered. Information we have about how the service has managed complaints. What the home has told us about things that have happened at the home; these are called notifications and are a legal requirement. The previous key inspection which was carried out at Heath Lodge on 09 December 2008. Relevant information we have received from other organisations. What other people may have told us about the home. What has this told us about the service? The home 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 judgment is that the home is still providing a good service and that they know what further improvements they need to make. The AQAA told us what staff at the home do to make sure the views of the people who use the service are listened to and acted upon. This includes arranging bi-annual reviews and weekly meetings with the people who live there. We were also told that they meet for one-to-one sessions with their key workers and that the manager meets with individuals on a daily basis to discuss any concerns or worries they may have. The people who live in the home are asked to complete annual surveys in which they can give their views on the home. The AQAA told us that advocates are available to support the people who live in the home, to help them make their views known. We were told that The findings from all these channels of communication contribute to the day to day running of the home and also contribute to the decision making process. In the AQAA we were told that the people who live in Heath Lodge are actively involved in the overall running of the home. We were also told that a more person centred approach has been introduced which includes the people who live in the home writing up their daily notes with support from staff or by themselves if they wish. Annual Service Review Page 4 of 7 The AQAA told us that as a result of listening to the people who live in the home they are more actively involved in the staff recruitment process which includes meeting potential new staff so they can have a say in who provides care for them. We were also told that there are more choices regarding menus, that there is a greater understanding of healthy meals and that the people who live in the home have their own area for making refreshments. The manager told us that activities offered have been reviewed and are now more person-centred and there is greater flexibility and choices in activities. Staff are planning to make further changes as a result of listening to the people who live in the home. This includes being able to provide evidence to show the action taken to address any issues or concerns raised in the annual survey questionnaires. Surveys are completed by the people who live in the home and their families/other representatives. We were also told that; We will encourage service users to attend local service user forums and support them to attend. In the AQAA we were told what staff at the home do to ensure equality and diversity are promoted within the home. We were told that they promote the Valuing People principles as well as the six principles of care, which are dignity, choice, fulfillment, rights, privacy and independence. They promote the use of advocates to support the people who live in the home and there is an Equal Opportunities Policy in place within the home. The policy states that the service is committed to promoting Equality and Diversity for all of its employees and residents irrespective of race, religion, gender, sexual orientation, age, employment status, disability or marital status. They told us they also have an anti bullying policy, an anti racial harassment policy and a sexuality policy in place to protect the people who live in the home and the staff. The people who live in the home are supported to follow their religious beliefs. The staff who work in the home have been provided with training on the equality and diversity policies and procedures. We were told that the following changes have been made to ensure equality and diversity are being promoted within the home. This includes involving the people who live in the home in regularly reviewing the Equality and Diversity Policy and Essential Lifestyle Plans. They are planning to make further changes to ensure equality and diversity are promoted within the home. This includes arranging staff training on Equality and Diversity, updating the statement of purpose and service user guide and promoting the use of advocates to support the people who live in the home. The AQAA told us what the home does well: The service supports each individual service user in making decisions and choices about their lives, and empowers the service user to play an active part in all aspects of their lives and the support they receive. Potential service users are given all the information they need about Heath Lodge in order to support them in making an informed decision about their choice of home including a breakdown of the weekly fees. The service also completes a full needs assessment and a written and/or picture format contract that details the service they will receive. Service users are supported to maintain their cultural beliefs, follow their chosen recreational activities and develop their life skills. The service also supports service users to maintain social contacts.The service provided to service users is based on each persons individual needs. The service also promotes the six principles of care in all aspects of supporting the service users. Staff are employed once full satisfactory pre-employment checks have been completed. The staff team receives Annual Service Review Page 5 of 7 continual opportunities to train and develop, which in turn enables the service to better meet the needs of the service users. The staff team is motivated and flexible, which diminishes the need for agency and temporary staff. The service provides and maintains the necessary aids and adaptations required to promote independence. The home is kept safe, clean and comfortable to provide a friendly and relaxed environment for the service users and their visitors. The service aims to safeguard the service users through training staff on Abuse Awareness. There are detailed policies in place that cover Protection of Vulnerable Adults, Complaints Procedure and Whistleblowing Procedure. We were also told how they have improved in the twelve months before this review: Heath Lodge staff have accessed more in-house training to ensure the clients needs are met. They also told us how they will improve the service offered: Review all Policies and Procedures. Make the above accessible. Encourage service users to be pro active in their community by joining forums and clubs. Conduct customer satisfaction surveys for service users carers and families. Produce a comprehensive training plan to ensure all staff. Employ best practice when supporting service users. Improve recruitment and selection procedures to include service user involvement. Improve the environment by completing the improvement plan for this. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and we will do a key inspection within three years of the previous inspection being carried out. 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. 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