Care Home: Heathfield House

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Annual service review Name of Service: Heathfield House The quality rating for this care home is: The rating was made on: two star good service 1 0 0 2 2 0 0 9 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: Joy Hoelzel Date of this annual service review: 0 2 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 318 Uttoxeter Road Blythe Bridge Stoke on Trent Staffordshire ST11 9LY 01782393909 01782393909 vpatrickjones@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Archangel Enterprises Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is: 6 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) 6 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 Heathfield House is a six bed roomed home registered for younger adults with a learning disability. The home is a converted detached house on the main road through Tean, Staffordshire. There is a forecourt area at the front of the house that has been laid to gravel to allow for cars to be parked, and there is a large and pleasant rear garden, with a patio area and a fishpond to the rear. The six bedrooms consist of two on the ground floor, and four upstairs. The ground Annual Service Review Page 2 of 7 1 0 0 2 2 0 0 9 floor rooms are not en-suite; although also on the ground floor is a bathroom with bath and a separate shower room, each of which is in close proximity to these two ground floor bedrooms. Although the bathrooms are small they are adequately fitted with appropriate grab rails, etc. Also on the ground floor are two small lounges, one of which has patio doors that open on to the garden, and a separate dining room. There is a domestic style kitchen and a separate laundry room, and a further single toilet. Upstairs there are four en-suite bedrooms and a staff office. The bedrooms are spacious, with the en-suite areas varying in size and shape and fitted with a shower. The home is on a busy road through Tean, with easy access to local public transport routes. There are local shops available in close proximity and a pub that serves food is very close by. Weekly fees were not available to us. Information about fees should be sought directly from the manager or organisation. People living at Heathfield House pay for their own outside activities and holidays. 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 all the information that we have received, or asked for, since the last key inspection or annual service review. 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. The previous key inspection. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The registered care manager completed and sent us their annual quality assurance assessment (AQAA) in December 2009. 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 home is still providing a good service and that they know what further improvements they need to make. Information recorded in the AQAA tells us- We offer a very warm and friendly atmosphere within the home. The routine within the home is flexible and takes into consideration individuals personal preference. We ensure that individuals personal space is to their taste and remains comfortable for them. We access health facilities quickly and ensure all health care checks are completed on an annual basis. We listen to the views of our service users and make changes where appropriate. We received completed surveys from all six people living at the home, all indicated that they had help to complete it. Information in the surveys told us that all six people could make decisions about what they do each day, and knew who to speak with if they were concerned or unhappy about anything. They told us that the home is always fresh and clean, that the staff treated them well and listen to them. In one survey an additional comment was recorded, The staff look after my personal needs and supports me with daily living such as going shopping and leisure activities. The AQAA records - We have a number of systems in place to ensure our service users views are heard. We have regular residents meetings where people can express their views within a group. All individuals have a key worker allocated to them and they have key worker time to give them the opportunity to express their views on a 1:1 basis. Three surveys were completed by relatives of people living in the home all expressed a satisfaction with the service. I have no concerns about Heathfield House because the Annual Service Review Page 4 of 7 staff run it well, its a nice place to live. My relative is very settled. Six surveys were completed by staff and returned to us. They tell us that they receive sufficient information to be able to provide the care to people and feel they are well supported by the manager. Additional comments included We provide a home environment, We help with the safety and well being of the residents, We work well as a team and support service users with day to day living and respect their individual needs. A health care professional who is involved with the care of some of the people completed our survey. They indicted that the service does well with bringing the clients to appointments and raising any issues or concerns of the persons health care. They told us that in their opinion the service could do better by encouraging residents to take up social and leisure activities as sometimes people are left to sleep/watch television for long periods as that is what they have chosen. The AQAA includes information on social, leisure and recreational activities - College courses are obtained for services users that have an interest in further education, this is accessed through a local college. Service users are offered a wide range of activities both inside and outside the home with staffing to accommodate activities both in the evenings and weekends. With regular trips to a local disco and trips to the theatre. We have regular visits to the local shop, library and post office where there is a good neighbourly relationship with the community. There are further plans during the next twelve months - We plan to implement more 1:1 activities and put into place more activities that promote life skills. Following the last key inspection in February 2009 two requirements were made for the home to make improvements in ensure systems are in place for the safety of people living at the home. The AQAA informs us of the action they have taken to comply with the requirements, Risk assessments have been individualised since the last inspection and these are monitored on a regular basis, and We have improved in the administration of medication with protocols being implemented for all individuals. Staff being trained in the administration of medication. We also work closely with the pharmacists to ensure all appropriate paper work is correct. The AQAA records that no complaints, concerns or safeguarding referrals have been made since the last key inspection. We, the commission, have not received any correspondence in relation to this. The service continues to send us notifications of significant incidents that occur at the service. What are we going to do as a result of this annual service review? We will continue to monitor the service through the regulatory programme. 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 7 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. Copyright © (2009) Care Quality Commission (CQC). 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