Care Home: HMT Orchard House

Annual service review Name of Service: HMT Orchard House The quality rating for this care home is: The rating was made on: three star excellent 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: Sue McGrath Date of this annual service review: 2 0 0 5 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Underdown Lane Herne Bay Kent CT6 5UD 01227373586 01227749115 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : physical disability Conditions of registration: HMT Care Ltd Number of places (if applicable): Under 65 Over 65 10 0 The maximum number of service users who can be accommodated is: 10 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: Physical disability - PD 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 HMT Care Ltd provides a specialist service for people diagnosed with Huntingtons Disease. There are two homes in the group. Both homes cater for people of either sex, and aged over 18 years of age. Orchard House is registered to provide accommodation and personal care for ten adults. The home is situated within easy walking distance of local shops and is near to the town and seafront. It can easily be accessed by rail, or by the M20/M2 motorways. Annual Service Review Page 2 of 6 Orchard House is a large, Edwardian, detached building, with ten single bedrooms on two floors (ground and first floor). All bedrooms have en-suite toilet facilities, and some also have a shower or a bath. The home has a passenger lift for easy access between floors. Residents are carefully assessed for their compatibility with other residents in the home, in order to provide a settled and homely atmosphere. The property has a garden at the front, and off-road parking. The access road is privately owned, and kerb-side parking is subject to wheel clamping and accompanying fines. There is an enclosed garden at the rear. The current fees for the service at the time of the visit are set at £1610 per week. However some of the existing residents are on lower protected fees. Information on the Homes services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is hmt-care@btinternet.com 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 service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives some numerical information about the service. Information we have about how well 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 received from other organisations. What other people have told us about the service. What has this told us about the service? The Home completed and returned their annual quality assessment when we asked for it and within the timescales given. The document was very comprehensive and informative. It identified areas where the service had improved in the last year and others where further developments were being planned. It included evidence that the service regularly sought the views of residents and other stakeholders to inform their planning. The last inspection report was positive with no requirements being made following the site visit. The home continues to make contact with the Commission if there are any significant events that affect the well being of residents. There have been six complaints made to the home, with one being upheld. There have been no Safeguarding Vulnerable Adults alerts. The home has strategies in place to ensure that those who live in the home and those who visit can make their views and complaints known. People can be confident their views will be listened to, taken seriously and acted upon. The owners have made several environmental changes since the last inspection including refurbishing the satellite kitchen with high quality furniture, for example the drawers and cupboards have microban linings ,anti-bacterial, for improved infection control. Additional staffing hours have been introduced specifically to take responsibility for the homes laundry. Regular walk abouts of the home by the Head of Care, Facilities Manager and Responsible Individual ensure the environment is well Annual Service Review Page 4 of 6 maintained. A recent spot check from the Environmental Health Officer resulted in the home being awarded a 4* rating. Staffing numbers have been increased by approximately 50 hours per week to take into account the increased numbers of residents in the home and time needed for care planning and training. HMT Care states it is committed to a planned programme of training and development for staff, aimed at developing staff to an agreed standard of competency in order that they have the knowledge and skills to be able to perform and enhance their role. Induction programme for all staff which conforms to the Common Induction Standards, commencing with a pre-employment induction session. All staff have supervision and annual appraisals. The AQAA confirmed the home has thirteen full time care staff, 3 part time care staff and 9 ancillary staff. Of the sixteen permanent care staff, 8 have completed an NVQ level two or above. There are plans in place for other staff to start their award in the very near future. The senior carer confirmed she is to start a management qualification in November 2009 and is then hoping to apply to the Commission to be the Registered Manager. Throughout the annual quality assurance assessment it was evident that equality and diversity were incorporated in the service. All relevant employment checks are carried out to ensure staff are appropriately employed and residents remain in safe hands. The AQAA identified other areas of planned improvements including some environmental improvements, residents involvement in the running of the home and continuous updates of policies and procedures. What are we going to do as a result of this annual service review? There will be no change to the inspection plan and we will do another Annual Service Review by May 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 5 of 6 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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