Care Home: Hollygrove

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Annual service review Name of Service: Hollygrove The quality rating for this care home is: The rating was made on: two star good service 1 7 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: Roy Gregory Date of this annual service review: 2 4 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 49 Roman Road Salisbury Wiltshire SP2 9BJ 01722415578 01722415578 Telephone number: Fax number: Email address: Provider web address:   www.turning-point.co.uk Turning Point Limited Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 7 2 No more than 2 service users with a Learning Disability, over 65 years of age at any one time. No more than 7 service users with a Learning Disability at any one time 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 Hollygrove is a purpose-built service, initially opened in 1996, providing care and accommodation for nine people with a learning disability, the majority of whom have a range of personal and communication needs. The home is one of a number of care homes and other social care projects operated by Turning Point, a national organisation, within the Salisbury area. The property is situated in a residential area of the city, a short drive or bus ride from the centre. Car parking is available at the property and in the street. Hollygrove is a two-storey building, with peoples bedrooms on both floors. All bedrooms are single, have wash hand basins fitted and are close to toilets and bathrooms. Various aids and adaptations are provided for less mobile people, including a stair lift. Communal space includes a large kitchen and dining area, Annual Service Review Page 2 of 7 1 7 0 2 2 0 0 9 a sitting room, and seating areas in the hallway and on the landing. There is also an attractive garden. Staffing levels are three staff during the waking day with one waking night staff and one staff sleeping in. Details of weekly fees can be obtained directly from the home. 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 we have received about the service, or asked for from it, since the previous annual service review. This included: The Annual Quality Assurance Assessment [AQAA] that the service sent to us. This is a self-assessment that focuses on how well outcomes are being met for people that use the service, and how the service intends to develop. It also contains some statistical information. Surveys returned to us by five people who live at Hollygrove, four members of staff, a professional from the local community team and a GP. Notifications the service has sent to us about significant events affecting people living in the home. The report of our previous key inspection carried out on 17th February 2009, when we rated the service as good, two stars. Our inspection activity with other services provided by Turning Point in Wiltshire. What has this told us about the service? The service sent us their annual quality assurance assessment [AQAA] when we asked for it. The AQAA was very detailed and gave all the required information. It showed that the management maintained a focus on how the service is provided and how it may be further developed. They take account of feedback that they obtain directly from the people that live in the home, and their supporters. There is evidence they identify and work with peoples diverse needs. The provider maintains oversight of the service by routine audit and monitoring. The registered manager let us know at an early stage, what steps had been taken to meet the requirements and recommendations we made at our previous inspection. The home has been developing outcome-based, person-centred ways of working, backed by initiatives within Turning Point as a whole. The people living in the home have monthly meetings where news and ideas are shared between them and the staff group. They have outcome-based support plans. Examples of new activities undertaken with individuals in the home include cooking and making greetings cards. People have been encouraged to be more engaged in household tasks. The staff have been working on how to recognise areas of choice and how to facilitate decision-making. Turning Point had introduced a new assessment tool for prospective residents to ensure comprehensive information was gained at the earliest opportunity to commence individual support planning. Within the home a pictorial service user involvement folder had been introduced. The AQAA records improvements that have been made to the environment. For example, small sitting areas have been developed, so people can find more privacy Annual Service Review Page 4 of 7 outside their own room if they wish, or more choice of areas for reception of visitors. Residents have been directly involved in choosing colour schemes and furnishings for their bedrooms, most of which have been refurbished. The kitchen has been refitted and the hot water supply improved. The manager shared with us that staffing was reduced for a time, owing to vacancies in the home. The impact of this was reduced by identifying when staff presence was most needed, to fit with the needs and wishes identified through support planning. The manager also increased her own direct involvement in the support rota. In survey returns that we received, a persons family advocate commented that activity levels in the home had been dependent on staff availability, and two members of staff also commented on some pressures ensuing from staff shortage. However, members of staff also commented on the cohesiveness of the staff group, and their ability to be creative in how staff time was used to maximise time spent with people in the home. One member of staff was concerned that recording evidence of how outcomes were met could detract from time actually spent with people. Twelve out of fourteen staff had achieved National Vocational Qualification [NVQ] to at least level 2 in care. Two members of staff wrote in survey forms that they would like more training about specific conditions, such as autism and osteoporosis. The manager has identified a need to obtain more training about ageing, and dementia, as three people in the home were aged over 65 years. Notifications of incidents and events have shown us that the home responds promptly to matters arising. Other professionals are consulted as appropriate. A GP responded to our survey. They indicated no negative responses, and added it provides an excellent service. A social care professional wrote, regarding what the home does well: They seek advice. Always willing to participate in assessment and finding improved ways to support residents. They did not identify any areas for improvement. The AQAA stated that the home achieved 97 per cent compliance with Turning Points internal Quality Assurance Validation and there was an action plan for addressing the identified shortfalls. Five people who live at Hollygrove responded to our postal survey, with assistance from close relatives or key workers in some cases. There were no negative comments apart from the comment about staff availability impacting sometimes on ability to do what the person wanted. The same family advocate wrote when I visit I am impressed b the general atmosphere, people appear well cared for and happy. I am impressed by Xs room. X has definitely improved since living at Hollygrove. The service has shown since the previous inspection that matters arising have been managed well. They share openly with us and have shown us the home continues to provide good outcomes for the people that live there. Three of the four staff returning surveys to us commented on the good quality of leadership they experience from the registered manager. All the staff surveys referred to a strong sense of being an effective team. There has been clear commitment to further improve peoples quality of life year on year. What are we going to do as a result of this annual service review? Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 17th February 2012. Annual Service Review Page 5 of 7 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. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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