Care Home: Homelands

Annual service review Name of Service: Homelands The quality rating for this care home is: The rating was made on: two star good service 1 4 1 0 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: Melanie Freeman Date of this annual service review: 2 1 0 1 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: 21-23 Richmond Avenue Bognor Regis West Sussex PO21 2YE 01243828122 01243828122 homelandsresthome@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Mr Tony Robert Puttick Number of places (if applicable): Under 65 Over 65 20 20 0 0 The maximum number of service users who can be accommodated is: 20 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: Dementia - DE Mental Disorder, excluding learning disability or dementia - MD 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 Homelands is a care home providing personal care and support for up to 20 service users in the category of Dementia and Mental Disorder, excluding learning disabilities. The specialties and age range of the service is reflected within the homes statement of purpose, and currently includes an age range of over 55 years of age. The home is situated in a residential area on the outskirts of Bognor Regis, within Annual Service Review Page 2 of 6 1 4 1 0 2 0 0 8 walking distance of local shops and other community facilities. The accommodation, consisting of 14 single and 3 double bedrooms, all doubles having en-suite facilities, are situated on three floors with all floors having passenger lift access. There is a communal lounge and a dining room which both open out onto a well-maintained rear garden. The Registered Provider is Mr Tony Puttick. A manager has been appointed but is not registered. The fees charged vary between £420 to £535 a week depending on the room occupied. 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, that was completed on the 14 October 2008. This included; The Annual Quality Assurance Assessment (AQAA) that is completed by the service and focuses on how well outcomes are being met for people using the service, this was well completed and was provided when requested. 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 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations including Social Services and visiting health care professionals. A social care professional who has had recent contact with the home, was contacted directly for feedback on the service. The appointed manager was also contacted by telephone on the day of the Annual Service Review, for up to date information on the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. This provided information on the service that included numerical information that was requested. The AQAA was well completed by the appointed manager and identified areas that have improved in the last year, and others where further developments are either planned, or would benefit residents. The AQAA confirmed improvements planned include increasing types of activities in the home on a weekly basis along with refurbishment and redecoration for the environment. Although the policies and procedures have been reviewed, further development is planned along with, robust record keeping of all training provided in the home. The last key inspection was completed in October 2008 and was positive with regard to resident care, with all outcome areas being judged as good. No requirements or recommendations were made at this time. It did however identify that some areas in the home were malodorous, and the appointed manager was able to confirm that many carpets had been replaced, and that a cleaning contractor cleans the carpets regularly, removing any malodour in the home. Since the last key inspection a new manager was appointed in September 2009. She was advised that she needed to progress her registration with the Care Quality Commission as a priority. She was able to confirm that this matter would be progressed immediately, and that she is due to start her Leadership & Management Course in the near future. As a new manager she feels well supported with the homes proprietor visiting the home on a daily basis, available for advise and support. Annual Service Review Page 4 of 6 Discussion with the appointed manager indicated that a separate controlled drug cupboard is available in the home, and that the home does on occasions hold some prescribed controlled drugs. It was not however clear that this complied with the new legislation around the storage of controlled drugs in care homes. It was recommended that the homes management consults with their supplying pharmacist with regard to these facilities, in conjunction with information provided by the Care Quality Commission on this matter. Further information is available on the CQC Internet within the guidance document The safe management of controlled drugs in care homes. The contents of the AQAA recorded that the home has the required safety checks and servicing is completed on all its equipment and services, and that all the required policies and procedures are in place, and are regularly updated. The AQAA recorded that one complaint had been received since the last key inspection, and discussion with the appointed manager clarified that this related to a staff member allowing people to enter the home without confirming who they were. This concern was investigated, with practice improved and staff training at induction now ensuring that entry to the home is clearly limited to those with a valid reason. The homes response to this complaint demonstrated an effective procedure for handling complaints is in place. The appointed manager advised that one of the homes main strengths is the committed staff team, who promote the friendly relaxed atmosphere in the home. The AQAA also recorded the homely, warm friendly atmosphere as a positive, and described the food at the home as providing excellent home cooked meals, using fresh ingredients to enable the clients to receive the essential nutrients. The staff training has also been improved with an outside trainer co-ordinating much of the training, providing an organised programme, that encourages the development of staff for the benefit of residents. The manager confirmed that this programme has included training on safeguarding vulnerable adults, deprivation of liberty and the mental capacity act. The AQAA and the manager confirmed that the priority over the next twelve months is to ensure that the high level of individual care is maintained, and that the residents are cared for in a safe environment with their needs being met. The information provided by the home confirmed our judgment that the home continues to provide a good service. What are we going to do as a result of this annual service review? There will be no change to the inspection schedule and the Care Quality Commission will do a key inspection by 14 October 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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