Care Home: Homeleigh

Annual service review Name of Service: Homeleigh The quality rating for this care home is: The rating was made on: two star good 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: Mark Hemmings Date of this annual service review: 0 8 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Sondes Road Deal Kent CT14 7BW 01304380040 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Homeleigh Care Ltd Number of places (if applicable): Under 65 Over 65 16 0 The maximum number of service users to be accommodated is 16 The registered person may provide the following category 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 category : 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 Up to 16 people who have problems with their mental health can make their home in Homeleigh (the Service). The premises are a detached house. Most of the bedrooms are on the first floor. When full, three of the bedrooms can be shared by two people each. All of the bedrooms have a private wash hand basin. On the ground floor, there are two good sized lounges. At the back of the house theres an enclosed patio garden. The Service is in a residential area thats within easy walking distance of Deals town centre. The seafront also is only a short walk away. Annual Service Review Page 2 of 7 The Registered Provider is a private company. The weekly fee for living in the Service runs from £295.85 to £500.00. 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. This includes the following: The Annual Quality Assurance Assessment (the Assessment) that was sent to us by the Registered Provider. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the Service. It also gives us some numerical information about the Service. Information that the Manager has recently told us about how things are going in the Service. What the Registered Provider has told us about things that have happened in the Service. These are called notifications and are a legal requirement. The previous Key Inspection. What people who use the Service and members of staff have said in the questionnaires that they have kindly completed for us. What has this told us about the service? The Registered Provider sent us its Assessment. However, it was late sending it in. Its a legal requirenment that we receive it each year on time. If its late next year well take enforcement action. Having said this the current Assessment does give us useful information about the Service. The Assessment and what the Manager has told us, show that various improvements have been made since the last Key Inspection. These include things that make a direct difference to peoples everyday lives. For example, each person has a written individual plan of the support they need. These have been made more user-friendly. This has been done so that its easier for people to take an active part in whats being written in their name. Another improvement has involved more social activities being undertaken both at home and with trips out. Around the building some new furniture has been provided and a stair lift has been installed. This makes it easier to get up upstairs for people who have difficulty getting about. Other improvements are planned for the forthcoming year. These include building a conservatory in the back garden. This can then be used by people who live in the Service who want to smoke indoors. Its also planned to continue to develop the range of relevant training courses that members of staff complete. At the time of the previous Key Inspection we thought that things in general were going well for the people who use the Service. However, there were some improvements that we thought needed to be made. One of these things was the need to prepare a suitably detailed fire safety risk assessment that could be sent in to the Kent Fire and Rescue Service. This is important so that the fire brigade people have an up to date account of how well the fire safety system is running. Also, we noticed that Annual Service Review Page 4 of 7 the complaints procedure needed to be corrected. This was because it didnt fully explain all of the rights someone has if they want to tell us about a concern. Another thing involved the need to get some more references for two recently appointed support workers. This is important because the Registered Provider needs to be clear that all members of staff are suitable and trustworthy people. Also, we noticed that there were some shortfalls in the training arrangements. There were gaps in the records and we werent sure if all of the support workers had completed the key courses the Registered Provider says that they need to do. The Assessment says and the Manager confirms that all of these matters have since been sorted out. In their answers to our questionniares people who live in the Service tell us that theyre happy there. Theyre pleased with the help they receive. They think that they have good quality meals. The Assessment says that people are regulalry asked what they think about how things are going. The Manager says that hes confident from what people have said to him that they remain happy with their home. People are supported to stay healthy and they are helped to seek medical attention as and when its needed. For example, one person has recently been supported to attend hospital for some dental treatment. In our questionnaires for people who live in the Service, we ask about the medical attention they receive. Everyone says that they always get the medical assistance they need. Sensible arrangements are in place to assist people to take medicines in the manner intended by their doctors. These include the safe storage of medicines. Also, there are systems to ensure that medicines are given to the right person at the right time. The Assessment says that it is hoped that some people can be supported to become increasingly independent. The Manager says that this will include some people handling their own medicines. He says that this will only happen when someone wants to do so and when they can manage it safely and reliably. The people who live in the Service say that their accommodation is a comfortable and welcoming place to be. The Registered Provider has kept us informed about significant events that involve the people who live in the Service. There hasnt been that much. Since our last inspection, the Registered Provider hasnt received any complaints. We havent had any either about the Service. The Manager says that any complaints that may be received in the future will be fully investigated. Also, he says that they will be sorted out as quickly as possible. During most times of the day there are three support workers on duty. Theres a staff presence at night. Also, there are special security arrangements at night. In our questionnaire for members of staff we ask, are there enough staff to meet the individual needs of all the people who use the Service? Everyone says that there always are enough staff. The Manager says that suitable security checks continue to be done on new members of staff. This is to help make sure that they are trustworthy people. Sensible things are done to help keep people safe. The Manager says that good standards of hygiene are achieved in the kitchen. The premises are fitted with an automatic fire detection system. This provides a high level of protection. The Manager Annual Service Review Page 5 of 7 says that the fire safety equipment and other things such as gas appliances are regularly checked. He says that they remain in good working order. Our overall judgement is that the Service continues to provide a good quality of care for the people who have made Homeleigh their home. What are we going to do as a result of this annual service review? Were not going to change our inspection plan and we are going to complete a Key Inspection by 22 July 2010. However, we can inspect the Service at any time, if we have concerns about the quality of the Service, if the next Assessment is late or if we have concerns about 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. 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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