Care Home: Homewood

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Annual service review Name of Service: Homewood 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: Beth Tye Date of this annual service review: 0 8 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Homewood 15 Shakespeare Road Worthing West Sussex BN11 4AR 01903239238 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Sutton Court Associates Ltd Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users to be accommodated is 6. 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: Learning disability (LD). 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 Homewood is a care home registered for up to six service users in the category LD (Learning Disabilities 18-65 years). The establishment is a spacious converted premises situated close to Worthing town centre. Public transport services are easily accessible. Accommodation is provided over two floors and all rooms are single occupancy with en-suite facilities. The service is privately owned and the registered provider is Sutton Court Nursing Associates. Mr N Ramdin is the Responsible Individual on behalf of the organisation. Ms Faith Hickman is the Registered Manager in charge of Annual Service Review Page 2 of 8 the day to day running of the home. Annual Service Review Page 3 of 8 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 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? They sent us their annual quality assurance assessment (AQAA). 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 they are still providing a good service and that they know what further improvements they need to make. The AQAA recieved from the home stated; We involve fully the service users in the choice of their home, this involves the service users family, friends, advocates and social workers, this will include visits with meals, overnight stays, weekends meeting other service users and staff, familiarising themselves with all. If all is successful a needs assessment plan is drawn up and Homewood advise to all needs they can meet, it can range from- Cultural needs/education/communication/care plans/risk assessments We involve service users in their care plans ensuring all needs are being met, we take into account their choices i.e. Therapeutic programme, education. Day-care service users sometimes involve family/advocates. We support all clients with key workers and c/o key workers and regularly update with service user to ensure their changing needs are met. Staff at Homewood provides all round care to our service users. Key workers are chosen by management with input from service user, this is based on personality, gender, and how well they work together. Staff encourage personal choice around areas such as personal care, personal hygiene etc. Support workers encourage individuality. Annual Service Review Page 4 of 8 Homewood provides information and opportunities for service users to use outside agencies such as therapeutic activities, mental health needs are assisted by CTPLD, general health needs are met by individuals GP, with health action planning put into place. All medication administered by fully qualified trained staff, any controlled substances are recorded as appropriate and all medication is locked away in secure cabinet. Homewood ensures service users have full involvement in there care plans ranging from activities, risk assessments, monies-budgeting, living skills, health care assessments, families, holidays quality assurance questionnaires for there views as well as questionnaires for there families to complete etc. Management has completed NVQ4 & RMA Qualifications and all mandatory training and continues with updating all training in there specific field. All staff are issued with contracts after there induction period and are encouraged to enrol in NVQ training. We received survey comments from five staff memebers, one health professional and four service users and/or their relatives. All continue to be very satisfied with the quality of the care provided, the training staff receive and the support from management. Some service users said; I am able to go to college The staff see to our needs well I am very happy here I got information before I moved in I like cooking meals in the house My keyworker is lovely and looks after me Homewood is the best, my room has lots of pictures and I love it Some staff said; There is lots of training Service users are provided with lots of activities and choice We meet individual needs The home is well run Annual Service Review Page 5 of 8 I love working here There is good communication and team work The service users are really happy Everyone works well as a team Some health professionals said; We are involved with regular meetings in the home We are always notified in writing if there are concerns The service users have choice and privacy The staff are well trained Some improvements to the home since the last inspection were identified in the AQQA as; 4 service users bedrooms have been decorated to the service users requirement, and additional furniture, accessories and carpet. Service users that have had their bedrooms decorated have also assisted in painting their bedrooms with guidance from staff each room is personalised to their specification. Staff training has been held throughout the year, this is ongoing and will continue again next year. The kitchen has had new work surfaces, tiling, redecorated, new cooker and new hand wash basin installed. New bedroom furniture to rooms 2 and 3. New digital TVs in rooms 1 to 5, new carpets in 1, 2 and 3. New industrial washing machine and tumble dryer. Outside security lighting installed all round the home. Homewoods staffing level has remained consistent with 3 changes in the last year, the majority of the staff have been at Homewood since it opened. Homewoods sickness level is very minimal due to a flexible working team. Staff have a good range of skills that benefit the service users, they are all involved in activities, care plans, case reviews, daily living skills, holidays, families etc. Key workers / co workers are changed to suit the individual needs of the service user and this involves variety and encourages good trusting relationships. All three staff that were on maternity leave have re-joined the team. We have kept up to date with all training. Staff are able to assist service users to maintain high standards regulated by CSCI. The service user care plans and feed back from the families demonstrates how the Annual Service Review Page 6 of 8 development of the service user has progressed, this can be in case reviews, colleges, Day centres, health care assessments feed back shows how the service is progressing or in some cases where assistance may be needed. All service users have had health reviews, all needs reviewed and changed. The service continues to work well with us and let us know about things that have happened since our last key inspection. They have shown that they manage issues well. The service continues to work well with us and let us know about things that have happened since our last key inspection. They have shown that they manage issues well. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 30th September 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 7 of 8 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. 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