Care Home: John Darling Mall

Annual service review Name of Service: John Darling Mall 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: Laurie Stride Date of this annual service review: 2 0 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Selborne Drive Eastleigh Hampshire SO50 4SE 02380613101 02380611497 wendy.burkhill@hants.gov.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : physical disability Conditions of registration: Hampshire County Council Number of places (if applicable): Under 65 Over 65 24 0 The maximum number of service user to be accommodated is 24 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: Physical disability (PD) Have there been any changes in the ownership, management or the Yes 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 John Darling Mall is a purpose built unit for up to 24 service users who have physical disabilities. The service users are mainly there for short breaks or in preparation to moving to more independent living. There are, therefore, both long and short-term service users in residence. Assessment and rehabilitation facilities are also available. The building is single storey, split into four units with a central communal area and some smaller communal lounges. There is a central dining room, and each unit has its own kitchenette and dining area. Change of Responsible Individual. Annual Service Review Page 2 of 7 John Darling Mall is close to local shops, pubs and other amenities that are accessible to service users. 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 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. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The results of the previous key inspection of the service on 24/10/07 and of the last annual service review on 16/10/08. What has this told us about the service? The homes annual quality assurance assessment (AQAA) was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know some of the further improvements they need to make. For example, increasing the number of rooms with track hoists to improve comfort, reduce the amount of mobile equipment and offer a less institutional feel. The AQAA told us how the service has continued to improve the environment in the last twelve months and provide more up to date decor. This includes height adjustable worktops in one of the kitchenettes to make it more accessible for people who use the service. Service user consultation groups are now taking place and the service has enabled a number of the suggestions brought up in the meetings, for example the introduction of a Water Dispenser and purchase of some adapted cutlery. The service is actively looking into the groups ideas on signage and they are fundraising for adapted computer accessories. We sent out survey questionnaires and received comments from five of the people who use the service, four of whom were supported by a carer or staff member to complete the questionnaire. We also received comments from a social care professional and two staff members. The social care professional gave positive responses and indicated that peoples social and health care needs are always properly monitored, reviewed and met by the service. They said that the service always respect peoples privacy and dignity, respond to their diverse individual needs and support them to live the life they choose wherever possible. They told us that the service seeks advice when necessary and that the managers and staff have the right skills and experience to support peoples social and health care needs. The social care professional also told us the service does well at respite for people under 65 with a physical disability. Rehabilitation and assessment flat for people planning to move to their own tenancy. We asked what could the service do better and the social care professional said Like any other residential home Annual Service Review Page 4 of 7 there are staffing restraints. Have outings and activities when staffing allows. Three of the people who use the service indicated that they usually make decisions about what they do each day. One person said they always do and the other said they sometimes do. All said they can do what they want to do during the day, in the evening and at the weekend. Asked what does the home do well, one person told us Good care. Choice and I enjoy my stays at JDM, look forward to my visits. Another person said Support with medication as I would struggle to remember to take these regularly. One person wrote that the home Gives my husband a break for eight weeks a year where he knows I am looked after by the staff. Asked what could the home do better, one person said More help with activities (more staff). The AQAA told us that in the last twelve months the service has recruited to vacant staff posts and plan to recruit to a remaining senior position. There are also plans to recruit an Occupational Therapy Assistant to enhance daily living activities for people who use the service. All people employed to work in the home within the last twelve months have had satisfactory pre-employment checks. The AQAA identifies that an area for further improvement is the more effective recording and evidence of staff induction training. An e-learning programme on equality and diversity has been completed by all staff members. The two members of staff who completed our survey questionnaire said that there are usually enough staff to meet the individual needs of all the people who use the service. Both confirmed that their employer carried out checks and references before they started work in the service. Asked if their induction covered everything they needed to know to do the job when they started, one told us it did very well and two said it mostly did. Both indicated that they are being given training which is relevant to their role, helps them understand and meet the needs of people who use the service, keeps them up to date with new ways of working and gives them enough knowledge about health care and medication. The AQAA states there have been four complaints recieved by the service within the last twelve months and 75 of these were resolved within 28 days. All of the five people who use the service indicated they know who to speak to if they are not happy and said they know how to make a complaint. Four said that the staff and managers always listen and act on what they say and the other said they usually do. All indicated that the staff and managers always treat them well. Both staff members indicated that they know what to do if someone has concerns about the home. The social care professional told us that the service always respond appropriately if they or another person have raised any concerns. The service has kept us informed when there are incidents affecting the welfare of people who use the service. These notifications indicate that the service liaises with external social and health care agencies and has taken appropriate actions to ensure the wellbeing of people who use the service. 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 24th 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 7 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!