Latest Inspection
This is the latest available inspection report for this service, carried out on 2nd December 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Keefield.
Annual service review
Name of Service: Keefield The quality rating for this care home is: The rating was made on: three star excellent 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: Alan Thompson Date of this annual service review: 1 3 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Keefield Close Harlow Essex CM19 5SW 01279635933 01279626795 swilson@grooms-shaftesbury.org.uk www.livability.org.uk Livability Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 10 0 The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category/ies of service only: Care home only Code 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 Code LD whose primary care needs on admission to the home are within the following categories: Learning disability Code LD 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: Change of Responsible Individual and change of e-mail and website address. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Keefield is a modern purpose built bungalow style building that is owned by the Health Authority and managed by Livability. Contact details are as shown above with the exception of the e-mail address which has been updated since our last review and should read: swilson@livability.org.uk Annual Service Review Page 2 of 7 Accommodation is provided in single bedrooms. The home is divided into two units with 5 people living in each unit. The home is registered to accommodate 10 adults with profound learning disabilities, who may have a physical disability, and is able to address the needs of people with high dependency levels. The home provides the appropriate aids, adaptations and equipment to enhance the safety of the people living there. CQC inspection reports can be obtained from the home, or via the CQC internet website: www.cqc.org.uk. 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 or annual service review (our last annual service review was on 23/09/2008). 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. Any surveys that were returned to us by people using the service, their families and from other people with an interest in the home. What the service has told us about things that have happened in the home, 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 home in the last 12 months. What has this told us about the service? Inspection Report: The last key inspection of this service was undertaken on 28th November 2007 and found that of the twenty two standards looked at eight were judged to have been exceeded with the remaining fourteen standards met. The inspectors summary included the following: Keefield is a well run home with a good management structure in place to provide an efficient service. Staff and relatives are very complimentary about the management and said that they are very friendly and approachable. Relatives responding said that they trusted the management to resolve any concerns and felt that the manager had good leadership skills that showed throughout the staff team. Information in the care records included details of health needs, visits by health care professionals and risk assessments. The people living in the home who were observed on the day appeared well cared for. The staff continue to build good relationships with the people in their care and were observed providing care in a sensitive and caring manner. The staff were aware of their roles in the home and the aim of home to provide people with opportunities to make their own decisions. The staff team were well trained and through this provide a quality care service. This told us that overall the home was achieving excellent outcomes for the people using the service with no shortfalls identified. AQAA: This was sent to us when we asked for it, was well completed, and provided us information to confirm that the manager had a good understanding of the service, could identify what they did well and evidence this, and was also able to highlight areas Annual Service Review Page 4 of 7 for improvement. A brief summary of the managers comments in the AQAA included: Under What our service does well: Keefield Close provides a friendly and homely atmosphere where people with profound disabilities are supported in all areas of daily living. Staff are well trained and carry out their work in a professional, caring and sensitive manner. Staff are dedicated to their work and seek to promote the individuality and well being of each person who lives at the home. Individuals participate in a variety of activities within the home and in the community. Relatives and other visitors to the home are made to feel very welcome and at ease. There is a good relationship between everyone and the staff team work together very well. Staff are very aware of the healthcare needs of each individual and seek to support them in the best way possible, reporting anything of any concern appropriately. Our service has good relationships with healthcare professionals who offer support and advice whenever needed. Inclusive communication continues to be developed at the site and opportunites are sought to bring the best out of and give the best to each person living at our service. Under How we have improved in the last 12 months: The variety of activities offered continues to increase. Two of the service users bedrooms have been re-decorated. Staff have participated in a variety of training and more staff have achieved NVQ 2 / 3 or are working towards this. New staff have received a more detailed Induction Pack created by Livability. More permanent staff have been employed and the bank staff team has increased meaning there is less need for agency workers and greater consistency of care and commitment. Staff have supported service users with a variety of healthcare issues and followed up various appointments, speaking up on the service users behalf. Under What we could do better, and how we are going to do this: Develop opportunities for greater access for service users within the community. The data set provided with the AQAA shows that no complaints had been received by the service in the 12 months leading up to 7th September 2009. The AQAA shows that three safeguarding referrals were raised, which shows that the service follows the correct procedures on any issues that may concern service users welfare. Information in the AQAA also confirms that all the required recruitment checks had been satisfactorily carried out on new staff, and that sixteen out of eighteen permanent care workers had achieved their NVQ level 2, or above, awards. This means the service well exceeds the recommended level of 50 of staff obtaining this qualification. The AQAA also shows how the service plans to introduce further changes to bring about improvements to benefit service users. Surveys: At the time of writing this service review we had not received any completed surveys from those we sent out for people using the service however this may be due to
Annual Service Review Page 5 of 7 peoples disabilities. The manager has written in the AQAA that: The people who live at our service have profound disabilities and limited communication skills. Our last inspection report also included a comment on peoples limited communication in the summary as follows: Due to the disabilities of the people living in Keefield it is not possible to gather information from them. We did receive a survey from visitors to the home. This included the following comments: Keefield is a really caring and supportive home. It is always a pleasure to go there. They ask for support which is appropriate and always act on advice given by visiting health professionals. They provide a high level of care especially personal care and its always well staffed. We also received two completed surveys from staff, all thought that their induction very well covered what they needed to know when they started their jobs at the home. They also all thought that they are given training relevant to their roles, and that this helped them to understand and meet the needs of service users. All thought that they were supported regularly or often by the manager and that there were usually enough staff to meet service users needs. We asked staff if they knew what to do if someone had concerns about the home, all confirmed that they did. Information received since last inspection: As required by regulations, the home has when necessary notified us of any relevant incidents/information that we are aware of since the last inspection. Based upon the information available at the time of completing this ASR we think that the quality of the service has been sustained since out last review. What are we going to do as a result of this annual service review? At the present time we are not going to change our inspection plan, and will do a key inspection by 27th November 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 6 of 7 Reader Information
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