Care Home: Kent House

Annual service review Name of Service: Kent House The quality rating for this care home is: The rating was made on: two star good service 2 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: Chris Schwarz Date of this annual service review: 2 3 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Kent House 1 Haslerig Close Aylesbury Bucks HP21 9PH 01296330101 01296394580 kh@birt.co.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: The Disabilities Trust Number of places (if applicable): Under 65 Over 65 22 0 The maximum number of service users who can be accommodated is: 22 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: Physical disability - PD 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 Kent House is a specialist care service for people with acquired brain injury. The Brain Injury Rehabilitation Trust, which is a charitable organisation, owns the service which is located in Aylesbury close to shops, pubs the post office and other amenities. The building is purpose built and was first registered in 1994. The accomodation comprises of bedsits; four bungalows adjacent to the service for those people who have greater degrees of independent living skills and one self contained flat. 2 4 1 0 2 0 0 8 Annual Service Review Page 2 of 7 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. This included: 1.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. 2. Surveys returned to us by people using the service and from other people with an interest in the service. Ten surveys were returned by staff, two from health and social care professionals and twelve from people using the service. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the service, these are called notifications and it is a legal requirement for the service to tell us about them. 5. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. What other people have told us about the service. What has this told us about the service? The Annual Quality Assurance Assessment was returned in time to carry out this assessment of the service. It was completed in full. It showed that changes had been made after listening to people, such as service users being involved in business planning, a quality review audit took place and service users have been attending training on fire safety, food safety and health and safety. Information provided in the Annual Quality Assurance Assessment reflected various improvements such as upgrading of the environment and furnishings, provision of accessible policies, more frequent updating of service users programmes, issuing all staff with identity badges and providing portable profiles for use in emergency situations, such as going into hospital. The manager has kept us informed of any incidents involving service users and one safeguarding matter which she reported to the local authority for investigation. People using the service said in surveys that they were asked if they wanted to move into the service. Most considered they had been given enough information about it beforehand to help decide if it was the right place for them. People said they always/usually make decisions about what they do each day. They said they knew who to speak with if they were not happy and how to make a formal complaint. Most said the service is kept fresh and clean. Most people who replied said that staff and Annual Service Review Page 4 of 7 managers always treated them well and that staff and managers usually listen and act on what they say. Things they considered the service does well included: they care for me well. They have an excellent chef. The care is very good, they help me get ready for the days activities. Happy to be living at Kent House, the food here is really good. They support all service users well, the place is nice and clean. The meals are really good, living conditions, meals usually, activities usually. Things they felt could be improved included: they could offer more music facilities. Provide more community access, going for more picnics and organise more coffee groups. Social and health care professionals said that the services assessment arrangements ensured that accurate information is gathered and that the right service is planned for people. They said peoples social and health care needs are always properly monitored, reviewed and met. They said the service always seeks advice and acts on it to meet health care needs and improve well being. They considered that medication was appropriately managed and that peoples privacy and dignity were always respected. They said the service always supports people to live the life they choose wherever possible and that staff and managers have the right skills and experience to support people. They considered that peoples needs arising from equality and diversity were always responded to and that the service responded appropriately if they had raised any concerns. One said the service was caring and considerate. Good levels of skills in staff. One said there needed to be better decor in some of the rooms, the other said the service could improve through discharging people quicker. Staff who completed surveys said they are given up to date information about peoples needs. They said they had been thoroughly recruited before they started to work at the service and that their induction had covered the areas they needed to know about very well. All said they receive training relevant to their role, that helps them understand and meet individual needs, keeps them up to date with new ways of working and gives them enough knowledge about health care and medication. They said they regularly receive support and meet with their manager and all knew what to do if anyone raised any concerns about the service. They said the ways in which information is shared worked well and that there were usually enough staff to meet the individual needs of people. They said they always feel they have enough support, experience and knowledge to meet different needs, including those arising from equality and diversity. Additional comments included: the home is always updating us on what we need to do, I think Kent House does a good programme for the clients and there is good communication between staff and management about all aspects of care and rehab. Two people said the service could improve by organising more trips out for service users. The information that has been provided in order to carry out this review indicates that the service continues to provide a good standard of care to people living at Kent House and that we do not need to alter our planned inspection schedule. What are we going to do as a result of this annual service review? The next key inspection of Kent House will be carried out before 23 October 2010 to review our assessment. 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 it. 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. 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