Care Home: King Street (57)

Annual service review Name of Service: King Street (57) The quality rating for this care home is: The rating was made on: two star good service 0 4 0 3 2 0 0 9 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: Alison Duffy Date of this annual service review: 2 6 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: 57 King Street Melksham Wiltshire BA14 9AE 01225707669 Telephone number: Fax number: Email address: Provider web address:   bevtravers@msn.com Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia ABLE (Action for a Better Life) Number of places (if applicable): Under 65 Over 65 6 0 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 57 King Street is one of two care homes in Wiltshire that are run by the voluntary organisation Action for a Better Life (ABLE). Knightstone Housing Association owns the property. 57 King Street provides care and accommodation for up to six people affected by mental illness. The home is situated within walking distance of Melksham town centre. The accommodation is on three floors. Each person at the home has their own room and there are three communal rooms. One of these is a dining room, which is also used as the homes office. There is an enclosed garden and a parking area at the rear of the property. People who use the service receive support from the homes manager and a permanent staff team of support workers. The fee level is 672 pounds per week. Information about the service is available in a Statement of Purpose. 0 4 0 3 2 0 0 9 Annual Service Review Page 2 of 6 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: 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. The previous key inspection, which took place on the 4th March 2009. 3. Surveys returned to us by one health/social care professional. One GP returned their survey uncompleted stating that none of the identified people using the service at King Street were patients of theirs. 4. What the service has told us about things that have happened in the service. What has this told us about the service? We saw from the AQAA that care planning was something the service said they did well. The AQAA stated each service user has numerous care plans in place that cover all aspects of the service users lives. We believe in Person Centred Planning and as such, care plans cover areas such as: Social Skills, Social Activities, Financial Planning and Budgeting, Communication Skills, Personal Growth, Empowerment, Dignity, Rights and Respect and sexuality. All care plans written have as much service user input and involvement as possible and all plans are reviewed regularly. The AQAA confirmed that people were supported to take part in various different activities in the local community. Some people attended work placements. People were empowered to be as independent in as many ways as possible. We saw that all aspects of the persons needs in regards to personal support, healthcare and medication were supported through the use of care plans. People were encouraged to help out around the house and comply with Fire Regulations, keeping the house clean and complying with Health and Hygiene standards and infection control. We saw that the communal areas of the home had been decorated in the early part of last year. Decorating peoples bedrooms, if they were in agreement was planned. The AQAA stated all Policies and Procedures are reviewed regularly and updated copies of ABLEs Complaints procedures are sent out on an annual basis with our Quality Assurance Questionnaires. This ensures that all relevant people are aware of our Complaints Procedure. All team members are trained to a high standard with regards to POVA and Whistle Blowing. Recruitment and training were aspects the service said they did well. The AQAA stated all team members are recruited based on equal opportunities and are employed after relevant POVA first and Enhanced CRB checks have been made. All team members have defined job descriptions which clearly show their roles and responsibilities. All new team members are correctly inducted and receive the adequate training to fulfill their role. We offer a wide range of training opportunities, some of which are mandatory training, others that include some specialised training that is relevant to our field of work. We saw that all staff members had a National Vocational Qualification Annual Service Review Page 3 of 6 (NVQ) level 2. Two members of staff had started NVQ level three. In relation to equality and diversity, the AQAA stated all service users at King Street are encouraged and supported to be individuals, we encourage free discussion to talk about area in their lives that they may need support with i.e. race, gender identity, disability, sexual orientation, age religion and belief. The service users are aware that through care planning, all areas can be supported and care plans are tailored fully to meet the service users needs and requests. The team members are trained and encouraged to support diversity and are regularly supervised to discuss issues that are raised. The AQAA stated that over the last twelve months, the assessment process had been revamped to allow a more smooth transition of new people into the services within ABLE. Staff training had also improved through better use of training funds and training packages. We saw that regular staff training for key working, care planning and safeguarding was to continue. The AQAA stated that the home was also to continue with their Quality Assurance procedures to highlight any areas for improvement, or if necessary, comply with recommendations made through inspections or pharmacy checks. Within their survey, a social/healthcare professional told us that peoples social and health care needs were always properly monitored, reviewed and met by the care service. They said the service always sought advice and acted upon it to improve peoples wellbeing. They said peoples privacy and dignity were respected and people were supported to live the life they chose. They said managers and staff had the right skills and experience to support peoples social and health care needs. In relation to what the home did well, the social/health care professional told us King Street always attempts to meet the individual needs of the client. Having a key worker who forms an excellent relationship with the client is extremely helpful. If there are any problems or somebody is unwell it is dealt with in a very professional manner and appropriately. At the last inspection, we judged seven outcome areas as good and one as excellent. We saw that peoples needs were assessed before they moved in and their needs and interests were well reflected in their support plan. People were assisted with making informed choices and their right to make decisions was respected. People could take risks as part of an independent lifestyle. We saw that peoples healthcare needs were being met and they were protected by the way their medication was being managed. People were supported by competent staff and they were protected by the homes recruitment practices and health and safety systems. There have been no complaints reported to us since the last inspection. The home has informed us of any incidents, which affect the wellbeing of people who use the service, under regulation 37. What are we going to do as a result of this annual service review? The information available, gives evidence that 57 King Street is continuing to provide good outcomes for people. Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 2011. However, we can inspect the service at any Annual Service Review Page 4 of 6 time if we have concerns about the quality of the service or the safety of the people using the service. 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