Latest Inspection
This is the latest available inspection report for this service, carried out on 27th April 2010. 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 Good.
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 Lee Road (9-11).
Annual service review
Name of Service: Lee Road (9-11) The quality rating for this care home is: The rating was made on: two star good service 2 7 0 2 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: Mike Murphy Date of this annual service review: 2 2 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Southcourt Aylesbury Bucks HP21 8JF 01296483997 Telephone number: Fax number: Email address: Provider web address:
www.mencap.org.uk Royal Mencap Society Name of registered provider(s): Name of registered manager (if applicable) Mr Andrew Reeve-Smith Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is: 6 The registred 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 9-11 Lee Road is registered for the care of six service users with learning disabilities. It is situated amongst a residential estate in Aylesbury and is a short bus ride away from the town centre. All bedrooms are single with one providing en-suite facilities. There is a lounge and a
Annual Service Review Page 2 of 7 2 7 0 2 2 0 0 9 dining area that are adequately sized for the numbers of service users for which the home is registered. A homely domestic environment is provided. There is a large, enclosed garden at the back and parking in the drive and on the road. The home has ramped access with grab rails to the front and rear. The home has easy access to community facilities, including doctors surgeries, shops, pubs, a library and leisure facilities. 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 we have received, or asked for, since the last key inspection or annual review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessement that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information about how the service has managed any complaints. Feedback received through survey forms returned by the date of this review. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The report of the previous key inspection which was carried out on the 27 February 2009. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. 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 the home is still providing a good service and that they know what further improvements they need to make. The home has informed us that it seeks the views of users of the service through monthly meetings, resident review meetings, occasional visits to the home by a representative of an advocacy service, and informal day to day encounters between service users and staff. The manager informs us that Mencap occasionally undertake service user questionnaires where they were able to put forward their views but we have not been informed of such a survey having been carried out in this home since the last key inspection. Improvements have been made to the homes pre-admission assessment process. Improvements have also been made to record keeping. Monitoring of support plans has improved and staff are now more familiar with the current situation of service users and can provode up to date accounts to review meetings and to deal with any enquiries from service users families. Service users are being supported by staff to undertake more activities of their choice in the local community. Annual Service Review Page 4 of 7 Medication pen pictures and risk assessments have been updated to support good practice in the administration of medicines in the home. By utilising a number of services the home reports that it has been able to address a number of maintenance matters in the home. The appointment of a deputy manager in the home has improved communications and the overall quality of management of the home. This facilitates a culture which supports the development of new skills by users of the service. The manager reports that the home has encountered problems in obtaining adequate resources to meet the changing needs of one user of the service. To date, through a combination of staff goodwill and drawing on a surplus in the homes budget it has managed to alleviate the effects of this pressure on users of the service. However, the AQAA did not indicate a resolution of these pressures within the home in the short term. Over the next twelve months the home intends to improve the frequency of key worker meetings (meetings between key workers and individual service users), involve users more in monitoring and evaluation processes, ensure that support plans are kept up to date, encourage and support service users to complain where they are unhappy with aspects of the service, continue to improve the environment, establish regular staff supervision and appraisal meetings, and to ensure that CIP (Continuous Improvement) processes are more effective. We received completed survey forms from users of the service living in the home. Because of the nature of the service all respondents were assisted in completion of the forms by staff. All ticked Yes in answer to the question Can you do what you want to do:During the day/In the evening/At the weekend. All answered Yes to the question Do you know who to speak to if you are not happy and Do you know how to make a complaint. Most said that the home was fresh and clean Almost all said that ..the care staff and managers listen and act on what you say?. Comments included: I like Lee Road; (Lee Road) looks after me good; I think it has a friendly atmosphere, better than living at [name of another service in the area], and It provides me with support to do what I choose to do like going to the cinema, Gateway (club), day centres, listening to music, watching TV, having my personal care, looking after my finances, good meals. In terms of what the home could do better respondents wrote: To have a home van or car to help us cut on our expenses by not using taxis; Try and look at our long stay life and start and plan for us on time; and, Nothing. One additional comment by one respondent: I would like to move on to supported living when I improve my life skills The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown that their service continues to provide good outcomes for the people who use it.
Annual Service Review Page 5 of 7 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 26 February 2011. 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 living there. 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:
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