Care Home: Limber

Annual service review Name of Service: Limber The quality rating for this care home is: The rating was made on: two star good service 2 6 1 1 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: Diana Green Date of this annual service review: 2 0 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 49 Church Lane Loughton Essex IG10 1PD 02085024533 02085081203 Telephone number: Fax number: Email address: Provider web address:   www.together-uk.org Together Working for Wellbeing Name of registered provider(s): Name of registered manager (if applicable) Mr Ian Jacobs Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 1 11 0 11 One person, under the age of 65 years, who requires care by reason of dementia, whose name was provided to the Commission in February 2004 Persons of either sex, aged 65 years and over, who require care by reason of a mental disorder, excluding learning disability or dementia (not to exceed 11 persons) Persons of either sex, under the age of 65 years, who require care by reason of a mental disorder, excluding learning disability or dementia (not to exceed 11 persons) The total number of service users accommodated in the home must not exceed 11 persons 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: The name of the Registered Individual changed has to Olifunmilayo Eddo. 2 6 1 1 2 0 0 8 Date of last key inspection: Annual Service Review Page 2 of 6 Date of last annual service review (if applicable): Brief description of the service Limber is a large detached family style house, situated in a residential area of Loughton, close to local shops and transport facilities. The home is registered to provide residential care and support for 11 adults and older people with mental health needs. Limber has a large lounge, a separate dining room, and a small quiet room. Service users are accommodated in nine single bedrooms and one double bedroom. The front and back gardens are maintained and accessible, with a large patio area. The home provides 24-hour care and support for people experiencing mental health difficulties. Although staff do provide support or assistance with personal care where required, the home does not aim to meet the needs of those with a physical disability or illness, and is therefore not equipped to meet such needs (i.e. the home does not have a passenger lift, or other aids or equipment). The current fees are available from the home. Additional costs apply for chiropody, newspapers, toiletries and hairdressing. Annual Service Review Page 3 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 of the information we have received, or asked for, since the last key inspection or annual service review. This included: the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment, which is required by law to be completed by the service and 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. Information we have about how the service has managed any complaints. What the service has told us about any other things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the result of any other visits that we have made to the service in the last twelve months. Relevant information from other organisations. 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. Although brief in parts it was clear and gave us the information we asked for. We looked at the information in the AQAA and our judgment is that the service is still providing a good service and they know what further improvements they need to make. We sent five surveys to people living at the home. However no completed surveys were returned to us. It is therefore not possible to include their views in this report. The AQAA informed us that since the previous key inspection there has been an organisational restructure which has provided additional middle management support. As a result of listening to people, a dedicated smoking room with extractor fan has been provided and there are plans to provide a quiet room in the hut in the garden for use by residents. There are also plans to open a fitness facility in the garden with exercise bike, running machine and table tennis for use by residents. The AQAA informed us that since the previous inspection care plans have been developed with residents, improvements have been made in tracking and implementing Annual Service Review Page 4 of 6 medication changes, the quality assurance team have piloted a system of annual visits by a team of service users supported by staff from the organisation and there are plans for this to be incorporated into the annual quality assurance programme. The home has invested funds obtained from the local council and local college for residents minibus trips and additional facilities. Further developments have been identified to provide training for all staff in care planning, and to eliminate the last remaining shared bedroom. The AQAA informed us that the home has a complaints procedure that includes agreed timescales for a response and the procedure is is currently under review. The AQAA also informed us that residents are regularly reminded of their right to complain and their concerns are listened to. Progress has been made to involve service users from other projects with staff support to listen to residents concerns. A whistle blowing policy is also available to staff for use in the event of an allegation being made. What are we going to do as a result of this annual service review? The service continues to let us know about things that have happened since the last key inspection and they have shown they have managed issues well. They work well with us and have shown us that the service continues to provide good outcomes for people who use it. Annual Service Review Page 5 of 6 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. 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