Care Home: Lonsdale House

Annual service review Name of Service: Lonsdale House The quality rating for this care home is: The rating was made on: three star excellent service 2 8 0 1 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: Wendy Grainger Date of this annual service review: 1 1 1 1 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 8 Lichfield Road Walsall West Midlands WS4 2DH 01922721566 01992722767 Angie.crisp@caldmorehousing.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Caldmore Area Housing Association Limited Number of places (if applicable): Under 65 Over 65 15 0 The maximum number of service users who can be accommodated is: 15 The registered person may provide the following category 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: Mental disorder, excluding learning disability or dementia (MD) 15 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 Lonsdale House is a residential home located in Walsall, West Midlands. The home provides a service for people who have mental health needs. The large detached house is situated near Walsall Town Centre, having access to public transport and all local amenities. The property offers three self-contained flats, 10 single bedrooms. Coach houses located at the rear of the property provide further accommodation. People have access to two lounges, dining room, kitchen and a wellmaintained garden. The coach houses provide an open plan lounge/kitchen; single Annual Service Review Page 2 of 8 2 8 0 1 2 0 0 9 bedroom and a shower room is located on the first floor. Staffing is provided on a 24hour basis, this ensures people are provided with support and assistance when required. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at the information received, and requested since the previous key inspection. This included: The Annual Quality Assurance Assessment (AQAA) that was completed and returned to us by the service. The completion of the AQAA is a legal requirement and it enables the service to undertake a self assessment, which focuses on how well outcomes are being met for the people using the service. The AQAA also provides numerical information. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We had contacted the service prior to this annual service review, to request that we could forward to the service surveys for the people using the service and the staff. Surveys provide us with information of the outcomes for the people using the service including any additional comments they wish to make. Surveys by staff provide us with information about their working practices, knowledge and training. At the time of this report we had received three completed surveys from the people who use the service. What has this told us about the service? The completed AQAA was extremely detailed and informative, it provided all the information we had requested. The service told us how they met the equality and diversity, which included: The service respects individuals choice, decisions, while supporting their goals and aspirations. The service encourage the people using the service to live an ordinary and meaningful life, both at home and in the community. We are informed that staff receive specific training in equality and diversity. A person using the service represents the service on the Operations Committee to keep equality issues high on the agenda. The AQAA told us that peoples rights are one of the fundamental principles of the support provided. People using the service hold regular meetings, which are chaired and minuted by the people, with very minimal staff support. This practice ensures that people are able to discuss any problems and the possible solution in a group environment. The AQAA told us that people using the service were involved in the budget preparation for the service. Individuals discuss the items and decoration they would like for their rooms. Information in the AQAA told us that one person had with the support of their key worker designed and decorated their own flat. The AQAA told us about the protracted admission process for any person choosing to live in Lonsdale House. People involved and relevant to the care and support of individuals would be part of the admission process. This ensures that individuals needs can be met and their lifestyle respected, while promoting independence. Annual Service Review Page 4 of 8 The AQAA told us how they have improved in the previous months as a result of listening to the people using the service . The service has updated the service user guide and statement of purpose, people are being encouraged to develop an easy read version. People are now enjoying the aerial system to enable individuals to receive digital T.V in their rooms. People using the service now have full representation with any recruitment for new staff. The AQAA also told us that people using the service contribute and design their own pages in our in-house news letter. The AQAA told us that the main focus of the service was on individuals lifestyle, choice, goals they may wish to achieve. The service encourage people to take controlled risks. Each person is encouraged to keep a copy of their assessment and support plan. Information provided in the AQAA told us that all the staff had received training on the Mental Capacity Act. The service works as a team to break down the barriers associated with mental health to build a workable relationship with people using the service. The AQAA told us about the lifestyle experienced by all the people using the service including: themed food evenings, theatre, pub lunches, art work had been displayed in the local gallery.One person had won a first prize for their art work. People are encouraged to pursue external activities, education and work placements. People using the service were encouraged to maintain links with families, friends and the community. One comment in the returned surveys was that the person would like more activities. The AQAA told us that the service had three choices of meals on a daily basis this would include a healthy option. People are involved with the weekly shopping, menus are created with the consultation of the people. The medical needs of all the people using the service had been identified, arrangements were in place for the continued health needs provided by other professional agencies. The AQAA told us that support to access these agencies varies depending on the needs of the individual. The AQAA told us that all the staff had received accredited medication training. All the medication is maintained in the locked cabinet within the staff bed-sit. Self medication is supported and encouraged, people who self medicate keep their medication in a locked drawer within their rooms. Each person that self medicates have their individual medication administration record (MAR) sheet to complete. The AQAA told us that people using the service are encouraged to discuss their concerns with any member of the team or their key worker. Discussions are often raised within the regular meetings. The complaints procedure is displayed on the notice board and within the relevant documents. Each one informing an individual of the details of the commission. Annual Service Review Page 5 of 8 The AQAA told us that the service had not received any complaints since the last key inspection. There had been no referrals made to the safe guarding team or to us. We were told in the completed surveys returned by the people who use the service that they were aware of the complaints process and who to speak to if they had a concern. Information in the AQAA told us that the sizes of rooms and furnishings may differ due to individual choice. The service is proactive in discussing budgets agreeing with the individual their budget for refurbishment, decoration. Within the last twelve months the service was now using computer-based proactive risk assessments to help safely manage the service. The bed-sit has been decorated and refurbished. A plot had been developed for the people to grow their own vegetables and fruit for next year. One comment in a returned survey told us the service could do better Decorating some of the rooms. One comment felt what the service does well was to provide relaxing home environment. The AQAA told us that the service had a rigorous recruitment and selection process ensuring that the required checks of a Criminal Records Bureau (CRB), Protection of Vulnerable Adults(PoVA) two references are obtained prior to employment. The service had a person using the service on the panel when recruiting new staff. Information in the AQAA told us that staff are issued with a common standards induction pack, induction takes place over a period of a month. The manager conveyed to us in the AQAA that she continues to be proud of her staff, their approach to their roles and responsibilities and compassion and empathy for the people using the service. Comments in the returned survey told us that the staff always treat them well, they always listen to what is said to them, friendly and helpful, look after us. Information in the AQAA told us that staff training was current and included the Deprivation of Liberties and Mental Capacity Act. The majority of the staff hold a National Vocational Qualification (NVQ) level 3. Two staff members had completed a City & Guilds Community Mental Health level 3 . There had been no turnover in staff since the last key inspection. The AQAA told us that the manager had achieved the Registered Mangers Award and National Vocational Qualification level 4. She had a minimum of eight years experience in a managerial role. Her skills and knowledge continue to be updated with training relevant to her role. Information in the AQAA indicates that the service is operated to the best interests of the people using the service. The service had an open door policy with people being encouraged to express their opinions while supported fully by the management and the staff. Annual Service Review Page 6 of 8 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 the 10th November 2011. However we can inspect the service at any time if we have concerns about the quality of service or the safety of the people using the service. Annual Service Review Page 7 of 8 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: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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