Care Home: Lynton House

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Annual service review Name of Service: Lynton House The quality rating for this care home is: The rating was made on: three star excellent service 2 8 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: Christine Grafton Date of this annual service review: 2 0 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Lynton House 60 Stone Road Broadstairs Kent CT10 1EB 01843861645 01843861429 manager.lhb@prospects-uk.org Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Prospects For People With Learning Disabilities Number of places (if applicable): Under 65 Over 65 8 8 0 0 The maximum number of service users to be accommodated is 8 The registered person may providE the following categories of service only:(PC) to service users of the followinG gender: Either whose primary care needs on admission to the service are within the following categories: Learning Disability ( LD) 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 The company that owns Lynton House is Prospects, a Christian voluntary organisation, that values and supports people with learning difficulties to support development for a full and active life. Lynton House is a large detached property in Broadstairs and provides accommodation in eight single bedrooms. The Home is close to the seafront and within walking distance of the town and local amenities. There is a paved area to Annual Service Review Page 2 of 7 2 8 1 0 2 0 0 8 the front of the Home that allows parking and also enables easy access for wheelchair users. There is also a ramp to the rear garden area that is accessed through the Home. The fees for support from the home are set during the assessment period and are very individual to the needs of the service user, depending on the level of support required and the staffing numbers provided. Fees can therefore range from £353.00 to £1746.00 per week following the appropriate assessments. 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. This included: The annual quality assurance assessment (AQAA) 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. We looked at surveys returned to us by people using the service and from other people with an interest in the service. We looked at information we have about how the service has managed any complaints. We looked at what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We looked at the previous key inspection and the results of any other contact that we have made to the service in the last 12 months. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. This was very clear and comprehensive, containing excellent information. Our last inspection of 28th October 2008 indicated that they were ensuring excellent outcomes for the people living in the home. The AQAA and all the information we have received since then shows that this has continued. They say in their AQAA that people living at Lynton House have continued to lead a full and active life. We sent surveys to a sample of the people living in the home, relatives and advocates, social and health care professionals and staff who work at the home. We received an excellent response. We received five surveys back from people who live in the home, six from relatives and, or advocates, four from social and health care professionals and four surveys from members of staff. The overall picture was positive. Comments from people who live in the home made in response to the question What does the home do well? included, Everything, Holidays, food, Food, Happy. Comments from relatives and advocates included, It listens to supported people, it encourages independence, it gets those it supports out and about to their choice of events. I do not think this service could do anything better for my young woman. Since my (relative) has attended Lynton House, (their) health, well being and overall happiness has improved tremendously, it is evident (he or she) is very content with (his or her) situation. The overall service is excellent and I am very impressed, the management and staff display a high level of integrity and commitment. Always made welcome when visiting and kept up to date with all matters concerning my (relative). Annual Service Review Page 4 of 7 Create a caring and loving atmosphere which is as close to a family environment as possible. Comments from social and health care professionals in response to the question What does the home do well? included, Communication, follow advice on therapy programmes. Excellent care of residents. Staff comments in response to the question What does the home do well? included, lots of relevant training, staff work well together, residents get given good support and care. There were some comments in response to the question, What the home could do better? Two staff members commented about their supervision, one said that they need to be kept on top of, as sometimes they are spaced out a bit and another felt it would be good to have group supervision, or external supervision. One relative or advocate mentioned that their relative would benefit from an exercise programme suited to their age and physical abilities. Another commented that more stimulating activities would be beneficial. We received one health professionals comment that suggests people who present with behaviours that challenge may not be adequately supported by the staff team. This has been referred back to the provider to follow up. Within the AQAA the manager has noted that the following things have been improved or built upon since the last inspection. They say that as a result of listening to the people who live in the home, some key workers have been changed, a persons routine has been changed in the morning to better suit them, people supported are more involved in shopping for the home and key workers are able to spend more one to one time with their key client. Two staff have received advanced training in administration of medication and they have updated their training matrix so they can see at a glance when updating of the mandatory training is necessary. Environmentally, the fire escape has been repainted and repairs made, general maintenance to keep the house in good repair has been ongoing and an asbestos survey carried out and any work needing doing is in hand. The AQAA also notes that the following things are planned for the next twelve months. They say that the remainder of the staff who have not yet completed their accredited training in Equality and Diversity will do so. They plan to change the height of the spa bath to make it easier for people that they support to access. They also plan to work out how they can fit in more staff meetings and look at the possibility of organising a team building session 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 appropriately. They work well with us and have shown us that they to provide excellent outcomes for the Annual Service Review Page 5 of 7 people living there. 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 October 2010. 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 the service. 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