Latest Inspection
This is the latest available inspection report for this service, carried out on 4th May 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 Excellent.
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 Martins.
Annual service review
Name of Service: Martins The quality rating for this care home is: The rating was made on: three star excellent service 2 6 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: Julie Sumner Date of this annual service review: 2 5 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 2 Ebbsfleet Lane Ebbsfleet Ramsgate Kent CT12 5DJ 01843823010 Telephone number: Fax number: Email address: Provider web address:
www.hqls.org.uk High Quality Lifestyles Ltd Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 2 0 The maximum number of service users to be accommodated is 2. The registered 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 Disabilities (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 Martins provides support and accommodation for 2 people with learning difficulties. The home is spacious with a garden at the back and a garage that is used as a workshop. The home is in walking distance from another home owned by the company. There is parking for one vehicle at the side of the home and on street parking in front
Annual Service Review Page 2 of 7 2 6 0 2 2 0 0 9 of the home. A car is provided for the people who live in the home to use. The current fees for the service are arranged on an individual basis. Information on the Homes services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is martins@hqls.org.uk 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 on 26th February 2009. 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. Information we have about how the service has managed any complaints. 3. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. 4. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 5. Relevant information from other organisations. 6. 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 an excellent service and that they know what further improvements they need to make. They explained in the AQAA that since the last inspection an additional service user has moved into Martins, this was a result of both individuals communicating in their respective daily meetings that they would like to live together again. Both individuals at Martins have been actively involved in making Martins more homely by assisting with the purchasing of furniture, accessories and decorating their respective bedrooms. They told us that new Key Supporters have been identified and new job descriptions have been formulated to further enable and develop all service users opportunities and skills. One of the service users has been actively involved in the design of the new staff induction training package by assisting with a training video that demonstrates active support. The manager told us in the AQAA that the service users behaviour is calmer and there has been a reduction in challenging behaviour. They explain that the service users are more independent. Both individuals have a key to their respective bedroom, they both have free access to all rooms in the house. Only the office and the sleep night room are locked. Both individuals at Martins have increased their activities both internally and externally since they have started to live together. Annual Service Review Page 4 of 7 The Health Action Plans have been further developed. Both individuals have attended opticians appointments recently. The service users medication is under review since their challenging behaviour has reduced. They are also looking to support each person to administer their own medication. Since the last Key unannounced inspection, a new boiler system has been installed. A new washing machine and tumble drier has been purchased. A new settee and chair has been purchased in the lounge which was chosen by one of the service users and additional accessories have been purchased to make the room look more homely. The exterior grounds have been improved. A new digital aerial system has been installed, this has improved the reception of the signals and enabled TVs to be placed in both the lounge and the conservatory. They told us there have been significant improvements to the staff induction pack. It is specific to the organisation and the people they support. It clearly identifies what new staff need and provides them with a sound structure to their induction. The development of the introduction and foundation training will further improve staff skills and knowledge base. The recruitment procedure is also improving and new application forms, interview checklists etc have been introduced. Also a new training evaluation form has been developed to use feedback from staff to further improve training. They told us in the AQAA what improvements they are planning to make in the next 12 months. They plan to relocate the office space and then use the room as a meeting area for the individuals to use either for meetings or for the use of a computer. They also plan to buy a computer for each service user. High Quality Lifestyles are also in the process of implementing a new Person Centred assessment tool which will enable us to put together a more comprehensive document about each individual. They are also developing a more in depth assessment package. This will include an increase in the service specific staff training. Staff training was planned for February this year. They are developing the homes policies and communication systems, using more pictures and simple language so the service users can participate in the design of the paper work they use in the home. They are planning to continue to develop the recruitment process and include the service users in this process. They are going to actively support both the service users at Martins to maintain their own garden and to discontinue using gardening contractors. They plan to continue actively supporting both individuals at Martins to work towards supported living. The last inspection report was very positive about the home. All of the outcome areas for the service were rated as excellent. There were no requirements or recommendations made. The manager and staff team demonstrate their ability to determine what improvements and developments the service users want to make and are supported to put them into practice.
Annual Service Review Page 5 of 7 The AQAA indicates they have not received any complaints and there have been no protection of vulnerable adult referrals in the last year, nor has the commission received any. 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 us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. 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. Annual Service Review Page 6 of 7 Reader Information
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