Care Home: Mayfield

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Annual service review Name of Service: Mayfield The quality rating for this care home is: The rating was made on: three star excellent service 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: Kathryn Silvey Date of this annual service review: 0 9 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 7 Horton Road Gloucester Gloucestershire GL1 3PX 01452530004 Telephone number: Fax number: Email address: Provider web address:   enfys.groombridge@brandontrust.org www.brandontrust.org The Brandon Trust Name of registered provider(s): Conditions of registration: Category(ies) : learning disability sensory impairment Conditions of registration: Number of places (if applicable): Under 65 Over 65 9 9 0 0 The maximum number of service users who can be accommodated is 9 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) Sensory Impairment (Code SI) 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 Mayfield is a large detached house, which is registered to provide care and accommodation for up to nine adults with learning disabilities. The home is close to the centre of Gloucester. Service users are supported to access local facilities such as the Post Office, shops and the library. The home has transport appropriate for service users needs and is close to bus routes and the railway station. There are two bedrooms on the ground floor as well as a bathroom with an adapted Annual Service Review Page 2 of 7 bath. The remaining bedrooms are on the first floor, along with additional bathroom and toilet facilities. The home has a spacious lounge, dining room and kitchen. There is also a large garden. The Brandon Trust runs the home. According to information from the inspection, fees are in the region of £1100 per week. Additional contributions are made towards the cost of transport. Prospective service users are given information about the home including copies of the Statement of Purpose and Service Users Guide. The latter includes information about what is covered by fees. 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, the Care Quality Commission, 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) 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 should also give us some numerical information (DataSet) about the service. Surveys returned to us by people using the service, and from staff and 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 things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and what other people have told us about the service. What has this told us about the service? Following the last inspection in August 2008 the manager sent us an action plan outlining what they will do to improve the service, and also updated us in November 2008 about what had been achieved. The information we received was detailed and included further good practice to support people in the home, and help ensure their health and well being is promoted. The home sent us their annual quality assurance assessment (AQAA), which was very well completed, including the Dataset. The AQAA told us how the following changes have been made to help improve the the home; by listening to people and observing them, for example one of the upstairs bathrooms now has a shower to support the mobility needs of people who find it difficult to comfortably access the bath. Another example was to change the staff shift pattern to ensure that there were two staff on duty to assist a person to bed at a time of their choosing. The AQAA also told us that a more person centred approach is used where people are enabled to make informed choices about their lives, to include; where they want to live, how they want to spend their time, what support they want and need. Many staff have completed equality and diversity training and team meetings are used to explore role play to identify and question the homes practice to enable improvements to be made. The AQAA told us that an equality and diversity plan for Mayfield has been devised to help ensure that staff actively include equality and diversity in everything they do. Ten of the fifteen staff have completed their NVQ level 3 training and three staff are currently completing it. People are are supported to access a range of activities and interests that helps to include them within the community. These include; local library, leisure centre, college, art and gardening, pubs, cinema, bowling centre, swimming, hosting a music social get Annual Service Review Page 4 of 7 together with other people in Gloucestershire on a weekly basis, discos, a holiday with staff support. The Trust has produced a new formal admissions/discharge format, which previously they did not have. The AQAA told us that the quality assurance feedback records are used with people. These provide feedback from many different people about the service, and improvements are made as a result. A communal whats on board has been provided to give information about activities in a pictorial format. The home also has a community mapping poster to identify the areas people access within their local community, how they are included, and what improvements could be made. The home sent us an example of improved information about the service, which helps people to know where their money comes from and what it is spent on within the home. The AQAA told us that there is new lounge and dining room furniture. It also told us that each month a check of all areas in the home is completed to ensure equipment is working, the home is clean and areas for repair and any fire hazards are identified. The home has also reviewed and updated the infection control procedures using the Department of Health Essential Steps guidance. We had seven surveys returned to us from people living in the home, three from staff working in the home and one from a healthcare professional. The people living in the home had help from the staff and a relative to complete the surveys, and most comments were positive. One relative wrote that students are supported well, and if you are worried about anything there is always someone to talk to. What the homes does well comments told us that a person can have a bath when they want, and that activities are offered and peoples choices are respected. What could the home do better comments included making the home more of a fun place to live, especially at weekends and having more photos (to look at), and more weekend trips to London with the staff The Staff surveys told us that employment checks were carried out to include references and Criminal Records Bureau checks and that the manager often supports the staff. Staff also told us that there is usually enough staff, however, one staff member told us that staffing budgets made completing care records difficult in the time given.. The staff also told us that the home has an enthusiastic team that supports people well and that they are always improving the way they work. A local doctor completed a survey for us and told us that the home is, probably the best run/managed home i go into (and i go into lots), and has very caring staff. Annual Service Review Page 5 of 7 We looked at all the information and our judgement is that the home is still providing an excellent service and that they know what further improvements they need to make. 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 04/08/2011. 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 using the service. 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