Care Home: Mullion

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Annual service review Name of Service: Mullion The quality rating for this care home is: The rating was made on: two star good service 0 5 1 2 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 Walsh Date of this annual service review: 1 2 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: 230 Portsmouth Road Horndean Hampshire PO8 9SY 02392596820 Telephone number: Fax number: Email address: Provider web address:   www.c-i-c.co.uk Community Integrated Care Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users to be accommodated is 3. 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 disability (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 Mullion is a registered care home, providing personal support and accommodation for three young adults with learning disabilities. Mullion is a bungalow set back from the main road just outside Horndean. Mullion is owned by Knightstone housing association. Stephen Brockway is Mullions registered manager, Community Integrated Care are the service providers. Annual Service Review Page 2 of 8 0 5 1 2 2 0 0 8 Mullion comprises of three single bedrooms, a communal lounge, dining room and kitchen, a laundry and an enclosed garden. 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 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 also gave us some numerical information about 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, requirements, recommendations and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? The service was last inspected on the 5 December 2008 and received a 2 star (Good) rating. There has not been any further inspection activity such as an annual service review or random inspection in the last twelve months. In order to carry out an annual service review (ASR) it is required of the service to complete an Annual Quality Assurance Assessment (AQAA) and return to the Care Quality Commission by the required date stipulated in the covering letter. The Care Quality Commission received Mullions AQAA on time. Have Your Say comment cards were received from two residents, three staff and three relatives. The comment cards received from the residents told us they were completed with the aid of staff and/or a family member. The AQAA refers to the people who use the service as residents and therefore will be referred to as residents throughout the body of this review. In respect of equality and diversity the AQAA told us: Residents and staff team members are treated equally in all aspects of both working and opportunity at the Mullion and went onto say in respect of having made any changes, None are necessary, we feel we take account of the needs, wishes and aspirations of residents and staff team members by encouraging involvement by all. The AQAA told us the service takes and has taken account of the needs, wishes and aspirations of residents by improving their essential lifestyle plans, involving and empowering residents in making choices and in the decision making process. The AQAA told us the service has done this by improving communication tools such as, accessible personal plans, listening to and acting on what the residents tell staff through the way they communicate. Annual Service Review Page 4 of 8 The last report told us the service meets the diverse needs of residents by using a person centred approach, respecting their wishes, decisions and aspirations. It encourages the residents to develop and maintain their independence, access their local community and maintain contact with their family. We looked at the information in the AQAA, which identifies the areas of good practice and areas of improvement the home has made in the last twelve months. The AQAA told us the service dose well to support the residents to a high standard in their personal care, diet and their lifestyles. The AQAA told us they create a happy, homely atmosphere in the house so residents can relax and enjoy their lives and at every opportunity provides choices and encourages residents to get involved. The AQAA also told us the service is well managed, has a stable and well supported staff team and good relations with other stakeholders. Stakeholders are other people who are involved in the day to day health and welfare of the residents such as relatives, healthcare professionals and care managers. The last report told us the service provides good outcomes in all eight outcome areas, which includes choice of home, individual needs and choices, staffing and management. The report told us the service does well to provide a clean, homely, well maintained home, where detailed assessments, care plans and risk assessments allow residents to be supported in daily activities and hobbies of their choosing and integrate into their local community. The report went onto tell us the service does well to ensure residents receive a wellbalanced diet, have their health care needs met, and are supported by a staff team who have a good rapport with residents and understand their needs and behaviours. A resident told us: All the carers treat and look after me well. Staff and relatives told us: The Mullion is a warm, friendly and caring towards its residents who seem to be very content. The staff are all cheery and friendly. Over all Im quite satisfied with The Mullion and the care that is given to my xxx. The manager and staff do the best they can The same person told us, Even when they are short staffed. The above statement regarding the service being short staffed was discussed with the manager for clarity. We were informed there was a period in the home when the home was short staffed as two members of staff left around the same time. The manager told us the home have since filled the vacancies and they are now fully staffed. There are nine staff including the manager to three residents. A minimum of two staff on each shift and one member of staff up and awake at night. The manager told us they will often have a third member of staff to cover across the day in order that residents can go out. Annual Service Review Page 5 of 8 If my xxx is unwell they have a good relationship with the GP who will always visit The Mullion. Following the last report the service was issued with one requirement in respect of ensuring staff receive fire safety training. The registered manager must ensure all staff including night staff receive training which is required by law. This is to ensure the people who use the service are safeguarded from the risk of fire. The AQAA told us staff have received all mandatory training. The service completed an action plan in February 2009, which told us all staff had received fire safety training. The AQAA told us in the last twelve months a new fire safety hatch door has been installed between the kitchen and dining room to improve fire safety at night, when only one member of staff is on duty. This will be viewed during the next visit to the service. Staff Have Your Say comment cards told us they are provided with training that is relevant to their role, relevant to the needs of residents and keeps them up to date with the new ways of working. The AQAA told us the service is aware of where improvements are required and their plans for the next twelve months, this includes the refurbishment of the bathroom which is to take place in 2010/2011. Information identified in the AQAA dated 9 November 2009 and discussion that took place during the last visit to the service in December 2008 told us there was a need to refurbish the bathroom in order to meet the physical needs of residents. The Commission is concerned that there is a delay in making amendments to the bathing arrangements when there is an identified need that could impact on the safety of the residents and staff. A member of staff told us in a comment card that the home could do better to improve the bathing system. This tells us the current bathroom is not currently meeting the needs of residents. The registered manager should consider bringing the refurbishment of the bathroom forward to minimise risks to residents and staff. This was discussed with the registered manager who informed us there have not been any reported accidents with the current bathing arrangements and was hopeful that a new bath would be installed in the new financial year. This will be viewed during the next visit to the service. The Commission has not received any complaints in the last twelve months. The AQAA told us the service has not received any complaints in the last seven years but would ensure if they received a complaint that it would be treated seriously and details reported and recorded correctly. The last report told us there are good outcomes in the areas of complaints and protection, The home ensures it listens to and acts upon the concerns raised by the people who use the service and The complaints procedure details how residents or a representative can make a complaint and what action must be taken to resolve it. The report also told us the people who use the service are supported by staff who are aware of how they communicate and express their needs through their behaviours. Relatives told us they know how to make a complaint and who to speak to if they have any concerns. Annual Service Review Page 6 of 8 Always willing to talk to me about any concerns I have. The Commission has received a small number of notifications (Regulation 37) in the last twelve months. Regulation notices are sent to the Commission when an incident has occurred in the service, which has affected the health and welfare of residents. The notice tells us what happened and what action the home took to manage and minimise the risk of the event occurring again. In this instance the Commission has been notified of incidents that have adversely affected the health of residents such as a fall and illnesses related to their learning and physical disability, which required them to be admitted to hospital. 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 5 December 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. 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. 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