Care Home: Nascent House

Annual service review Name of Service: Nascent House The quality rating for this care home is: The rating was made on: three star excellent service 0 3 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: Julia Bradshaw Date of this annual service review: 0 3 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: London Road Apsley Hemel Hempstead Hertfordshire HP3 9ST 01442251366 01442251366 nascenthouse@druglink.ltd.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : past or present alcohol dependence past or present drug dependence Conditions of registration: Druglink Limited Number of places (if applicable): Under 65 Over 65 8 8 0 0 This home is registered for 8 people with drug or alcohol dependence. Have there been any changes in the ownership, management or the Yes 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 Nascent House is a Stabilisation Unit providing short-term accommodation and therapeutic support to up to eight service users with past or present alcohol or drug dependency. The house is in keeping with the local community and is situated in Apsley, close to a small selection of local shops. It is also allocated near to the town of Hemel Hempstead, which has excellent shopping and leisure facilities. It provides eight single occupancy rooms. The home retains a waiting list and reports a high retention and success rate. An up to date copy of both the Statement of Purpose and Service User Guide can be located within the main office of Nascent House. A copy of the latest inspection report can also be obtained from the office. The weekly standard fee is Annual Service Review Page 2 of 6 None 0 3 1 2 2 0 0 8 £616.00. Annual Service Review Page 3 of 6 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) was completed by the manager and sent to us on the 28th October 2009. The AQAA is a self assessment tool 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 may 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 inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The manager completed the AQAA in the required timescale and has identified the following areas of improvement to the service within the past twelve months:- Choice of home Our current procedure seems to be working well and therefore we feel there are no changes that are currently required. Individual needs and choices We made the clients part of the decision making process when choosing colour schemes to redecorate the house. Feedback from clients during the weekly committee group is looked and anything that can be reasonably purchased and improved upon is actioned. Lifestyle We have increased the food budget, we have also linked in with another charity to access donations of food from a large local Store. Personal healthcare and support We have purchased pamphlets on Hepatitis and one of the clients prepared, in conjunction with his keyworker, a food hygiene paper which was then addressed in group. Concerns, complaints and protection No changes. Environment We updated some rooms with new furniture, bed linen, curtains, we are endeavouring to colour coordinate the rooms, this is now included in the room checks to ensure that clients do not swap around furniture which changes the look of both rooms. A new front porch was built which has improved the entrance of the building. We have carried out some improvements to the front of the building such as flower pots, new plants, hanging baskets etc. Staffing We improved our recruiting process by advertising in a media that is specific to the work we do. This was beneficial in the sense that it cut down the time taken wading through inappropriate application forms. Annual Service Review Page 4 of 6 Conduct and management of the home We have more structured training programmed in. We have taken on a new member of staff and have worked hard to re-form the staff team. The manager has also identified the following areas of improvement planned for the next twelve months:- We will continue to review clients needs through care plans. The new extended lounge will benefit the clients giving them additional space and privacy. The plan is to furnish and decorate the new lounge in conjunction with the clients. To concentrate on the extension to give the clients more space. To keep abreast of any new health risks such as swine flu and look at training and any other health related issues that would improve our knowledge. We will continue to monitor complaints and concerns to see if there are any recurring issues. We are currently extending the lounge which will give clients more space, we are excited at the prospect of having this additional space and look forward to involving the clients in how best to use this new room. An additional bedroom is also being built which will enable us to be financially independent. We are looking at alternative therapies to compliment our programme, we are also looking at applying for funding to pay for a drama therapist. To constantly monitor our performance in all areas, and strive for even higher standards. To improve the working conditions by extending the office. What are we going to do as a result of this annual service review? We can inspect the home at any time if we have concerns about the care or welfare of people using the service however there is no indication that an inspection is required in the immediate future. In considering the Inspection plan we take into account both the known positive elements together with developing areas of the service. Also of consideration is the vulnerability and number of people living in the home. The next key inspection will be undertaken by 2nd December 2011. Annual Service Review Page 5 of 6 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. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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