Care Home: New Dawn

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Annual service review Name of Service: New Dawn The quality rating for this care home is: The rating was made on: two star good service 2 9 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: Judith Last Date of this annual service review: 1 6 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Dog Lane Horsford Norwich Norfolk NR10 3DH 01603891533 01603893537 Telephone number: Fax number: Email address: Provider web address:   www.caremanagementgroup.com Care Management Group Ltd (trading as CMG Homes Ltd) Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability sensory impairment Conditions of registration: Number of places (if applicable): Under 65 Over 65 20 20 20 0 0 0 Twenty (20) people with a Learning Disability who may also have a Physical Disability and/or a Sensory Impairment may be accommodated. The total number should not exceed 20. 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 New Dawn is a care home providing personal care and accommodation for 20 Younger Adults with severe learning difficulties. A skill centre is located adjacent to the home and is attended by most service users. Care Management Group, whose head office is located in Wimbledon, owns the home. Annual Service Review Page 2 of 7 2 9 1 0 2 0 0 8 The home is located in the village of Horsford, approximately 8 miles from Norwich. Local facilities, including shops, pubs and a post office are within walking distance. The home is a single storey building with purpose built extensions. All rooms being used as singles and are made individual to the service user. Communal areas are spacious and comfortable. Level access is available to the enclosed gardens and recreation area. There is parking space to the front of the building. It costs from £687 to £2095 a week to live at New Dawn, depending on peoples needs. 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 or annual service review. 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 gives us some numerical information about the service. A survey returned to us by a relative of someone living in the home. Information we have about how the service has managed any complaints. What the manager has told us about things that have happened in the service. These are called notifications and are a legal requirement. The last key inspection and the results of any other visits we have made to the home, as well as the history of the service. Relevant information from other organisations and what other people have told us about the service. What has this told us about the service? The manager sent us the information was asked for before we carried out this review. This gave us information about what has improved since our last visit and what the manager has identified as needing further work. Unfortunately, surveys were not returned to us as anticipated and we had only one person contact us to express their views about the quality of the service. We know from our last visit to the service that people have their needs assessed before moving into the home. The information from the manager tells us that this continues and also says how they plan to make information more accessible to prospective service users in future. This means that people could be confident if they decide to move into New Dawn, that it will be able to meet their needs. People have individual plans and health books that set out how their needs are to be met. The manager says that discussion sessions people have with their keyworkers happen more often so that people can be sure their plans are always up to date and that any changes in their needs will be reflected. A relative commented to us that they have never been concerned that the person centred plan is not progressed as well as it can possibly be. This indicates that individual plans help staff to understand clearly how to meet peoples current needs. A relative confirms they are involved in reviews and updates to peoples individual plans. They wrote to us that they are fully involved, to ensure the persons care package does, and continues to, reflect ...current needs. They consider that the Annual Service Review Page 4 of 7 persons keyworker is professionally competent. This indicates they consider staff have the skills and abilities they need to meet peoples needs effectively. We know from previous visits and from information the manager has supplied, that people living in the home have a lot of difficulties with communication, expressing themselves and making their views understood. The manager tells us that there are plans to continue to look at ways information can be made more easily understood. He says that all of the staff have had training in communication and that four have had more in depth training to help people in this area. One staff member is allocated 15 hours each week to look at how peoples communication needs can be supported. These things indicate that the service looks at how it can support people to make more decisions and choices in their daily lives. A relative confirms that they feel things have improved a lot under the current manager. They say that since the manager took over ably assisted by the deputies who are hugely experienced and intelligent, the place is revolutionised. This supports that the significant improvements we identified when we last visited, have been sustained. We know from previous visits that staff have access to training to help them understand and respond to abuse and know what to do if they have concerns about the way someone is being treated. The regional management team have cooperated with other professionals who are involved in ensuring people are protected and safeguarded in the home. The company also has a whistle blowing telephone line so that if necessary, staff can raise concerns in confidence and outside the immediate environment of the home. The manager tells us that staff meetings are also used to make sure that staff understand their responsibilities and can respond appropriately to concerns. This means that there are measures in place to help ensure people are protected from abuse. We know that people living in the home have a range of complex health problems and our previous visit showed that the staff team work hard to make sure they stay well. They support people with appointments and - if they have to stay in hospital for treatment - try to make sure someone is with them to help them recover and to help other professionals understand the persons needs or problems. The manager continues to tell us about the things he needs to. This includes when people have been admitted to hospital and why, and confirms the arrangements made to support them. The information the manager sent to us, told us about the range of training opportunities open to staff. He plans to further improve this by increasing the numbers of staff who have National Vocational Qualifications to give them the underpinning knowledge that will help them meet peoples needs still more effectively. The company that owns the home has a range of methods and systems for ensuring that the quality of the service people get is monitored and improved. This includes regular audits, surveys of other people with an interest in the service, and monthly visits to check on service quality and report on this to the manager. We know from reports of these visits that they provide for staff to express their views and that efforts are made to check on the welfare of people living in the home. A relative who wrote to Annual Service Review Page 5 of 7 us expressed a high degree of satisfaction with the service, the competence of the staff and the way their family member is cared for. They recognise that there have been many improvements made under the current manager and owners. The information from the manager also tells us that he has worked hard to look at ways he can continue to improve the outcomes and quality of service for people living in the home. What are we going to do as a result of this annual service review? We are not going to change our inspection programme as a result of this review. The information we have shows that people continue to experience a good service at New Dawn and that the manager is committed to further improvements. Under our current regime, we will carry out another key inspection of the service by 28th October 2011 and will review the service again in the meantime. However, we can inspect at any time if we have any concerns at all about the health, welfare or safety of people living in the home. Annual Service Review Page 6 of 7 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. 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