Latest Inspection
This is the latest available inspection report for this service, carried out on 10th March 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 Pathways North West.
Annual service review
Name of Service: Pathways North West The quality rating for this care home is: The rating was made on: three star excellent service 2 0 0 1 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: Susan Hargreaves Date of this annual service review: 0 1 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: 12 Oswald Street Oswaldtwistle Lancashire BB5 3JF 01254829216 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Pathways North West Limited Number of places (if applicable): Under 65 Over 65 7 0 The registered person may provide the following category of service only: Care home only - Code PC To people of the following gender: Female Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD The maximum number of people who can be accommodated is: 7 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 Pathways is a specifically designed resource, providing assessment and intervention to peoplewith complex mental health needs. The home provides people using the service with an opportunity to engage in a programme of mental health and daily living rehabilitation. The home is registered for 7 people either gender between 18 and 65 years of age. The home is situated in a residential area of Oswaldtwistle close to the town centre with bus links available. The home is a large end terraced house. There are two floors with bedrooms situated on either floor. There are three lounges and a kithcen dining
Annual Service Review Page 2 of 6 2 0 0 1 2 0 0 9 area on the ground floor. There are bathroom and shower facilities to suit the needs of residents. A copy of the Statement of Purpose and Service User Guide is available for anyone making enquiries about the home. The written information explains the care service and what residents can expect if they decide to live at the home. The fees for the home range from £800 to £1565 per week. 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 we have received or asked for since the last key inspection. This included: The annual quality assurance assessment (AQAA) which was completed by the registered manager. 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. Surveys returned to us from people using the service and from other people with an interest in the service. Information 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. What has this told us about the service? 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 improvements they need to make. This includes supporting people using the service to become more involved in administering their own medication and reviewing the service user guide in order to make it more user friendly and informative. Six people who use the service completed a survey most stated that they were treated well by the staff and they could decide what they wanted to do each day. One person wrote on the survey, They take us out on activity days. However, one person considered that the routine should be more client centred and another person felt that staff should be more respectful. The members of staff who completed a survey indicated that they were given up to date information about the needs of the people using the service and two written references and a Criminal records Bureau check had been obtained before they had started working at the home. However, a number of staff expressed concerns about staffing levels. One member of staff wrote, Staffing levels are always at the minimum. Another member of staff commented, There is often not enough staff on duty during the day for service users to be able to go out. One member of staff was also concerned because there was only one person on duty during the night and the member of staff on call did not always have transport or lived some distance away from the home. The manager has written in the AQAA High staffing ratios are our key to success. We are able to adapt our staffing to the needs of service users and activities planned. Staffing levels were discussed with the manager during a telephone conversation. He explained that there were always two members of staff on duty between 9am and 10pm, and usually three. Staffing levels varied according to the needs of people using the service and planned activities. The manager told us that during the night when only Annual Service Review Page 4 of 6 one member of staff was on duty there was an arrangement with other Pathways services in the area to telephone each other every two hours to check that everything was all right. He said it was unusual for the person on call to be contacted and he had only been called out once in the last eighteen months. The manager then gave an assurance that staffing levels were constantly reviewed and discussed at staff meetings in order to ensure that the individual needs of people using the service were met. According to the AQAA three complaints have been investigated and resolved during the last year. No complaints have been made to the Care Quality Commission about Pathways North West. Five of the six people who completed the survey indicated that they knew how to make a formal complaint. All the members of staff who completed the survey stated that they knew what to do if a person living at the home or their relatives complained to them. The manager has told us in the AQAA that as a result of listening to people using the service they no longer hold monthly meetings because people were reluctant to attend. Instead an allocated member of staff consults individually with each service user and their views are communicated to other people using the service in a monthly newsletter. The AQAA also provides information about staff training. This confirms that a programme of staff training and development is in place to help maintain and improve the standard of care for people using the service. According to the AQAA there had been several events that the manager should have notified to the Care Quality Commission. These were discussed during a telephone conversation with the manager and an assurance was given that such events would be reported in future. However, the manager and staff managed these issues well. They work well with us and have confirmed that their service continues to provide excellent outcomes for the people who use it. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. Annual Service Review Page 5 of 6 Reader Information
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