Latest Inspection
This is the latest available inspection report for this service, carried out on 13th April 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 Good.
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 Patricia House.
Annual service review
Name of Service: Patricia House The quality rating for this care home is: The rating was made on: two star good service 1 2 0 2 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: Deborah Shelton Date of this annual service review: 0 3 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 266 Warwick Road Accocks Green Olton Solihull B92 7AE 01216811448 Telephone number: Fax number: Email address: Provider web address:
middleway@btinternet.com Name of registered provider(s): Name of registered manager (if applicable) Mr Joel Enoma Oghide Conditions of registration: Category(ies) : learning disability Conditions of registration: Middleway Care Ltd Number of places (if applicable): Under 65 Over 65 5 0 The maximum number of service users who can be accommodated is 5. The registered person may provide the following category of service only: Care Home only - Code 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 - Code LD (maximum number of places 5). 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 Patricia House is a large detached property located in the Solihull area of Birmingham. It is set well back from a busy main road and to the frontage has dedicated off road parking. The home is close to the shopping centre at Acocks Green, which has numerous shops, public houses and other local amenities. The town centres of Solihull
Annual Service Review Page 2 of 7 1 2 0 2 2 0 0 9 and Birmingham can be accessed by public transport. The gardens are situated to the rear of the property. There is ramp access leading to the front door and into the rear garden. The Home was initially registered in September 2007 to provide care for five adults with a range of learning disabilities. Resident accommodation is on the first and ground floor. Staff offices, sleep-in and shower facilities are on the second floor. The Home does not have a shaft lift or stair lift. All residents accommodated on the first floor are fully mobile. There are five single bedrooms all with shower or wet room en-suite. The Home has a communal bathroom on the first floor for residents who prefer to bath but this is only accessible to those without restricted mobility. Residents bedrooms are all decorated individually and reflect residents differing tastes and personality. Residents can bring some of their own furniture if they wish. There are toilets located on the ground and first floors. There is a pleasant open plan lounge and dining area leading to a raised decked patio overlooking the rear garden. A statement of purpose and service user guide are available to inform residents of what they can expect at the home. Fees are currently £1,275 per person per week. 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 (Patricia House). The AQAA is a self-assessment that focuses on how well outcomes are being met for people using this service. It also gave us some numerical information about the service. Surveys returned to us by people using the service, their relatives, carers and advocates. Information we have about how Patricia House has managed any complaints. What we have been told about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. Relevant information from other organisations. What other people have told us about Patricia House. What has this told us about the service? At the last key inspection on 12 February 2009, the Home was assessed as providing good outcomes for people who use the service. Services that are assessed as good currently have a key inspection every two years and a review of the service carried out yearly. For this annual service review the Home sent us their annual quality assurance assessment (AQAA) when we asked for it. Detailed information was recorded in the AQAA about improvements made during the past twelve months or planned improvements. We looked at the information in the AQAA, surveys, notifications and other information received and our judgement is that Patricia House is still providing a good service. The AQAA stated the following improvements had been made in the last twelve months, We have improved the staff recording and reporting, streamlining information to ensure everyone is informed of changes in a timely manner. Deprivation of liberty risk assessments have been completed on each service user. We have listened to service user views and acted on them. One example of this is a service user moving out and into supported living accommodation. One service user is working towards the same aim. We are working with Total Communication to continue to improve the way we communicate with service users. The complaints procedure is in pictorial format Annual Service Review Page 4 of 7 and is on display. We have improved the daily handover sheet to reflect which checks are required on which days, this gives a weekly audit of the health and safety in the Home. We have improved staffing levels; ensuring staff in place have the skills and qualities to support service users. We have changed the staff handbook, ensuring every person is aware of their duties and responsibilities. Staff meetings occur on a monthly basis, giving each member of staff an opportunity to air their views and be kept up to date with improvements in the Home. The communication book is used to continually keep staff informed of changes and upcoming events in the Home. We have had a quality audit and acted on its results. We have employed a book keeper to oversee the day to day finances in the Home. We have used a two part interview process to recruit a new manager for the Home. It also recorded that the following improvements are planned; We plan to implement the new person centred care plans and review them on a monthly basis ensuring they include goal setting and achievements of service users, reflecting their decision making and choices. We plan to review the health action plans and ensure they continue to meet the changing health needs of service users within the framework of Valuing People. To continue to keep updated with changing policy and procedures generated from Government offices. To work with other professionals from occupational therapy and RNIB towards improving sight trails in the Home. We are reviewing the current rota with a view to moving into twelve hour days. This will enable service users to be supported without a change of staff in the middle of the day. It will enable staff to have every other weekend off and at least two days per week away from work to rest fully. Our processes will be reviewed to ensure we keep in line with changing legislation, service user and staff needs.. The Annual Quality Assurance Assessment records how they manage peoples individual needs and choices as follows:- each person has a support plan, these have been reviewed and the format has been changed to ensure they are individual in outcomes and are person centred. Service users are able to participate in their own service user meetings and staff meetings should they wish to do so. All staff have attended equal opportunities and equality and diversity training so that they are further equipped to meet individuals needs and choices. The AQAA states that thirteen complaints have been received by the Home in the last twelve months. We have received no complaints since the last inspection. They told us that Service users are reminded of the complaints procedure and encouraged to voice concerns. Advocates are used should service users require additional support to bring their concerns to the Company attention. Staff have attended adult safeguarding training. We work closely with parents when they raise concerns and ensure we work within the best practice methods when looking to resolve issues. The AQAA records that the Home consults with service users who use our service and ensure their views form part of our overall delivery. Has regular service user meetings and key working meetings, to ensure we meet the needs of service users. We work closely with a range of professionals to ensure our service users wishes and needs are met and families and advocates are encouraged to support service users in having their views heard. The AQAA records that seven care staff are employed and five of these staff have
Annual Service Review Page 5 of 7 undertaken the National Vocational Qualification in Care at level two or above. It also records that all staff undertake induction training at the start of their employment as recommended by Skills for Care (the strategic body for workforce development in adult social care). People living in the service completed questionnaires. We asked people in our survey a range of questions such as: Were you asked if you wanted to move into this home? Did you receive enough information about this home before you moved in so you could decide if it was the right place for you? Do you make decisions about what you do each day? Can you do what you want to do - during the day - in the evening - at the weekend? Do you know who to speak to if you are not happy? Do you know how to make a complaint? Is the home fresh and clean? Do the care staff and managers treat you well? Do the care staff and managers listen and act on what you say? The three people who live at the Home responded. People were positive with yes or always responses. People further commented to the question what does the home do well? There has been a vast improvement in the Home since we had a new manager, friendly, caring personal care, communication, encourage activities, appointments, healthy eating, lots of activities, look after us, support me to make decisions I have made a decision to move to supported living, music man. Comments were also made under the section entitled what could the home do better? - changes have been made lately for the better, attention to laundry could be a little hit and miss, more activities which is in hand, more activity, more holidays, more male residents, more staff to help me in the kitchen, Id like to help with preparing meals more often. The home continues to let us know about things that have happened concerning the people who live there since our last key inspection. This shows us that they have managed the issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. 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 12 February 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. Annual Service Review Page 6 of 7 Reader Information
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