Care Home: Portland House Care Home

Annual service review Name of Service: Portland House Care Home The quality rating for this care home is: The rating was made on: two star good service 0 5 1 1 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: Rebecca Shewan Date of this annual service review: 2 6 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 113 & 146 Portland Road Nottingham NG7 4HE 01159787840 01159789995 portlandhouse@activecarepartnerships.co.uk www.schealthcare.co.uk West Regent Ltd 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: Number of places (if applicable): Under 65 Over 65 27 0 The maximum number of services who can be accommodated is 27. The registered provider 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 category, Mental Disorder, Code MD 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 Portland House Care Home is registered to provide accommodation and care for up to twenty-seven younger adults with mental health needs across across two different buildings on opposite sides of Portland Road. Portland House is the larger home and Hemsley House is a smaller house providing support to four service users as a step towards independent living. The service is situated in a residential area close to Nottingham City Centre, and has good access to public transport, and community facilities. The fees for living at Portland House at the time of the inspection are £380.22 to £500 per week. Annual Service Review Page 2 of 8 0 5 1 1 2 0 0 8 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 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 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 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. Comments made in surveys conducted by the Care Quality Commission, of staff and people who use the service. What has this told us about the service? The last report was positive and no Requirements were made. Recommendations for good practise were made in that: When there is an identified need, a person should have a plan for how the service will meet that need. This will ensure that staff support people the way they want and need to be supported. If people decline to be involved in planning or reviewing their support this should be recorded. This means people can be confident that they will always be given the opportunity to make decisions about their lives. There should be ongoing activities available to people and a record kept if they choose not to take part. This will ensure that people continue to have the chance to develop their life and leisure opportunities. The service should ensure that medication records accurately reflect the amount of medication held for that person. This will ensure that individuals medication is administered safely. The complaints procedure should reflect individuals right to make complaints who do not use writing as a means of communication. This would ensure that all people Annual Service Review Page 4 of 8 including people who use the service feel entitled and able to express their views about the service. The home should be cheerful and free from offensive odours. This will ensure people live in a homely, comfortable environment. When there has been an identified need for the manager to resolve something, there should be a record of the actions taken. This will ensure that people benefit from a service that responds to any issues and continually improves. The policies should be reviewed, and then updated where appropriate. This will ensure that people receive support from staff who fully understand their current responsibilities. The homes previous inspection report, AQAA and notifications received provided evidence that: Admissions are generally planned well in advance and emergency admissions are not a regular occurrence. We were informed that from receipt of a referral for admission, the service aims to take the assessment process at the pace of the prospective individual. They are actively encouraged to visit the service early on in the assessment process, in order to make an informed decision about their admission to the service. Services are offered to only those individuals whose needs can be met. We have been told that the Service User Guide and Statement of Purpose are reviewed and updated on a monthly basis to ensure that the most up to date and accurate information is contained within them. The service has an appropriate system of boundaries and restrictions which is safe and practicable, in order to enable people who use the service to have freedom and autonomy, which enables them to make decisions and choices regarding their life. Plans, known as service user plans, are developed using information from the local authority or health professionals care/risk assessments. Plans are also devised, where possible, in consultation with the person using the service. Where individuals decline to be involved in their care or planning processes, this information is clearly recorded. Plans include suitable and appropriate risk assessments, including details of any Mental Health relapses and other issues associated with risk/safety. The service actively supports individuals rights to make choices and decisions regarding their life. People who use the service are included in the day to day running of the home by holding monthly service user meetings, seeking their views by means of satisfaction surveys, consultation regarding menus and activities, monthly reviews of individual plans and by the Registered Manager operating an open door policy. Where people who use the service require specialist support, for alcohol and substance use, the service works cohesively with other agencies. Individuals level of participation in relation to accessing education, occupation and training is fully supported. People who use the service are encouraged and supported to access the community and to maintain family links and friendships, in accordance with their wishes. People who use the service are offered a good provision of health care and personal Annual Service Review Page 5 of 8 support by the service. The service has well established links to other healthcare professional and there is good multi disciplinary working apparent. Medication procedures ensure that all necessary precautions are taken to ensure errors do not occur and that medications are stored and administered safely and effectively. Staff have received training in the safe administration of medications. People who use the service benefit from a robust and efficient complaints procedure, the service responds appropriately to concerns and formal complaints and maintains good records of these. The homes procedures, processes and staff training should protect individuals in the event of an allegation of abuse. Safeguarding issues raised by the home are effectively communicated and there is a clear audit trail of all actions taken by the service. The location and layout of the home are suitable for their stated purpose. The service strives to provide a warm, friendly and stable atmosphere, which individuals refer to as home. The Management of the home continually maintain the environment in as good a condition as possible, despite heavy impact upon it by the behaviours of people who use the service. Where such impacts are apparent suitable care plans and risk assessments exist. The home has a staff team that have the necessary skills and experience to the meet the needs of current people accommodated. There is a clearly defined staff team and people who use the service are aware of staff roles and responsibilities. Recruitment procedures are robust and ensure that people who use the service are safeguarded by the processes used to employ staff. Staff are appropriately trained and supported to conduct their jobs effectively. Training includes: Induction, Health & Safety, Food Hygiene, First Aid, Safeguarding of Vulnerable Adults, Infection Control, Fire Safety, Moving and Handling, Non Crisis Intervention and Medication. With additional training in communication, nutrition, Mental Health, Learning Disabilities and the Mental Capacity Act. 75 of the care staff team have achieved National Vocational Qualification (NVQ) level 2 or above in health and social care. The Registered Manager has been in post since November 2001, which has ensured a consistent management approach. The Registered Manager has achieved the Registered Managers award, NVQ Level 5 in management and has twenty three years experience in the social care environment. The home has an effective Quality Assurance Procedure in place, whereby feedback is obtained from people who use the service, staff, relatives and other stake holders. Feedback from these sources is used to ensure that the service is run in the best interests of the people who use the service. The health, safety and welfare of people who use the service and staff is protected at all times. Incident reporting is good, with crises being managed in an effective and positive manner. We received the following surveys, three staff, one Healthcare Professional and one person who uses the service. The responses to all questions were positive, with all Annual Service Review Page 6 of 8 responses being recorded as either good or always. Comments made included, Helps with shopping and Communication, care/support, is flexible, encouraging of independence and provides a homely atmosphere. In the section where we asked What Could the Service Do Better, the responses were recorded as nothing. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fess and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. 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. 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). 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