Care Home: Primrose Place

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Annual service review Name of Service: Primrose Place The quality rating for this care home is: The rating was made on: three star excellent service 2 7 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: Brenda ONeill Date of this annual service review: 2 0 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 34 Somerset Road Handsworth Birmingham West Midlands B20 2JD 01215540440 01212412597 david@primroseplace.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability sensory impairment Conditions of registration: Mrs Nelam Kaur,Mr David Cobley Number of places (if applicable): Under 65 Over 65 5 5 0 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 (LD) 5 Sensory impairment (SI) 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 Primrose Place is a Victorian style semi-detached house located in Handsworth Wood. It lies in a quiet residential neighbourhood, close to local amenities including shops, parks and bus routes. The service offers quality accommodation for up to five adults with sensory impairment and/or learning disabilities. There is a comfortable lounge with sensory equipment and large separate dining and Annual Service Review Page 2 of 7 2 7 0 1 2 0 0 9 activities room with a piano. There is a kitchen, which the people living in the home can access. A separate laundry room is at the rear of the kitchen. There are five single bedrooms, two of which have en-suite facilities. Those people who dont have these facilities have access to a bathroom and separate toilet. Off road parking is available for one car at the front of the house. To the rear of the house is an easily accessible garden with a lawn, shrubs and trees. There is also an attractive blocked paved area leading to the summer house. The home is decorated in bright colours with touch indicators in the ledges and handrails to enable the people living there who are visually impaired to get around the premises. The specific fees charged at the home were not included in the service user guide but there was a statement stating that fees were agreed with the admitting authority who would be responsible for paying for them. 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. 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. - Surveys returned to us by people using the service and from other people with an interest in 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 annual service review. - Relevant information from other organisations. - What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. 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 further improvements they need to make. The AQAA stated improvements had been made after listening to the people who use the service, staff, relatives and advocates. These were detailed as: We arranged a successful summer team-building day, in response to staff suggestions. We have implemented one new teaching programme, in response to a suggestion from a relative. We have arranged for one relative to receive weekly phone calls from the keyworker, in response to a survey request. We have arranged for staff that have completed their NVQ 11 to progress with NVQ 111, in response to feedback received through supervisions. We have made changes to the choice and quantities of groceries that we purchase, in response to feedback received at staff meetings. Annual Service Review Page 4 of 7 We have introduced various new activities & games for service users, in response to staff & service user feedback. It is very clear from the comments received on the returned surveys that the people living in the home, their relatives and advocates are very satisfied with the services offered at the home. When asked what the home does well several very positive comments were received including: Outing, lots of games and puzzles, nice meals. I like my room. I like living here. Primrose Place is a lovely care home. My X is well looked after and happy. The managers and all staff are a very good team. The home is well run and very homely. Responds to the needs of the client as best they can by knowing her well so as to read the signs of distress or pain. They offer a variety of activities to enable client to participate in local community and provide stimulation to meet her individual needs. The home is a high quality home and provides high quality care and staff to meet the needs of clients. We visit regularly but additionally my Xs key worker phones me every Tuesday to update me. Primrose are always welcoming when we visit and welcome grandchildren and wider family. The twice yearly reviews are always very full and thorough. They are always looking for ways to improve the service. I believe Primrose offers a service second to none and could be a model for care. It treats people as individuals. Staff are friendly and helpful. Introduce activities and involve everyone. When health and social care professionals were asked what the home does well their comments included; Puts clients at the centre of their care. Ensure what is best interests for them. Select care plans appropriate to each individual client. keep health care professionals like myself informed of any needs or changes in their clients behaviour/well being. Have always been impressed by the high standard of care offered. Support residents with activities. Monitor health and medication. provide a comfortable, homely place to live. Staff are always polite and friendly. Six staff returned completed surveys to us. Their comments were generally very positive about the training they received, the management of the home and the service offered. Some staff did feel that the range of activities offered to the people living in the home could be improved. Comments included: Maybe give clients more choice at meal planning and change activities regularly. May be more trips with the residents at the end of the week like a whole day trip. Annual Service Review Page 5 of 7 I think the home could give more choice to the residents in activities. Prior to this report being made final the manager of the home responded to the above comments. He was able to demonstrate quite clearly that staff are consulted about these issues on an ongoing basis and that meals and activities are arranged in the best interests of the people living in the home. He stated: Menus are planned on a weekly basis at a meeting in which all residents that are able to participate are encouraged and enabled to do so. We also check on a daily basis with individual residents whether they are happy with the menu that has been planned for the day or would like anything different. As a result, it is quite common for several different meals to be provided at a time. and Some staff felt that certain activities that take place on a regular basis (such as weekly visits to the local shopping centre, for example) were becoming a little tedious. However, others pointed out, correctly in my view, that the reason we persist with these particular activities is that residents make it clear that these are the places that they would like to visit, even when offered alternatives. The routine of visiting familiar places is of great value to some of our residents, all of whom have autism or anxiety issues. It is very hard to strike a balance between introducing new activities and respecting the preferences of residents, but we feel that we have the balance about right. The AQAA also gives extensive details of the activities people are involved in and states how they intend to further improve in this area. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed 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 26th January 2012. 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 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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