Latest Inspection
This is the latest available inspection report for this service, carried out on 30th June 2009. CQC found this care home to be providing an Good service.
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 REACH Sistine Manor.
Annual service review
Name of Service: REACH Sistine Manor The quality rating for this care home is: The rating was made on: two star good service 1 0 0 7 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: Maureen Richards Date of this annual service review: 1 7 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Stoke Green Stoke Poges Bucks SL2 4HN 01753531869 01753511873 sistine@Reach-disabilitycare.co.uk www.Reach-disabilitycare.co.uk REACH Limited The registered provider is responsible for running the service Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: The maximum number of servuce users who can be accommodated is 18. The registered person may provide the following category/ies of service only: Care Home only - Code PC to service usesr of the following gender: Either Whose primary care needs on admission to the home are within the following category/ies: Learning Disability - Code LD Physical Disability - Code PD maximum number of places 3. 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 Sistine Manor is a large and spacious detached house, which offers residential care to adults with learning disabilities. The home is located on the edge of Stoke Poges village and within reach of the amenities of the village and Slough town centre. It is also
Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 18 18 0 0 1 0 0 7 2 0 0 8 conveniently situated for Wexham Park Hospital. The home is set in large enclosed grounds and there is sufficient on site parking to the front and side of the home. The home is registered for 18 service users between the ages of 18 and 65.Sixteen of the eighteen places are in the main home with two places in a separate building, known as the `Coach House which is considered suitable for service users who have more independent living skills. The home is run by REACH (Rehabilitation Education And Community Homes Limited), which has its head office in Gerrards Cross. Please contact the home or Provider for the current range of fees. 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 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 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. The last key inspection of the home took place on the 10th July 2008. 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 informative and outlined what progress and improvements have been made within the home and what it aims to achieve over the next year. Some parts of the dataset section of the AQAA were incomplete or wrongly completed. Surveys were sent to 15 service users,18 staff and 7 Social and health care professionals. 12 service users, 8 staff and 3 Social and health care professionals surveys were returned. The AQAA confirms that service users are provided with the key information on the home, that pre and post assessments take place and that service users and families are encouraged to visit the home with service users having introductory visits and overnight stays prior to moving in. The organisation has redesigned their service users guide and license agreement and plan to improve their brochure and website over the next 12 months. The AQAA outlines that person centred care plans and risk assessments are in place which are kept up to date and reviewed with service users being encouraged to participate and lead the process. Service user friendly review formats have been introduced with the plan being for service users to be involved in reviews and updating of their person centred plans. The AQAA outlines that service users are supported to be involved in activities and have the opportunity to go on an annual holiday. Families are encouraged to be involved in aspects of every day life of individuals if the service user is in agreement with this. The home offer service users choice of meals and encourage service users to be involved in meal preparation to develop their life skills and promote independence. The AQAA indicates that service users are supported to meet their personal and Annual Service Review Page 4 of 7 healthcare needs with service users having access to healthcare professionals and being supported to self administer their medication. The AQAA indicates that the home has had five complaints in the previous 12 months, none of those complaints were upheld with all complaints resolved within 28 days. One complaint has been received by the Commission in respect of this service during the period under review. This was referred to the provider for investigation and a response received within 28 days. Written feedback received from service users confirm that all of the service users that responded know how to make complaint. The AQAA confirms that the agency has had no safeguarding of vulnerable adults referrals and investigations in the previous 12 months. A safeguarding and whistle blowing policy is in place with the AQAA indicating that the whistle blowing policy was last reviewed in February 2004 and the safeguarding of vulnerable adults policy was reviewed in December 2006.The registered manager confirmed in a telephone conversation with her that these policies were reviewed and updated since then. The AQAA outlines that the home is maintained, clean and homely with refurbishment having taken place over the last 12 months and further work planned to improve the environment of the home for service users. The AQAA outlines that staff are suitably recruited with service users being involved in the recruitment process. Staff are inducted, trained and supervised in their roles. Written feedback received from staff confirm this. The AQAA confirms that they have a high success rate in staff achieving a National Vocational Qualification level 2 or above but have not indicated what percentage of staff have obtained this qualification. The registered manager confirmed in a telephone conversation with her that 17 out of the 18 care staff have a National Vocational Qualification. The home has a registered manager with quality monitoring systems in place to monitor and improve practice. The registered manager confirmed in a telephone conversation with her that she had obtained her National Vocational Qualification level 4 and the registered managers award. The AQAA outlines that policies were updated in 2007 with the dataset section of the AQAA indicating that some policies were updated in 2004, 2006, 2007 and 2008. The AQAA indicates that servicing of equipment is not up to date. In a telephone conversation with the registered manager she confirmed that this section of the AQAA was incorrectly completed.She confirmed that policies were up to date and reviewed and that the equipment had up to date servicing. Information within the AQAA confirms that service users equality and diversity needs are met with specific meals provided, a handbook is being produced in alternative formats, service users in wheelchairs are accommodated in downstairs bedrooms and staff are trained in cultural awareness, equality and diversity. Written feedback from service users indicate that the majority of service users were supported by staff to complete the surveys. They confirmed they were happy with the care provided in particular the activities on offer and the holidays that they are supported to go on. They commented that I love my home, the home and my staff are very good and I enjoy staying here. They give me good care, make the
Annual Service Review Page 5 of 7 environment clean and arrange activities and holidays. The home is clean and tidy. I have lots of activities. I like some staff very much and I love my holidays. Treats everybody fantastically well. None of the service users commented on what the home could do better. Written feedback from social and health care professional was positive with all 3 individuals confirming they were happy with the care provided and included comments such as provides excellent standards of care for residents, responsive and proactive towards meeting the needs of my client, very involved and interested in supporting my client to work towards developing some independent skills. Positive feedback from staff and they are always keen to explore new approaches to working with my client, good professional relationship with family, school, social care and other professionals. I have always been impressed by the service provision. The staff have a warm and welcoming approach and ensure open lines of communication. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. 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 10th July 2010. 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
