Care Home: Red Houses (The)

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Annual service review Name of Service: Red Houses (The) The quality rating for this care home is: The rating was made on: two star good service 2 9 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: Suzanne Magnier Date of this annual service review: 1 4 1 2 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: The Red Houses 563-565 Stroude Road Virginia Water Surrey KT16 0PT 01344845240 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Welmede Housing Association Ltd Number of places (if applicable): Under 65 Over 65 6 6 0 0 The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only ? (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) Physical disability (PD) 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 Red Houses is a large, purpose built, detached bungalow situated in the village of Virginia Water. It is owned, staffed and managed by Welmede Housing Association. The service provides accommodation for up to six adults who have complex physical or learning disabilities. The home is decorated in a homely style and all residents have their own individual bedrooms and are provided with specialist equipment. A large Annual Service Review Page 2 of 8 2 9 0 1 2 0 0 9 lounge, separate dining room and conservatory provide a generous amount of communal space. There is a large enclosed garden with lawn and patio areas to the rear of the property and off street parking is available to the front of the home. 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: 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 and numerical information about the service. Surveys were sent to people using the service and to other people with an interest in the service. Two written surveys completed by staff on behalf of two residents were received, five staff and four surveys from health care professionals were received and the comments have been included within this service review. Additional information is also about how the service has maintained standards, made improvements and plans for the future. Evidence has also been received about how the home manages any complaints and safeguarding concerns and what the service has told us about things that have happened in the home, these are called notifications and are a legal requirement. We looked at the previous key inspection details, the results of any other visits that we have made to the service in the last 12 months and any relevant information received from other organisations. What has this told us about the service? The home sent us their annual quality assurance assessment 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 a good service. The AQAA advises that the home has a Statement of Purpose and Service User guide. All residents have a care plan which details their daily support needs to make sure that staff are aware and meet their care needs. Each resident has documented risk assessments regarding their activities of daily living to make sure that their safety and well being remains paramount. Both the care plans and risk assessment documentation is reviewed and any necessary changes made and documented. The AQAA identifies that an improvement by the home is to monitor and review the residents person centred plans on a more regular basis. The two surveys received on behalf of residents were favourable about the home and the staff. Annual Service Review Page 4 of 8 The AQAA advises that health care services remain available to all residents. The home have maintained their professional relationships with outside health care professionals including visits to and from their GP and having access to the primary care services including dentist, dietitian, occupational therapist, speech and language therapist, continence management advisors and district nurses. The home have identified their improvements which have included implementing health action plans and reviewing the continence management needs for all residents. Plans for further improvement to benefit residents would include to employ the services of a physiotherapist who would work with each resident on an individual basis. Comments received from health care professionals regarding the home included that the home is generally caring and cooperative with professionals, the home care for peoples needs as individuals with respect and dignity. The staff are lovely and obviously really care for the residents. The staff at The Red Houses carry out all the required duties and have a strong relationship with service users regarding their care. The AQAA advises that the home provides group and individual activities which residents take part in and these include going out for meals in local restaurants which are wheelchair accessible. Enjoying day trips using the homes adapted vehicle, going to the theatre mainly to watch musicals or the Christmas pantomime, visiting local shops, cafes and town centres. Attending day centres, sensory sessions for example aromatherapy and reflexology, music therapy, intensive interaction sessions, swimming and going to a local club. The homes staff have introduced a new activity which includes swimming in the hydrotherapy pool and a PAT dog session. Staff are monitoring the PAT dog activity in order to ascertain residents responses to the sessions. The AQAA advises that family contact is encouraged and maintained and family and friends are invited to the home and take an active part in their loved ones lives. The home has a formal complaints procedure. The AQAA advises that no complaints have been received by the home within the last 12 months and the home has not been subject to any safeguarding vulnerable adult referrals and all staff are aware of how to report and have accountability to report any matters which may cause harm or abuse to the residents. Residents can have access to an advocacy service when they need help or advice in matters in their life. The AQAA advises that there are plans to set up a formal training programme to introduce the Deprivation of Liberty Standards to all staff and that staff would benefit from training in the Mental Capacity Act. The homes environment has all the necessary equipment to support residents to lead a dignified lifestyle. Individual equipment for example portable and overhead hoists, an adapted vehicle, specialist bathing equipment, a wheelchair accessible garden and a conservatory are available for residents to use safely. All residents have a private single bedroom and share communal areas of the their home. The homes staff have identified some improvements to the homes environment Annual Service Review Page 5 of 8 to benefit residents which include to change a formal dining room into a sensory room, redecorate the lounge and make the garden more accessible for residents to use. The recruitment and selection of staff ensures that all appropriate checks are made to make sure that residents are protected and safeguarded from any harm or abuse. The AQAA advises that improvements have been made which include that two new staff had been appointed and a significant amount of training has taken place in the last 12 months. Three members of staff out of ten have achieved their NVQ Level 2 award and the home has identified this area as needing to be improved. Written comments received from staff included that staff training is being kept up to date equipping us with more knowledge and skills to look after the service users. Service users have more choice mostly about their dietary intake and are going out more often and there are in house activities. It would be good if service users could go on holidays rather than day trips and providing a day centre for service users even for a day or two a week would be good. The home has a good mix of staff with varying levels of experience, the older staff are willing to help less experienced staff and this allows a greater understanding on the whole. Staff ensure the well being of service users at all times and keeping all relevant parties aware of the needs and changes which shows excellent communication. The home could look into more activities for the service users which are suitable for people with profound disabilities. The home is always clean and tidy and service users receive excellent personal care. Staff know the service users very well which helps to meet their needs and this is very important as service users have communication difficulties. What Welmede could do better is to employ more staff. The AQAA advises that the home have a Quality Assurance process which includes obtaining the views of residents through their family members and friends, visitors to the home including health care professionals who are involved with the residents. The management of the home is consistent and the registered manager has achieved the NVQ level 4 Leadership and Management for Care Services award. The AQAA advises that the homes management has been strengthened with the introduction of a new filing system in all Welmede homes to make sure all important documents are in place and easy accessible. The unannounced format of the Regulation 26 visits have been reviewed and a more detailed form has been implemented in order that a clearer audit trail is available to demonstrate the shortfalls and quality of the service the residents receive. The home continues to let the commission know about things that have happened since the last key inspection and they have shown that they have managed issues well. They work well with the commission and have shown us that the service continues to provide good outcomes for the residents 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 the 31st December 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 8 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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