Care Home: Redington House

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Annual service review Name of Service: Redington House The quality rating for this care home is: The rating was made on: three star excellent service 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: Penny McMullan Date of this annual service review: 1 3 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 2 Park Avenue Dover Kent CT16 1ER 01303230102 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Jennifer Marsh 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/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 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 Reddington House is a detached house, situated in Park Avenue in Dover. The home is within easy reach of the town centre with access to bus routes, train station, churches, and leisure facilities. There is a small garden at the side and back of the property and limited parking on the drive and Avenue. The home is registered to care for five service users with learning disabilities. Accommodation is situated over three floors, the ground floor offers one en suite bedroom, a bathroom with shower, the staff office, toilet and laundry facilities. The first floor has a large communal lounge/dining room and a small modern kitchen. There is also one bedroom with a dedicated bathroom. Annual Service Review Page 2 of 7 The second floor has three bedrooms, two en suite and another bedroom with a dedicated bathroom. The home does not have a lift and is therefore not suitable for wheelchair users. The current fees for the service at the time of the visit are #1400 per week, this fee can be increased to the assessed needs of service users. There are additional charges for chiropody, hairdressing, aromatherapy, newspapers and toiletries. Information on the homes services and the CSCI reports for prospective service users/relatives will be referred to in the Statement of Purpose and Service User Guide. The email address for the service is: lara@ldcdover.co.uk 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. 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 comprehensive and gave us all the information we asked for. Five postal surveys were sent to the people who use the service, six to staff and five to health care professionals. Five surveys were received from the people, three from health care professionals and six from staff. Feedback from the surveys was very positive and comments have been included in this report. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service. This judgement was made at the last key unannounced inspection report, dated 27 November 2007. An Annual Service Review was completed on 23rd October 2008. Both reports were very positive. There were no requirements or recommendations made. There is evidence from the AQAA that the home is continuing to look at ways of improving what it does to ensure excellent outcomes for those receiving a service. For example the home has a robust assessment process in place to ensure that as much relevant information about an individual is collected prior to a placement being made and to ensure that all identified care needs can and will be met. As part of the assessment the home now seek consent from the individual being assessed to take a Annual Service Review Page 4 of 7 photograph of the individual and anything that is important to that person e.g. room layout, colour of paint in room etc. The home continues to monitor and improve the Service User Plans to make them more user friendly and have developed the use of digital cameras and associated multi media (transferring pictures to TV, DVDs etc.) as a way of communicating with individuals. The use of personal Picture DVDs for the formal review process is also an option. The AQAA states that the individuals Key Worker is now responsible for the monthly review of the Service User Plan. This supports the residents as their needs can change very quickly and enables the documents to be current and alive. If required, the people who use the service are also supported by the key worker with complex health care needs. The home has broadened opportunities for residents in terms of accessing community facilities. They have accessed a community hall in Dover at the request of the residents. This has enabled the residents to participate in social events and celebrations, such as, birthday, Halloween, Christmas, and Valentines parties. They have also worked with a local restaurant to host Cocktail Wednesdays for residents to attend if they wish. This is an opportunity for residents and service users across the organisation to meet, chat and experiment with making fruit juice cocktails. As a result of listening to the people the home has implemented a structured in house activity programme. The AQQA states that the home continues to be maintained a high standard, especially personalising rooms and areas important to individual residents. Some bedrooms have been redecorated as residents have requested to change the colour of their walls. The hallway and stairs have also been redecorated. A new microwave, toaster and kettle have been purchased as well as kitchen utensils. Specialist training for all staff in relation to autism and epilepsy and resident specific training have been provided. All staff complete common induction standards enabling them access to registration on to the NVQ programme. The organisation have appointed a Training Manager within the company. When asked what the service does well comments are as follows: The people who use the service comment: The staff are good at their job. They let me watch television, and go out on trips. I feel the home looks after me well and supports me with the activities I want to do. I like to help to clean the house, going on trips and doing activities. Comments from Care Managers and Health Care Professional: The home enables residents to have a good quality of life. They encourage independence as far as practicable, give good emotional support and have a can do attitude with service users. The home provides a very person centred service. The standard and care at Redington is high, it is like a home, not a care home, and it is very comfortable. Annual Service Review Page 5 of 7 I have been providing a service to the people living at Redington for several years now. The residents appear happy. They always have interesting things to talk about, i.e. activities they have done or trips they have been on. The staff are really friendly. Staff comments: We care for the residents as individuals. We try to do everything that the resident wants to do. We look after the residents well. We look after the individual needs very well, caring and making sure they have the best care needed to live a normal life. When asked what the home could do better, staff comments: Update training more often, and I would like a pay rise. I cant thing of anything at this point. The AQAA states there have been no complaints since the last inspection. There have been no complaints made to the Commission and feedback from residents indicates they would speak to the staff if they have any concerns. It is evident from the information in the AQAA that the home continues to provide an excellent service. They work well with us and inform the Commission of any issues which may affect the welfare of the people living in the home. 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 27th November 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. 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