Care Home: Rielly`s House

Annual service review Name of Service: Rielly`s House The quality rating for this care home is: The rating was made on: two star good service 0 9 0 3 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: Clare Medlock Date of this annual service review: 0 6 0 4 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 30 St Vincent St Stoke Plymouth Devon PL2 1JH 01752568578 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: Mrs Angela Ruth Rielly,Mr Paul Victor Rielly Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users who can be accommodated is 3. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability or dementia - (Code MD) - maximum of 3 places 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 This 3 bedded home was first registered on 21/04/2005. The home is a 1970s mid terrace house near to Stoke Village, in the centre of Plymouth. A full range of amenities and facilities are available within walking distance and within the greater Plymouth area. The home can accommodate up to three people over three floors. The home is entered on the ground level where there is one bedroom, an office and the main bathroom with toilet. There are then stairs to a lower ground floor level and the Annual Service Review Page 2 of 7 0 9 0 3 2 0 0 9 communal areas. Stairs rise from the ground floor hallway to the first floor and two further bedrooms and a shower room with toilet. The two communal areas in the home are a lounge and also a kitchen/dining area. There is an area of enclosed garden and patio to the rear of the building. There is also a patio area to the front of the lower ground floor area. Residents are free to smoke under shelter to the front and back of the building but not inside. The service offered by the home is for men and women with mental health issues over the age of 30 and under the age of 65. The service provided at Riellys House is not designed to meet the needs of people with significant mobility issues but there is physical disability access to the ground floor facilities. The service is designed to be small and domestic in style. The present weekly fees range from 500 to 550 pounds per week. Information regarding the service is made available to people interested in moving to the home directly from the home or by post upon request. 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 living at Reillys House, from staff working there and from healthcare professionals who visit the home. 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 and healthcare professionals. What has this told us about the service? The AQAA was adequately written, but lacked detailed information in places. The AQAA did not always identify what the service could do better, but did contain information about plans for the next twelve months. The document was handed in within timescales and informed us what changes had been made and what the plans are for the future. We looked at the information in the AQAA and our judgement is that, generally, the home is still providing a good service and that they have information about what improvements they plan they will make. The AQAA informed us that the home are continuing to listen to the views of people who use the service. The AQAA lists that this is done by holding group and weekly meetings. As a result of listening to people the AQAA stated that they have made the following changes: Supplied activities that the service users have expressed an interest in. The AQAA stated We continue to make changes in the menu as required by service users and we continue to encourage alot more interaction and input from the service users about the running of the home. People who use the service were generally happy living at the home. When asked what the service does well, people commented upon the food and the home being clean and efficiently run. When asked what the home could do better, people did not make any detailed comments. One person wrote I like it here. Annual Service Review Page 4 of 7 When we asked staff what the service does well comments read: we ensure that the home is safe and the clients needs are all ways at first, no matter what. The home is clean, and the clients are well taken care of. Another comment read The home is always focused on the needs of the clients and supporting them. Staff and managers take time to keep aware of clients needs and wishes. There is good communication between staff and clients and with each other. When we asked staff what could be done better one comment read I dont think there is any think thats the home could do better in the home, the staff are always kept up to date on every thing. Healthcare professionals also completed surveys about Reillys house. Responses to questions were mixed. Healthcare Professionals considered that peoples assessment arrangements were sometimes accurate. When asked whether people social and health care needs are properly monitored, reviewed and met, the response was either usually or sometimes. When asked whether the care service seek advice or act on meeting peoples social and health care needs, the responses were either usually or sometimes. When asked whether the care service respects peoples privacy and dignity, responses were sometimes. Other responses were that the service sometimes supported people, and sometimes response to the diverse needs of each individual. Healthcare professionals thought that the service manager and staff either usually or sometimes had the right skills and experience to support people. When asked what the service does well healthcare professionals wrote A clean and tidy environment -- like a new pin. When asked what the service could do better, health care professionals suggested more attention regarding activities in the home, ensuring they were best practice and also suggested an activities coordinator would be beneficial. The AQAA stated that the service have supplied activities that the service users have expressed an interest in. Other suggestions included reducing rigidity in the home, for example more flexible mealtimes, to include a cooked meal at teatime rather than lunchtime if that was the choice of people. Other suggestions included more one to one times with the residents. One criticism made to us, is that the home could improve interactions within the home, thus reducing the sterile environment. The AQAA talks about a need for encouraging a lot more interaction and input from service users about the running of the home. and stated we always hold discussions so that the service users are able to make choices about their own lives. We also, with the right amount of supervision, encourage all service users to learn about the aspects of safety which is included in daily living skills. The AQAA stated that Regular discussions are held with all service users to discuss the support that they need with their personal hygiene. Monitoring is maintained to detect any problems. All service users are encouraged to make choices about their preferred way of washing and wrestling, and the times these happen. Staff meetings are held, discussions take place during handover, and reports are well written to ensure the consistency and continuity is maintained. All service users are made aware that help is available when they need it. Annual Service Review Page 5 of 7 The Care Quality Commission has received one complaint regarding Reillys House. This complaint was adequately investigated and managed appropriately. Questionnaires completed by people living at the home indicated that people know who to speak to if theyre not happy and know how to make a complaint. Healthcare Professionals state that the service usually respond appropriately to any concerns or complaints. Staff surveys indicated that they know what to do if people express concerns about the home. The AQAA states All service users are made aware of the complaint) procedure when they move into the home. They also have a copy of the procedure to be followed in their rooms. All service users are reminded and given the opportunity to talk in private. Service users are provided with information from an advocacy service. Staff receive appropriate training (in complaints), and the homes policies are kept up-to-date and readily available for reading. 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 9th March 2011. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. 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