Care Home: RNID

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Annual service review Name of Service: RNID The quality rating for this care home is: The rating was made on: three star excellent service 0 3 1 2 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: Judith Brindle Date of this annual service review: 2 3 1 1 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 113 Brondesbury Road Kilburn London NW6 6RY 02073288540 02083728965 Telephone number: Fax number: Email address: Provider web address:   www.rnid.org.uk RNID Care Services Name of registered provider(s): Conditions of registration: Category(ies) : sensory impairment Conditions of registration: Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Male whose primary care needs on admission to the home are within the following categories: Sensory Impairment - Code SI 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 113 Brondesbury Road is a care home run by the RNID and provides support and accommodation for six residents who are hearing impaired, some with additional sensory impairments. Family Housing Mosaic owns the property. The staff are also trained to support additional needs that include visual impairment, mental health issues, mild physical disabilities and learning disabilities. The house is located in Kilburn and is close to local shops, tube and bus routes. The house is a modernised semi detached property in a quiet residential area. The accommodation is on three floors with the communal rooms being on the ground floor. There is no wheelchair Annual Service Review Page 2 of 8 0 3 1 2 2 0 0 8 access. There are six single rooms with bathroom and toilet facilities on each floor. There is a small well-kept garden to the rear of the house with a patio area and barbecue for the residents use. Parking is limited. Residents are funded by the Local Authorities based in London and the Home Counties from where the residents originated. Information about the service and the fees is available from 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 that took place on the 03/12/08. This included; looking at the annual quality assurance assessment (AQAA) that was sent to us by the service within the timescales set by us. The AQAA is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also looked at four feedback surveys that had been completed by people using the service. We did not receive any completed feedback surveys from staff and/or health and social care professionals, at the time of this annual service review. Other information considered included how the service has managed any complaints, 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 assessed the previous key inspection report, and any relevant information from other organisations was also considered. We spoke with a senior member of staff (the registered manager was not on duty at the time of this annual service review). There was one requirement from the previous inspection, which the senior staff member told us had been met by the service. We thank all those who provided us with feedback about the service during this annual service review of RNID. What has this told us about the service? We received the AQAA (Annual Quality Assurance Assessment), prior to this review. This document had been completed by the registered manager and gave us all the essential information about the service that was asked for, and indicated that the home has a good knowledge and understanding of the National Minimum Standards for Adults. The AQAA included examples to demonstrate how positive outcomes are supported and enabled for the people using the service. Key points within the AQAA included reference to listening to, and supporting people using the service to make decisions about their lives. We were informed of the systems that are in place to gain the views of people using the service and others. These include; holding regular service user meetings and twice yearly Quality Assurance Questionnaire surveys to find out what the views of the service users are. We were told that people using the service have the opportunity to meet and greet prospective new staff at interview and can chat with them and ask questions. We were told from the AQAA of developments that had been made to the service as a result of listening to people. This includes; having partially redecorated all service users rooms by having new curtains with matching bed covers made and fitted. We were told that the care home has an equal opportunities policy/procedure, and staff receive training in understanding peoples equality and diversity needs. The AQAA told us philosophy of care is based on ensuring privacy, dignity, choice, individuality, and independence. We were given (recorded in the AQAA) examples of how the equality and diversity needs of people using the service are met by the home. These include; We offer training to staff, which includes equal opportunities, disability and deaf Annual Service Review Page 4 of 8 awareness, specific training to meet our service users needs, e.g. POVA, MAPA, BSL Food Hygiene and many more, staff treat everyone with dignity and respect and the home is fitted with all the adaptations necessary to facilitate the needs of both service users and hearing impaired staff. We were also told that service users have the opportunity to attend church with staff support if they so wish and service users can develop relationships if they wish to do so, and are fully supported by staff. The AQAA also told us that staff support service users who have specific cultural beliefs, such as making adjustments to the menu, and providing staff to support them to attend special religious events, and we were told RNID have very clear policies & procedures to guide staff if they feel there are poor practices around race, gender, disability etc. Previous inspection told us that RNID has up to date information (statement of purpose and service user guide) about the service that it provides, and that this documentation is available to people using the service and to others. We were told from previous inspection and the AQAA that prospective residents receive a comprehensive assessment of their needs (with their full involvement) before they move into the home, and that each person using the service has a person centred plan of care which is regularly reviewed. The AQAA told us that service users have yearly reviews when family and others involved in the care of the individuals meet and discuss progress, issues and any actions to be implemented, as part of their care plan review process, the service users are given communication support from independent interpreters, this is to assist them in becoming more involved in the review process. We were also informed that care plans were reviewed when the needs of people using the service changed. The AQAA told us that visits to the home by prospective people using the service are supported and encouraged, so that they have the opportunity to discuss their needs and aims, and to be able to ask questions about the facilities,holidays, activities and staff and others can also ask prospective residents questions about their needs and preferences as well as other residents having the opportunity to give their own views of people moving into the home. The senior staff member told us that a person had recently moved into the home and was settling in well. AQAA told us that staff have an knowledge and understanding of the importance of ensuring that people using the service are respected. We were told that the home ensures that all staff are trained appropriately to ensure effective communication to meet the needs of sensory impaired service users. We were told from the AQAA,that people using the service are supported to take part in the activities, and leisure pursuits of their choice, and they are fully involved in making decisions with regard to these. A quote from the AQAA informed us service users have a choice in all aspects of their care, including choices of holiday destinations, meals and clothing, and service users are provided with training courses, holidays, and activities most of which Brondesbury Road covers the cost of. We were told that contact with family and friends is fully supported by the home. Feedback from people using the service told us that they always or usually make decisions about what to do each day. The reason for some people telling us that they sometimes make decisions about what they do, should be looked at by the home. Comments from residents included; I enjoy going swimming, the holidays are good, and I wash and dry my clothes Annual Service Review Page 5 of 8 The AQAA told us that the health needs of people using the service are met by RNID, and they have access to care and treatment from a variety of health care services, including specialist services. AQAA told us that people using the service have access to all medical facilities and staff are available to accompany them to appointments, and we were informed that medication is stored and administered to people using the service safely. The AQAA told us that the home could do better by ensuring that service users have medication reviews annually as part of practice, implicate the recent requirements with regards to the Mental Capacity Act, and assess peoples capacity on an ongoing basis in all areas of their lives. This should take place. Feedback from surveys we received from people using the service told us that they were asked if they wanted to move into the home, and they received enough information about the home before they moved in. Residents told us that the home is fresh and clean, they can do what they want to do during the day, and they know who to speak to if they are unhappy. We were told staff treat them well,and listen to what they say and they told us that all staff are good to me, I am happy at RNID, I am happy in my home, and I enjoy the food. Previous inspection, and the AQAA told us that the home has a complaints procedure. We were told that there had been one complaint and one safeguarding referral made within the last twelve months. The AQAA informed us that all staff receive safeguarding adults training, and that appropriate staff recruitment systems and checks are in place to ensure that people using the service are protected and safe. People using the service told us that they knew how to make a complaint, and who to speak to if they are unhappy. The AQAA told us that the managers in the region have attended awareness training on the Mental Capacity Act and guidance leaflets have been ordered for the staff in the service. The AQAA and previous inspection told us that the environment is suitable for its stated purpose, is clean and homely, and areas for improvement are addressed by the home. Feedback surveys from people using the service confirmed that the home is fresh and clean. The AQAA told us that the care home recruits staff appropriately, retains staff, and staff receive appropriate training including induction to carry out their role and responsibilities in meeting the needs of people using the service. We were also told that staff receive one to one staff supervision and appraisal. The AQAA informed us staffing levels are maintained to meet the minimum staffing requirements, all service users are allocated a named key worker, and we carry out an annual workforce development plan to identify training needs for the staff, and this analysis is based around the specific needs of the service users so that staff have the skills to provide a high standard of care. We were informed by the AQAA and a senior staff member that staff have a key working role and have the opportunity to attend team meetings. The home has systems in place to ensure that safety checks are carried out in the home, policies and procedures are generally up to date, though some are dated 2006. We were told that appropriate monitoring of the service takes place, including monthly checks (audits) carried out by a representative of the Organisation. A quote from the AQAA: as part of the ongoing quality monitoring procedure a Regulation 26 visit is carried out on a monthly basis, during this process the service users are given the Annual Service Review Page 6 of 8 opportunity to speak to the Regional Services Manager and give their feedback on how they feel the service is meeting their needs. The AQAA also told us that we aim to provide all information in accessible formats i.e complaints policy, questionnaires, books and leaflets. The senior staff member that we spoke to told us that information is now available in different formats. The manager is competent and experienced in running RNID, and has significant experience of working with people who have sensory needs. The senior staff member we spoke with told us that the requirement from the last key inspection, with regard to ensuring that the care plans of people using the service are regularly reviewed, had been met. The AQAA and the senior staff member told us that on-going improvements and developments to the home continue to be made. The home tells us about accidents and incidents. The changes due to take place with regard to the Health and Social Care Act 2008 were discussed with the senior member of staff during this annual service review. What are we going to do as a result of this annual service review? It is evident from the information received about the care home since the key unannounced inspection (03/12/08) that our judgement is that the home is still providing an excellent service to people using the service. However we can inspect the service at any time if we have concerns about the quality of the home or the safety of the people using the service. 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). 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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