Latest Inspection
This is the latest available inspection report for this service, carried out on 6th November 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Robinson House.
Annual service review
Name of Service: Robinson House The quality rating for this care home is: The rating was made on: two star good 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: Elaine Boismier Date of this annual service review: 0 5 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 24c Fordham Road Soham Ely Cambridgeshire CB7 5AQ 01353624330 01353723599 robinson.house@craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conquest Care Homes (Soham) Limited Number of places (if applicable): Under 65 Over 65 10 0 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 Robinson House is a purpose built home for 10 adults with learning disabilities, and is in the small Cambridgeshire town of Soham. Within the local community, there are a number of shops, pubs, restaurants and other leisure facilities, and the home makes full use of these as well as the facilities in the nearby larger towns of Newmarket, Ely and Cambridge. The home provides a service for up to ten adults under the age of 65 with a learning disability and associated physical disabilities. Information about current fees, including any additional costs, can be obtained from the home. A copy of our inspection report is available, on request, from the home, or via our website at www.cqc.org.uk Annual Service Review Page 2 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 information we have received from the home since our last inspection, such as notifications. We looked at the results of surveys we have received from five of the residents and from five of the staff. We looked at the report of our last inspection that took place on the 1st November 2007 and the report of the Annual Service Review (ASR) that we carried out on the 23rd October 2008. We looked at the Annual Quality Assurance Assessment (AQAA) that was completed by the Registered Manager. 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. What has this told us about the service? The AQAA told us that the home has taken action after listening to what the residents wanted. For example the AQAA said Service users are involved in menu planning, this appears to be an important part of their lives.They have continued to choose how they wish their bedrooms and communal areas are decorated. External activities have been chosen by service users. Those that wish to attend Next Steps,which is a daycare service that enables service users to gain knowledge in areas of their life i.e. voluntary working, gain independent skills and different experiences within the community i.e. horse riding, paint balling, bowling, football, other outdoor sports, making their own presentations, outlining their own aspirations and designing and making their own Tshirts depicting their own artwork. As well as the social aspect of meeting new and different friends. There is an acheivement (sic) ceremony at the end of the course where they are presented with a certificate outlining their acheivements (sic). One of the residents surveys said that they home could do better by having More things to do. According to the AQAA the residents should be having a good social life as .. music makers, therapy, cinema and personal shopping days are now enjoyed, service users who chose to attend a sports and fun day at another home recently were very proud to have won the cup and each received their own medal. Service users enjoy accessing the kitchen and helping staff at meal times, or getting their own meals, baking cakes or puddings and, as a result of listening to the residents, Regular BBQs throughout the summer was requested by service users, these were put into place. We received five residents surveys that said the people could choose what to do each day, including during the evenings and at the weekends. One of the residents surveys said that the home could do better, however, by having More things to do. Annual Service Review Page 3 of 7 The AQAA, by the homes internal quality assurance, identified areas where the home does well: for example Care plans are reviewed monthly, or more often if required, and amended as appropriate. Where possible amendments are discussed with the service user concerned and they are encouraged to have an input, expressing their own preferences, needs and personal goals and We have very detailed history and person-centred care plans for all our service users. These were compiled with service users input where possible, family members, key workers and other relevant people involved in their care. They are an individual care plan that reflects the individuals needs, likes, dislikes, and personal goals and acheivements (sic) of all individuals. Their wishes concerning all aspects of their daily life are incorporated, whether physical, emotional or mental health needs. As part of the homes quality assurance the AQAA provided evidence to support these claims and also identified areas where improvements could be made, such as Make care plans even more comprehensive. The AQAA told us how such improvements will be made within the next twelve months, To develop and condense the information we have on all service users, making sure we have all the information from all professionals that have been involved in their care. The AQAA said that, within the last twelve months, the home has received no complaints and we have received none against the home.The AQAA also told us how the home ensure the residents are listened to and protected as We have a complaints procedure in place in the home. There is also a whistleblowing policy and complaints procedure in the company for service users, staff and any visitors that may come into the home. All complaints are taken seriously and are dealt with in an appropriate and timely manner and One service user informed us about a member of staff,an issue we felt needed to be passed to the SOVA team, although the team felt there was no cause for this to be raised as a protection issue, the staff member was disciplined. In June 2009, for example, we received information, from the home, telling us of an alleged incident that had occurred between two of the residents and what action the home had taken following this allegation; this included the local safeguarding team being notified. (SOVA= safeguarding of vulnerable adults). All of the five surveys from the staff said that the person knew what they would do if any person had a concern about the home. The residents surveys said that they felt the staff listened to them; they would know who to speak to if they were unhappy about something and would know how to make a formal complaint if they wanted to. All of the residents surveys said that the staff treated them well. The information provided, from the AQAA, the surveys and from our records, tells us that the residents should be actively listened to and should be safe from the risk of harm. The residents should be living in a comfortable, safe and well-maintained place: all of the residents surveys said the home was always clean and fresh. The AQAA told us Communal areas are kept clean and tidy and have been redecorated. They are free from any unpleasant odours. There are no areas in the home that service users are excluded from. We continue to have a rolling programme of redecoration. Each service users bedroom reflects their personality and colours and furnishings have been chosen by them. We have a secure and peaceful garden that is maintained and kept well and We have a new kitchen that was chosen by the service users at their service user meeting. One of the residents surveys suggested that the homes environment could improve to provide ..another living space where (I) can relax in the quiet.
Annual Service Review Page 4 of 7 The AQAA noted that service checks are in date for equipment such as portable appliance equipment, hoists and fire detection and fire fighting equipment as these were last carried out in August 2009. The residents should receive safe care from the staff as, according to the AQAA, nine of the fourteen current care staff have attended training in safe food handling and eleven of these have attended training in infection control.We were also told,90 of staff have gained NVQ 2 or above although we found in another part of the AQAA that nine of the fourteen permanent staff have this qualification i.e. 64.2 . Nevertheless the standard has been met as there is over 50 of staff with this desirable qualification. According to the AQAA Staff work in a cohesive manner to enable the home to run smoothly to benefit the home and service users. Staff now consistently attend all training offered and have gained the qualifications to enable them to provide a better service to each individual. Staff have gained confidence with their abilities to do their job to a high standard and to pass this on to new staff members. Staff now take more pride in their achievements and take ownership of their responsibilities and job roles, in order to support and promote independent life skills for all service users. The home is now a happier home for both the service users and the staff. We received five surveys from the staff and these had mixed views about the way they were managed: all of these said that the person had an induction training that covered everything the person needed to do their job very well or mostly and all of these surveys confirmed that the staff received relevant and up to date training so that they could safely meet the needs of the residents; all but two of these surveys said there was always or usually enough staff on duty to meet the individual needs of the residents whereas the remaining surveys said that sometimes this was the case. Three of the five staff surveys said that the person felt supported by their manager and met with them regularly or often although the remaining two surveys said that they met with their manager sometimes. The AQAA also told us that, due to improvements within the home, Our service users are now more relaxed and have developed a wider range of life skills.We have less reported critical events. The guidelines set out by the management have been followed by staff cohesively, which has enabled challenging behaviours to reduce and support each service user to enable them to understand, feel relaxed and reassured within their home. In our Annual Service Review, of the 23rd October 2008, we said that the outstanding requirement was met with regards to appointing a manager, who is now registered by us. From information provided by our records and from information provided by the AQAA, we understand that there has been no changes of home manager. What are we going to do as a result of this annual service review? This Annual Service Review has told us that the home continues to make improvements and should be continuing to provide good quality outcomes for the people who live at Robinson House.
Annual Service Review Page 5 of 7 We will continue with our inspection schedule and we will carry out a key unannounced inspection by the 31st October 2010. We will continue to monitor information that we receive about the service and we may inspect the service at any time should we have concerns about the health, welfare and safety of the people living at the home. Annual Service Review Page 6 of 7 Reader Information
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