Latest Inspection
This is the latest available inspection report for this service, carried out on 8th January 2010. 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 Rowan House.
Annual service review
Name of Service: Rowan 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: Alan Thompson Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: Church Lane Doddinghurst Brentwood Essex CM15 0NJ 01277823853 01277822722 rowan@consensussupport.com www.consensussupport.com Consensus Support Services Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Number of places (if applicable): Under 65 Over 65 6 0 Have there been any changes in the ownership, management or the Yes 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 Rowan House is owned and managed by Consensus Support Services Ltd. It provides care and accommodation for six service users who have a moderate to high level of learning disability. Rowan House is situated on the edge of a small village, with local shops and amenities nearby. Public transport does present some difficulty for staff and visitors. The home has its own transport to support service users to access community facilities. The building is a spacious mock Georgian family house. Residents bedrooms are provided on two floors in single accommodation. There is a separate lounge and dining room on the ground floor. Rowan House has developed two rooms, one as a music/art activity room and one as a sensory room. There is an enclosed garden at the rear of the property, which is mainly laid to patio
Annual Service Review Page 2 of 8 Change of Responsible Individual and a gravel parking area at the front of the property. The Service User Guide and Statement of Purpose are available in appropriate formats. A copy of the last inspection report is available in the managers office. This is discussed individually with relatives when it is published. At the time of the last key inspection fees ranged between £1068.80 and £2030.00 per week. Extras not included in the fees include clothes, toiletries and haircuts. 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 (we last reviewed this service on 25th September 2008). 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. Any surveys that were returned to us by people using the service, their families and from other people with an interest in the home. What the service has told us about things that have happened in the home, 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 home in the last 12 months. What has this told us about the service? Inspection Report: The last key inspection of this service was undertaken on 5th November 2007 and found that of the 32 standards looked at, 2 were judged as exceeded, with 25 met and 5 as nearly met. The inspector concluded that: Residents at Rowan House are offered care that meets their needs and they are supported by familiar and well trained staff. Comments from relatives included really good care and extremely friendly staff. Another relative advised that the family were very happy with the care offered to the resident, and thought Rowan House was a brilliant place. There is a stable team of core staff and a competent manager who know the residents individual needs. They work hard to find ways of communicating with residents and finding new and meaningful opportunities for them to experience. This tells us that overall the home was achieving good outcomes for the people using the service, although there were three statutory requirements made that the registered provider and manager were required to address. These related to the health and safety of service users and when using a ramp, records held on the agency staff employed at the home and the timescales that registered person visits are carried out. In response we have received written confirmation from the registered manager, dated 30th December 2007, that action had been taken to meet these shortfalls. Progress on these will be checked at the next key inspection. Annual Service Review Page 4 of 8 AQAA: This was sent to us when we asked for it and provided us information to confirm that the manager had a good understanding of the service, could identify what they did well and evidence this, and were also able to highlight areas for improvement. A brief summary of the managers comments in the AQAA included: Under What our service does well: Prospective residents are fully assessed by competent persons, using appropriate communication methods with the support of family members advocates to ascertain if Rowan House can meet all assessed needs. If felt Rowan House is a suitable placement, the individual will be offered the most suitable transition period to meet their needs. All residents have individual Support Plans and Risk Assessments to meet their individual needs, review monthly by their key worker. All residents have Health Action Plans to meet their individual health needs, reviewed three monthly by their key worker. We support all residents in their choice of progresive college courses to develop skills in all areas of their lives. Staff support residents to intergrate in the local community at fairs, sports facilities, shops etc. Resulting from a residents survey, there is a varied menu in a format suitable to individual needs, from which meal choises can be made. This also reflects dietary and cultural needs. Staff support residents to maintain contact with family and friends, ie Summer BBQ held at the home to which the residents invite those imortant to them. All the residents are registered with local health care professionals. The residents are fully supported to attend appointments when the need arises. None of the residents are able to self medicate, however independence is encourage by handing the medication to those who are able and asking if they would like to take their medication. The Senior in charge of the shift is responsible for the administration of medication. Medication is audited on a daily monthly basis. Rowan House has a core team of experienced, well trained staff. Rowan house has a welcoming atmosphere, frequently commented on by visitors. Rowan House has not had the need to use agency staff in the past 7 months. When agency staff was needed, they were invited to the home for an induction prior to working with the residents. The same agency staff were then used to ensure a continuity of care. Thorough recruitment procedures take place before staff are confirmed in post. Under Our evidence to show that we do it well: The evidence is shown in the individual support plans, care review notes, daily diaries, past CQC reports, Essex Monitoring visits and internal audits. The residents Support Plans and Risk Assessments reflect the level of support each individual needs in all areas of their lives. All the residents attend college and have a full activity plan. The residents receive certificates from the college relating to their couses. Daily diaries evidence contact residents have with their family and all daily activities. The menu is accessible and meals eaten or refused are recorded. All Senior staff have completed medication training, including training assessment on the medication used in the home. Accurate records are clearly maintained and documented. All medications are stored correctly. The staff rota is completed 5/6 weeks in advance which allows vacancies due to holiday etc, to be covered by staff in plenty of time. The rota is completed to reflect a good skill experience mix of staff. The data set provided with the AQAA shows that no complaints had been received by
Annual Service Review Page 5 of 8 the service in the 12 months leading up to 14th September 2009. The AQAA shows that one safeguarding referral was raised. This was properly dealt with and we are not aware of any ongoing concerns about the welfare of service users. Information in the AQAA also confirms that all the required recruitment checks had been satisfactorily carried out on new staff, and that nine out of nineteen permanent care workers had achieved their NVQ level 2, or above, awards. This means the service does not quite meet the recommended level of 50 of staff with this qualification. The AQAA also shows how the service plans to introduce further changes to bring about improvements to benefit service users. Surveys: At the time of writing this service review we had received five completed surveys from those we sent out for people using the service (some of these had been completed with relatives and staff help), and stakeholders. These gave us views about the care provided. Responses confirmed that most people knew who to speak to if they were unhappy. They confirmed that the home is always or usually fresh and clean and all thought that carers usually listened and acted on what they said. All thought that managers and carers always or usually treated them well. Actual comment made in surveys included, I have a nice clean bedroom, the staff are very nice to me, the staff are very caring, ..... is doing a very good job and keeps us informed, staff team very caring, looks after residents well and contacts health services appropriately. Other comments included, (under what could be done better) room for improvement in the provision of day services and less regimented timetables, more spontaneous activities. Unfortunately at the time of writing this ASR we had not received any completed surveys from staff. It is important that staff have the opportunity to let us know their views about the service they work in. Therefore we will send a further supply of staff surveys to the manager and ask that they are distributed to staff. Any issues raised in surveys sent back to us will be actioned as necessary. Information received since last inspection: As required by regulations, the home has when necessary notified us of any relevant incidents information that we are aware of since the last inspection. Based upon the information we have at the time of completing this review the evidence available does not tell us that the quality of the service has changed since the previous inspection. However we will take account of any further information that comes to us between this review and the next key inspection in case we need to reconsider our judgement.
Annual Service Review Page 6 of 8 What are we going to do as a result of this annual service review? At the present time we are not going to change our inspection plan, and will do a key inspection by 5th 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 7 of 8 Reader Information
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