Care Home: Sophia Care Home

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Annual service review Name of Service: Sophia Care Home 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: Judith Brindle Date of this annual service review: 2 2 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 236 Malvern Avenue South Harrow Middlesex HA2 9HE 02084268110 Telephone number: Fax number: Email address: Provider web address:   sofcare@btinternet.com Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Ms Sophia Mirza Number of places (if applicable): Under 65 Over 65 6 6 The maximum number of service users who can be accomodated 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: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code 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 Sophia Care Home is care home registered to provide personal care and accommodation for six adults with a learning disability. The premises are in keeping with other houses in the residential area. The house is located in South Harrow, close to a variety of amenities, which include shops, restaurants and banks. Local public transport facilities include train and bus services. It is a two-story conversion of two semi-detached houses into one six-bed home on two floors. All the bedrooms are single. The kitchen and other communal areas, are located on the ground floor. Annual Service Review Page 2 of 7 There is a well maintained garden to the rear of the house, and parking for vehicles on the street at the front of the house. The home has accessible information about the care home and the service provided. Information about the fees can be obtained from the registered manager/owner. 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 that was completed on the 30/10/2007, and from the previous annual service review which was carried out on the 07/10/08. 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. Eight completed feedback surveys from staff, three from health and social care professionals, and six from people using the service, were returned to us at the time of writing this review. Verbal information from the manager informed us that previous inspection requirements, and recommendations from the previous unannounced key inspection (30/10/2007)) had been met by the care home at the time of the previous annual service review. We also looked at information we have about how the service has managed any complaints, and 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 report, relevant information from other organisations, and the results of any other visits that we have made to the service in the last 12 months were also looked at during this annual service review. What has this told us about the service? This year the home was registered by us to provide a service for six people using the service. It had been registered for five residents prior to this. The manager told us that she had met all the requirements that the registration inspector had asked for. We received the AQAA , prior to this review. This document had been satisfactorily completed and gave us the essential information about the service that was asked for. The AQAA included examples to demonstrate how positive outcomes are supported and enabled for the people using the service. Key points within the AQAA include reference to listening to residents and supporting people using the service to make decisions. Information from the AQAA told us last year we created new lounge, and dining facilities and this year we have made a second bathroom facility downstairs all as a result of listening our service users. We were told that the home is also in the process of adding additional recreational space which will include an activity room with a snooker table and space for other activities as per our service users wishes. The AQAA told us how the equality and diversity needs of people using the service, We ensure that all our staff are aware of, and understand our service users individuality according to their wishes with regard of their race, gender identity, disability, sexual orientation, age, religion and belief. We were told that the home supports residents wishes in regard to supporting their right to be different eg; vegetarians, halal eaters etc, whilst encouraging community integration. The AQAA , and the manager also verbally told us that Sophia care home 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 Annual Service Review Page 4 of 7 others. We were also told that prospective residents receive a comprehensive assessment of their needs before they move into the home, and are supported and encouraged to visit (including overnight stays) the Sophia care home before moving in. The AQAA and previous inspection told us that people using the service each have a plan of care, which they are fully involved in. We were told that during last 12 months staff have come to understand residents needs better. AQAA told us that the health needs of people using the service are met, and they have access to care and treatment from a variety of health care services, such as psychiatrist, epilepsy consultant, nurse, diabetic services, chiropodist, dentist, continence adviser and optician. We were told that people using the service choose whenever they wish to eat and drink, whether they prefer to eat alone or with others including other service users and staff. AQAA told us that some of our residents have full control of their medication within the risk management framework and where service users cannot look after their own medication, the home looks after the medication for them. Recorded feedback from health and social care professionals told us that the care homes assessment arrangements ensure that accurate information is gathered and the right service is planned for people, residents health needs are met, and that advice is sought from health and social care professionals, people have their privacy and dignity respected, and staff generally have the right skills to support people using the service. Recorded comments from health and social care professionals included residents always appear well presented, content and confident, there is good communication with clients, staff work well with service users, the placements have all been successful and people using the service are treated as individuals, and communication is always good. Completed feedback surveys from people using the service told us that they received enough information about the care service before moving into the home, they are supported to make decisions about what to do each day, residents know who to speak to if they are unhappy, the home is fresh and clean,and staff treat them well. Comments from people using the service included the home provides individual services to all clients, residents have individual choices for meals, Sophia care home provides very best individual services to all residents, and I am pleased with the services. Other comments included residents behaviour could be better. AQAA told us how contact between family/friends and people using the service is supported in accordance with the persons wishes and their needs. Previous inspection, and the AQAA told us that the home has a complaints procedure, and that it explains to people using the service how and who to complain to when they have concerns, and that they safeguard residents from physical, financial, material, psychological or sexual neglect, discriminatory abuse or self harm, inhuman or degrading treatment whether deliberate or unintentional. AQAA told us that there have been no complaints or safeguarding referrals within the last twelve months. AQAA and previous inspection told us that the environment of the care home is suitable for residents needs, and that the home is kept clean and fresh twenty four hours a day, seven days week and three hundred and sixty five days a year. We were told that within the last twelve months, a separate living room and dining room have been developed and a new second bathroom has been installed on the ground floor. Annual Service Review Page 5 of 7 AQAA told us that the care home retains staff, and that staff receive appropriate training including an induction to carry out their role and responsibilities in meeting the needs of people using the service. We were told that the home provides staff with all the support and supervision they need to skilfully carry out their jobs and staff have or are completing NVQ (National Vocational Qualifications) level 2 or 3 in health and social care and that staff training is on going. Feedback from a staff member told us that there could be more training. The manager could review the training provided to staff and develop it required. Feedback surveys from staff told us that; they are given up to date information about the people that they support, staff receive an induction which covers everything that they need to know, there are enough staff on duty, staff feel supported and appropriate recruitment and selection checks are carried out. Recorded comments from staff included the home is very clean and each resident is given quality care, residents take part in many activities, care for individuals is totally personalised, residents are happy, the home is very concerned about the residents, and also the staff, staff always respect clients, Sophia care home provides individual services in a better way, the home encourages the clients to be as independent as they can, and the home is well managed and organised. Other comments from staff told us that there could be more interesting activities arranged for people using the service. We were told that the home has written policies and procedures in place for an effective safe service. Previous inspection, AQAA, talking to the manager, and feedback from people using the service and others told us that Sophia care homes registered manager is experienced and competent to manage and run the home and has achieved a NVQ 4 in management and care, and has completed a recent management course, which she told us will be used to introduce new skills and practices into the home. 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 (30/10/2007) that our judgement is that the home is still providing a good service to people using the service. 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. 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