Care Home: Southwest Road (7)

Annual service review Name of Service: Southwest Road (7) 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: Anne Chamberlain Date of this annual service review: 0 7 1 0 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service Address of service: 7 Southwest Road Leytonstone London E11 4AW 02085564286 02085391770 mail@mindinwf.org.uk www.mindinwf.org.uk Mind in Waltham Forest 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: 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 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: Mental Disorder, excluding learning disability or dementia - Code MD 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 Southwest Road is a care home for 3 adults with mental health histories, managed by MIND in Waltham Forest (a registered charity) and operating as part of the Forest Community Project, which offers a range of dispersed social housing - together with outreach support. This is the only registered provision in the project, although the service offered is the same for all service users i.e. support, supervision and accommodation. Staff members are not on the premises for the full 24 hours but are only on duty for five and a half hours or more each day, with a member of staff asleep Annual Service Review Page 2 of 5 on the premises at night. Staff members are contactable via a 24-hour pager system and can respond within 20 minutes. The Forest Community Project is an innovative scheme, offering flexible support to service users. However, the way it is organised, run from a central point with peripatetic workers does not sit comfortably with the law governing registered care homes. The premises consist of a 3 bed roomed terraced house in a residential area of Leytonstone, with community facilities accessible by public transport. The residents at the home share a sitting room, kitchen/ diner and back garden. There are two bathrooms, one on each floor. There is no lift and the kitchen is on the first floor so the home is not suitable for people with limited mobility. The home opened at a time when a lighter touch was used in the registration and inspection of small homes. The home therefore does not meet some current environmental standards e.g. no wash hand basins in bedrooms, inadequate office space, and limited facilities for the storage of staff belongings. Annual Service Review Page 3 of 5 Service update since the last key inspection or annual service review: What did we do for this annual service review? This is the second Annual Service Review (ASR) of this service. In order to complete it we asked the home to complete an Annual Quality Assurance Assessment (AQAA) which they did very competently. We examined the service record for notifications from the service, complaints or safeguarding alerts, also regulation 26 visits which had been forwarded to us. We also telephoned the service and spoke with the registered manager who answered all our questions clearly and satisfactorily. What has this told us about the service? We asked the manager if the risk management framework developed for when the residents are without staff covers, possible conflict between residents, fire, emergencies and illness. He stated that he does and that the staffing has been judged as being adequate. He further stated that the framework covers security and there are instructions by the front door which advise residents how to deal with callers to the house whom they dont know. We asked the manager about fire drills and he said that one had been held in May 2009 and one in at the end of September 2009. They aim to hold fire drills every six months. He also advised us that the Fire Safety Assessment which had been undertaken by Kidde in 2001 is being updated soon. The AQAA told us that there had been two complaints, that they had been upheld, but resolved satisfactorily. We asked about these complaints and were told that they were trivial in nature, and one had been subsequently withdrawn. The manager further stated that there had been no accidents or incidents in the home in the last year. The AQAA told us that two of the residents in the home have now been living in the community without the need for hospital admission for over ten years. One resident did have a relapse and needed hospital admission and the home notified us of this appropriately and appeared to deal well with the situation. The manager said that everyone in the home was well and that they had increased the staff complememt to seven and were fully staffed. We have received no complaints about the service and no safeguarding alerts. What are we going to do as a result of this annual service review? On the basis of the above positive evidence regarding the service, we plan to undertake a key inspection of the home before the end of October 2010. However we can make an unannounced visit at any time, or bring the key inspection forward, should we feel that the safety or quality of the service is compromised. Annual Service Review Page 4 of 5 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. 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