Care Home: Spring Lake

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Annual service review Name of Service: Spring Lake 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 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 17 Forty Lane Wembley Park Middlesex HA9 9EU 02089085233 02089085233 springlake@talktalk.net Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Waterhouse Properties Limited Number of places (if applicable): Under 65 Over 65 11 0 The maximum number of service users who can be accommodated is: 11 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 Spring Lake is a registered care home that provides accommodation and care for up to 11 adults who have a learning disability. The home is a large detached house located in Wembley Park, and includes two furnished and decorated outbuildings, where residents have the opportunity to take part in day care activities. The home is in a residential area, close to local shops, including a large supermarket, banks, a post office, a library, and cafes. Bus routes and an underground station are within a few minutes walk from Spring Lake. The bedrooms are all single occupancy and one has en suite facilities. There is a large, enclosed and well-maintained garden. There is parking Annual Service Review Page 2 of 8 for several vehicles at the front of the house. 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 (29th October 2007), and the Annual Service Review (13/10/08). This included; looking at the annual quality assurance assessment (AQAA) that was supplied to us by the service prior to this annual service review. 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 2 feedback surveys completed by staff, 3 from people using the service, and 2 from residents, and 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. We also spoke with the registered manager. The previous key inspection report, records from the service person in control monitoring visits to the home and relevant information from other organisations was also considered. There were six requirements from the previous inspection, which the manager told us had been met by the service. We thank all those who provided us with feedback about Spring Lake during this annual service review. What has this told us about the service? The AQAA (Annual Quality Assurance Assessment) document had been completed by the registered manager, and gave us all 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 included reference to listening to, and supporting people using the service to make decisions about their lives. AQAA told us of the systems in place to ensure that people using the service are listened (most people using the service have significant communication needs), to. We were told of the systems in place to understand and obtain the views of residents. AQAA included getting our service users to communicate their views using their preferred method of communication, and by using multi-media and including them (people using the service) at reviews, via parents and advocate meetings also input from key workers and other external professionals who work closely with us. We were told of developments that had been made to the service as a result of listening to people using the service. These include; by way of constantly reassessing their individual needs and addressing them accordingly, all staff using a consistent approach when working with service users, and by giving service users meaningful choices, also group and individualised holidays. We were told of the ways that the home incorporates the equality, and diversity needs of residents into the service that it provides. An extract from the AQAA told us that the home ensures that it acknowledges the fact that each service user is a person first and the disability factor comes second, and that each person is unique, and Spring Lake ensures that each service user is treated with respect, with dignity and given equal opportunities as far as possible, by respecting, promoting and celebrating their religious beliefs and practices accordingly. We were also told that Spring Lake Annual Service Review Page 4 of 8 integrates people using the service into the community and residents enjoy and make use of community facilities as far as possible, by respecting the choices that they sometimes make, and respecting their sexual preferences. We were informed that staff receive training in understanding and meeting the equality and diversity needs of people using the service. We were told that the home employs a diversity of staff which reflects the cultural needs of the service users, and ensures that cultural foods are on our menu and being given to service users. We were also told from previous inspection, and the AQAA that the home has a referral and assessment policy which tells us that prospective residents receive an initial assessment of their needs before they move into the home. AQAA and previous inspection also told us that residents each have a plan of care, which reflects the care needs for each resident. We were informed that the home is planning to look at more ways to develop and promote Person Centred Care (when the persons care plan is led by them and central to the care and support that they receive from the service). Extracts from the AQAA informed us that the health needs of people using the service are met, each person has a health action plan, and they have access to care and treatment from a variety of health care services. We were told from previous inspection, and the AQAA that people using the service are supported to take part in the activities, and leisure pursuits of their choice. Extracts from the AQAA told us that the home has a structured weekly programme for all the service users which include entertainment, and also has a 24 hour programme which enhances service users life skills and independence. We were also told that a new minibus with a tail lift has been purchased for the well being and safety of service users and due to staff consistent approach we (Spring Lake) have managed to reduce some service users behaviours that challenge. The manager told us that the homes menu reflects the cultural and religious needs of the service users. Feedback from people using the service told us that they like the meals in the home. A residents feedback survey told us that there could be more activities at the weekends. This should be looked at by the service. Feedback from surveys that 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, staff treat them well,and listen to what they say. Relative surveys told us that Spring Lake does everything well, and the service is fantastic, and the food and care is good. Previous inspection, and the AQAA told us that the home has a complaints procedure. We were informed by the AQAA that the home has updated their complaint policy and procedures, and that there have been two complaints within the last twelve months. We were told that the home listens and tries to resolve any issues accordingly, and that enhanced Criminal Record Bureau (CRB) checks and protection of vulnerable adults (POVA)checks are carried out prior to new staff starting shifts, also they are supervised throughout their induction by experienced staff or the managers. We were told that staff have received safeguarding adults training, and training with regard to the Mental Capacity Act 2005. Feedback via surveys from people using the service told us that they know who to speak to if they are unhappy. A residents survey which was completed with a relative told us that the laundering of residents clothes could be Annual Service Review Page 5 of 8 better. The laundry service could be reviewed to ensure that it is evident that it is providing a quality service to residents. AQAA and previous inspection told us that the home is clean. We were told that the home is well furnished and designed to suit the needs of our service users, and that individual rooms are equipped according to each service users coping abilities and likes and dislikes. The home told us that they have fixed hand rails on the steps leading to day centre for the safety of our service users when walking down the steps, and that they are re-designing the courtyard to facilitate the new mini bus and visitors. AQAA told us that the home has a well trained, dedicated and committed staff team of 14 members , and that the ratio of care staff to residents reflects their needs. Extract from the AQAA told us that 80 of staff have completed NVQ (National Vocational Qualification) 2 & 3 in health and social care, and regular staff meetings are held, in which topics of learning are looked at. We were also told from the AQAA that the home now has a more stable staff team which is good for service users with Autism. AQAA told us that staff supervisions and appraisals are carried out regularly to keep up with the standards and good practice. Staff feedback surveys told us that staff are always or usually given up to date information about the needs of the people using the service, their induction covered mostly of what they needed to know to do the job when they started, and they are provided with training that is relevant to their role, which helps them to understand and meet the needs of people using the service. Staff also told us that they are given enough support, and there are generally enough staff to meet the needs of all the people using the service. Comments from staff included that staff take care of service users with consistency and team work, and that staffing numbers could be better to ensure that residents have a better service and attention. Records told us that the owner ensures that monthly checks of the quality of the service are carried out by a representative of the organisation. We were also told that the home has up to date policies and procedures to ensure that a quality service is provided to people using the service. An extract of the AQAA informed us that the management ensures good health and safety practices are up held for the sake and well being of the service users and that appropriate and required safety checks are carried out, and the home has a liability insurance which is renewed annually. The manager told us that the home has procedures in place with regard to responding to swine flu. The registered manager told us that she has had a significant number of years experience of working with people who have a learning disability, and has managed the care home for ten years. She told us that she is a certified PROACT SCIP instructor and she trains staff on pro-active strategies and interventions, and instructs staff from Spring Lake and other care homes within the organisation. She has achieved a care management qualification, and keeps her skills updated by attending a variety of training courses, including Mental Capacity Act 2005/Deprivation of Liberty safeguards training. The manager has an awareness of the changes taking place (registration of services) in 2010 with regard to the Health and Social Care Act 2008. Annual Service Review Page 6 of 8 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 (29/10/2007) 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. 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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