Care Home: St Anne`s Alcohol Services - Leeds

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Annual service review Name of Service: St Anne`s Alcohol Services - Leeds The quality rating for this care home is: The rating was made on: three star excellent service 0 6 1 1 2 0 0 8 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: Dawn Navesey Date of this annual service review: 0 4 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Ashton House 186 Woodhouse Lane Leeds West Yorkshire LS2 9DX 01132434486 01132451526 detox@st-annes.org.uk www.st-annes.org.uk St Anne`s Community Services Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : past or present alcohol dependence Number of places (if applicable): Under 65 Over 65 27 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 Leeds Alcohol Service provided by St Annes is situated in St Marks House, a large two storey detached Victorian house. Four of the 19 beds are currently used for acute detoxification and 15 for rehabilitation. Offices, medication room and training rooms remain in the adjoining Ashton House. The purpose of the service is to provide acute nursing care and a structured programme of rehabilitation for people with alcohol related illnesses and associated problems. The care home is well located in the university area of Leeds within walking distance of the city centre. There is a small area for visitor parking in front of the building. All bedrooms are below the minimum size requirement but all offer single accommodation and are regarded as fit for purpose. St Marks House has two lounges, dining room and a games room, which offer communal space. A bed sitting unit offers a stepping stone for people preparing to move back out into the community. Meals are provided from a central kitchen in St Marks House with facilities to enable people to make their own drinks and snacks. The service has a nurse on duty for 24 hours working in partnership with a team of Annual Service Review Page 2 of 7 NONE 0 6 1 1 2 0 0 8 experienced alcohol support workers. The fees for the home are available by contacting the manager of the service. 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 we have received, or asked for, since the last key inspection. 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. Surveys returned to us by people using the service and from other people with an interest in the service. 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. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was very detailed and gave us excellent information about the service. We looked at the information in the AQAA and our judgement is that the home is still providing a good person centred service for people and they know how they are going to make further improvements to the service. For example, in the AQAA, the manager said, As a result of listening to our clients there are several changes that we are implementing as part of our current team plan. This includes improving the way in which clients are inducted into the rehabilitation programme. The induction period will be longer, with more group work sessions designed to assist newcomers to the programme in understanding how the programme works and how it can help them. This includes assisting clients to learn how to Problem Solve - a skill that will benefit them in a number of ways throughout the programme and beyond. Other improvements to the induction programme include educating residents more about Infection Control, food hygiene and other Health and Safety Issues. We are planning to introduce a new session to the group work programme that helps clients understand more about their dependency on alcohol and the choices that they need to make about complete abstinence from alcohol. We are aware that for a short period of time following admission to the detoxification programme, clients are restricted in their use of the facilities. We are therefore looking at what can be done to improve this situation. He also said they were providing more facilities such as DVD players in the bedrooms to alleviate peoples boredom when they Annual Service Review Page 4 of 7 are restricted in their use of communal facilities. He also told us of a number of improvements that have been made since our last visit to the service. These included: We have updated the assessment form that we use to assess people for the rehabilitation programme so that it reflects best practice in the field. St Annes have created a clients guide to the organisations Equality and Diversity policy. This guide is made available to clients at the beginning of their admission to help them understand about the standards that St Annes works to and the expectations that they can expect from the service in relation to providing an equal service, as well as promoting diversity. The service has been successful in filling all but one part-time nurse post, therefore overcoming the majority of issues regarding the use of temporary and agency staff. The service has also been successful in recruiting a GP practice to provide medical cover for the detoxification programme. This has greatly improved the service, including increasing the frequency that we can admit people to the programme, improving the occupancy of the service, reducing waiting times for the service, and being able to provide a more comprehensive support to clients. We have accessed training regarding the Deprivation of Liberty and reviewed our services and practice in light of this new information. We have introduced information to the service to ensure that our practice meets the standards set out in the guidance and procedures for Deprivation of Liberty. The service has introduced a Group Supervision process where staff are able to share issues from their own caseloads with their colleagues, and receive support advice and information from their colleagues to improve their practice and their support to their client. They have good systems in place to make sure people who use the service have their views listened to and acted upon. In the AQAA, the manager said: Daily meetings take place between clients and staff to discuss any issues that may be affecting them. The views that clients express in these meetings are used to develop the service. At least once per month, the Project Manager meets with the clients to hear the views of service users. He also said they use satisfaction questionnaires as people leave the service and on an annual basis as part of their quality assurrance system, to see how the service could be improved upon. We received comments from nine people who use the service. They were very positive about the service, care and support they receive. Their comments included: First class service Very helpful Well done to all staff Annual Service Review Page 5 of 7 The home is just a godsend to put it bluntly, it is fantastic, the staff are so helpful It organises each day into a well structured format that keeps you occupied most of the time Service provided is of a very high standard Staff are a dedicated team who all work closely with residents I find the sessions at St Annes very beneficial and the staff fair and approachable St Annes has all the right ingredients, i.e. staff, atmosphere etc to point me in the right direction for a happy, healthy alcohol free life. Meals are excellent Staff and management are always available. We also asked people what they thought the service could do better. Most people said, nothing as they were so happy with the service. Three people made suggestions. They said they would like more availability of biscuits in the home and the provision of a family room with toys to entertain younger children when they visit. One person said they though the service would benefit from a specific mental health worker. The home continues to let us know about things that have happened since our last key inspection and have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. We have not received any concerns about the home in the last year. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 6 November 2011. 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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