Latest Inspection
This is the latest available inspection report for this service, carried out on 19th April 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 Excellent.
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 St Marks House.
Annual service review
Name of Service: St Marks House The quality rating for this care home is: The rating was made on: three star excellent service 0 4 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: Gerard Hammond Date of this annual service review: 0 3 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Brook Street Lye Stourbridge West Midlands DY9 8SE 01384896654 F/P01384896654 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 old age, not falling within any other category Conditions of registration: Chadd Housing Association Number of places (if applicable): Under 65 Over 65 16 0 0 9 The maximum number of service users who may be accommodated is 16 The Registered Provider may provide personal care and accommodation for service users of both sexes whose primary needs on admission to the home are within the following categories: Mental Disorder, excluding learning disbility or dementia (MD16) and old age not falling within any other category. (OP 9) 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 St Marks House is a purpose built home. It is in Lye, in an area which is partly residential and partly light industry. There are local amenities nearby and the Home is within walking distance of several good bus services to nearby towns. The frontage of the Home has ample car-parking facilities; to the rear there are wellAnnual Service Review Page 2 of 6 0 4 1 1 2 0 0 8 maintained and accessible gardens, with mature trees, shrubs, flowerbeds, patio areas and a gazebo. The interior appears bright and airy, with domestic fixtures and fittings. The Home provides 16 single en suite bedrooms for people over 50 years of age, who have been diagnosed with mental health needs. There are four bathing/ showering facilities. There are a number of seating areas around the Home including a well-used conservatory extension, a quiet room and designated smoking lounge. The Home has a stable staff team. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked for all the information we have received, or asked for, since the last key inspection on 4th November 2008. This included: The Annual Quality Assurance Assessment (AQAA) that the Manager sent to us. This is a self assessment that focuses on how well outcomes are being met for people who live at this home. It also provides us with some numerical information about the service. Surveys that we sent to people who use the service, their families or advocates, and other professionals involved in their care. Information we have about how the service has managed any complaints or safeguarding referrals. What the service has told us about significant events or things that affect the wellbeing of the people living at the home. These are called notifications and are a legal requirement. The previous key inspection report and the result of any other visits we have made to the service in the past twelve months. Relevant information from other organisations, and what other people have told us about the service. What has this told us about the service? The Manager sent us an Annual Quality Assurance Assessment (AQAA)when we asked for it. It contained clear information and told us what we needed to know about how the service is supporting the people that use it. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service for the people living there. The Manager told us about the things that the care team have done since the last inspection to improve the service. These included developing peoples care plans so that they better reflect what people prefer. This helps to make sure that people get supported in the ways that suit them best. The service has improved staff training and the facilities to support people who have hearing and sight impairment, and plans to develop this further. This shows that they recognise peoples diverse needs, and take action to meet them. The last inspection report showed that the home environment was furnished, decorated and maintained to a high standard. In the Annual Quality Assurance assessment (AQAA), the Manager told us that the home has now been redecorated and a new conservatory has been added to provide additional communal space. This is so that people continue to enjoy the benefit of living in a comfortable and homely environment. All of the people responding to surveys told us that the home is always clean and fresh. One person commented I think this home is good for its cleanliness Annual Service Review Page 4 of 6 and could be no better. People told us that they are able to do the things they want during the day and evenings, and at weekends. In their responses to the surveys we sent, they told us that managers and staff treat them well and usually listen and act upon what they say. All of them told us that they know to whom they can speak if they have any concerns. The Manager told us that there have been no complaints received during the past twelve months, and no safeguarding referrals have been made during this period. We have not received any complaints or safeguarding referrals in respect of this service either. There are enough staff working at the home to meet peoples assessed needs. Staff are encouraged to work towards gaining recognised qualifications. The AQAA shows that all of the staff team are qualified to NVQ level 2 or above. The service actively encourages staff to continue training to gain higher level qualifications. This is to ensure that they have the knowledge and skills and get the support they need to do their jobs well. The Manager is appropriately qualified and is continuing with training to keep her knowledge and skills up to date. The home actively seeks the views of people that use the service and their families, to inform its review and development. Important equipment is checked and maintained regularly. This is to ensure that people living and working in the house get the support they need to stay safe. We looked at the replies we received to the surveys we sent out. People receive the help they need with their personal and health care. One professional told us that the service Maintains clients mental health well, and makes contact with relevant professionals should a client become unwell, ensuring their needs are met People using the service told us the staff are very friendly and helpful - I like living here, the best place Ive been at and They meet all my needs, meals are good. Another comment received said, (staff) look after my everyday needs, supply lovely meals. One persons relative told us its a really good place for my mother, gives the structure and supervision she needs. 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 4th November 2011. However, we can inspect the home at any time if we have any concerns about the quality of the service provided or the safety of the people who use it. Annual Service Review Page 5 of 6 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:
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