Care Home: St Patrick`s House

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Annual service review Name of Service: St Patrick`s House 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: Malcolm Kippax Date of this annual service review: 2 2 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: Porton Road Amesbury Wiltshire SP4 7LL 01980626434 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Cornerstones (UK) Ltd Number of places (if applicable): Under 65 Over 65 8 1 0 0 Any placement for short-term care must be agreed with the Commission before placement commences. For the purpose of this condition, short term is defined as a placement that will not last longer than three months. Any placement that will last longer than three months must be reviewed to assess the short-term status of the service user. Any placement of an emergency admission must be notified to Commission in advance where possible, or within the next working day, or two days if over a weekend. An emergency admission is defined as an admission where a service user is likely to be placed at short notice without an up to date assessment of needs having been carried out and the person has not had the opportunity to visit the home prior to placement. Only the one, named, male service user currently in residence in the age range 18 - 64 years with a physical disability may be accommodated in the home. 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 Annual Service Review Page 2 of 8 St. Patricks House was first registered on 31st January 2003. It is one of a number of care homes in Wiltshire that are run by Cornerstones (UK) Ltd. St. Patricks is a chalet type bungalow with a garden to the rear and with space at the front for several vehicles. The home is within walking distance of Amesbury town centre and local amenities. The fees at the time of the last inspection ranged from 1500 - 2000 pounds a week. Further information about St. Patricks is available in a Statement of Purpose. A copy of the last inspection report is available from Cornerstones (UK). Inspection reports can also be seen on the Commissions website on www.cqc.org.uk 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 Annual Service Review (ASR) on 5th February 2009. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the homes manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for the people who use the service. It also gives us some numerical information about the home. - Surveys that have been returned to us giving peoples views about the home. - Information we have about how the home has managed any complaints. - What the home has told us about things that have happened. These are called notifications and are a legal requirement. - The previous key inspection and the results of any other visits that we have made to the home in the last 12 months. - Relevant information from other organisations. - What other people have told us about the home. What has this told us about the service? We received an AQAA from the manager, which gave us some information about the homes strengths and what has happened during the last 12 months. The manager summarised what the home does well as: Listen to the view of the service users and provide information for other agencies. We were told that the home had improved in the last 12 months by introducing the right to reply on all daily notes. When we asked what the home could do better, this was summarised as use of I.T in storage and retrieval of information. We were told that the home had made the following changes as a result of listening to the people who use the service: - An improved PCP aspirations & wishes form completed by the Service users. - Pathways to independance inspired by the choices of the Service user reviewed 3 monthly. - Service users read their daily notes and record agreemenr or disagreement with what is written. The AQAA included information about equality and diversity within the service. We were told that the home Ensure staff talk about positive images in connection with equality and diversity. Annual Service Review Page 4 of 8 The following changes had been made to ensure that equality and diversity were being promoted: - Discussion groups in connection with the workbook on the subject. - Psychology input , leading discussion on sexual orientation. We were told that the homes plans included Using meals from differrent cultures to promote positive differrence and language. Generally, we expected more information in the main part of the AQAA about how the service is performing and the evidence for this. There were only brief comments in some sections. For example, in two of the sections where we asked for evidence which shows what the service does well, the comment provided was Ask the service users. The AQAA is the providers opportunity to tell us about the service directly and to give us good information when we are not carrying out an on-site inspection. Further information about the completion of an AQAA is available on our website. As part of this ASR, we sent surveys to the home so that these could be given out to the people who use the service, and to staff. We received surveys back from eight people who use the service. Some people had help from staff with completing their surveys. Peoples comments were generally positive about the home and what they can do. When we asked in the surveys What does the home do well? peoples comments included: - Dealing with difficult situations / Advising ... having a laugh. - Look after us. - The home supports us well and cares for us well. Also feeds and waters us well. - It gives me freedom. - Support, give advice, never judge. Accept you as you are. Take us out to clubs. - The staff help to cook and get our money. Two people also mentioned things that could be better: - Communication. - Arrange for me to have visitors and arrange for us to do more things. We had surveys back from eight staff members. They told us that checks such as a CRB (Criminal Records Bureau) disclosure and references had been carried out before they started work. They knew what to do if someone had concerns about the home. Staff said that that they were always or usually given up to date information about the needs of the people who they supported. Annual Service Review Page 5 of 8 When we asked What does the home do well? the staff members comments included: - Looking after everyone and caring for them. - Catering for individual needs and preferences. Providing friendly and relaxed environment. Looking after its staff. - Support a range of service users with their diverse needs and challenging behaviour. - Offer flexibility of shift patterns to staff within a rota to help cover the needs of staff as well as service users. - I feel the team as a whole works well together. I also feel that with a client group of eight (very different people) we do a good job of providing 1:1 time / support for each individual, whether that be activities the person is interested in inside / outside the house or even just a chat. - Forward thinking / planning, being pro-active rather than reactive. - Support both staff and service users. - St. Patricks supports service users in all areas that are needed e.g. emotionally, physically, socially, the staff team are both caring and professional in all areas of caring and supporting both service users and fellow team members. Staff members also made a number of comments when we asked in the surveys What could the home do better?: - I think that the bedtimes could be more flexible as the younger service users could stay up longer e.g. weekends and go to shows etc. - Offer training specific to the service users complex needs i.e. mental health. Basic course are covered (1st Aid, Health & Safety) however due to service users problems more in depth knowledge would be beneficial. - Communicating to staff, clear and precise information and keeping to pre-agreed structures and plans. Listening to staff. - This is more a comment on the company than individual home. I would very much like more in-depth training in areas specific to individual clients as against mandatory work book training and very little else. Whilst I appreciate these courses are important to all and an essential of our job I feel we would all benefit from some good training tailored to specific needs of clients who obviously vary. - Improve communication between staff. - More transport available on occasions. - As a member of staff at St. Patricks I feel the good work with service users and the ongoing training and gaining of experiences and knowledge is important that this Annual Service Review Page 6 of 8 continues in the future. Overall, the responses that were given in the surveys were generally positive, although issues were raised that the home would want to consider and keep under review. In particular, some staff members mentioned the importance of training and wanted more opportunities to attend courses that focus on the individual needs of the people who use the service. We will be expecting the home to follow this up, to ensure that the positive approach being shown by staff is acted on, and that all staff are receiving the training that is appropriate for their role. What are we going to do as a result of this annual service review? Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 7th February 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 who use 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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