Care Home: Stanfield House

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Annual service review Name of Service: Stanfield House The quality rating for this care home is: The rating was made on: three star excellent service 1 1 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: Nancy Saich Date of this annual service review: 2 7 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 4 Stainburn Road Workington Cumbria CA14 4EA 0190065737 Telephone number: Fax number: Email address: Provider web address:   www.turning-point.co.uk Turning Point Limited Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : past or present alcohol dependence past or present drug dependence Conditions of registration: The maximum number of service users who can be accommodated is: 12. 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: Past or present drug dependence - Code D, Past or present alcohol dependence - Code A. 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: The registered manager is leaving the service and taking up a new post. 1 1 1 1 2 0 0 8 Number of places (if applicable): Under 65 Over 65 12 12 0 0 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Stanfield House is an older property located in a residential area of Workington. It is within walking distance of the town and has good local and national connections. The Annual Service Review Page 2 of 7 property has three floors and is adapted to take one person with physical disabilities. The home takes people between the ages of 18 and 65 who have had problems with substance abuse but who are no longer using drugs or alcohol. The home is not staffed twenty-four hours per day so residents must be able to function fairly independently. The home is registered to Turning Point, a national charity who run different types of home throughout the country and who have other services for people with problems of addiction. Further information on Turning Point can be accessed through their website on www.turning-point.co.uk. 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 asked the manager to complete an Annual Quality Assurance Assessment (The AQAA). This asks for information about the service since the last inspection and for any plans for the future. We also ask for some statistics about both staff and residents. We also checked on any other information we had gathered about the service since we last inspected. We look at anything the service is required to tell us about under the law. This includes accidents and incidents that may have an impact on peoples well being. We consider any complaints that have been received and we also look at any allegations of harm or abuse. We then sent out questionnaires to the staff team and to people who live in the service and to professionals who may visit. We learned from this information that things in this home continue to go smoothly and that people who live or work in the home are happy with the way it is managed. The AQAA was returned to us within our timescales and contained detailed information about how well the service meets the required standards. We received surveys from everyone who was living in the home at the time. We also had a high level of responses from staff. What has this told us about the service? The AQAA tells us that the company and this service have a coherent framework for user involvement. This is backed up by our survey results and by the minutes of a service user away day that the manager sent us. These happen twice a year and are used as part of the services business and improvement planning. We also receive monthly reports from Turning Point that shows that the company consult individuals and check that the home is being managed appropriately. The manager sent us an extremely detailed AQAA that gave us plenty of evidence to show that things are running smoothly and that the service is developing in line with current research and government initiatives for drug and alcohol work. They are currently working on new treatment programmes and a mapping tool that will go along with current care planning. They have a comprehensive Quality Monitoring system and all staff have Personal Development Plans in place. As a result of talking to people who use the service they have introduced weekly cooking lessons and menu planning from an external provider, they have changed shift patterns for staff so that there is someone in the house for longer periods, they are developing a new brochure and are working more closely with the companys detox service. They have also increased the work they do on equality and diversity and have introduced monthly workshops about different aspects of this. They now provide specialist (rather than generic) support after a person leaves the service. Annual Service Review Page 4 of 7 Assessment and admission has been improved with an on-line virtual tour of the home available through the web site. They also have more resident involvement during the admission process so that any new person will understand that they will be part of the resident group. The service expects people to attend groups on a regular basis and there are some restrictions for new people. Some groups are obligatory but other things are optional. The service provides a back to work programme with a local organisation, opportunities to do voluntary work and leisure and sporting facilities(including weekly fell walking). People are expected to share the household chores including cooking and shopping. The manager tells us that there are improved links with health care providers. Access to dentistry, psychology services and other specialisms continue. The staff team work with individuals on all aspects of physical and mental health if necessary. They also offer support in all aspects of health and hygiene. This includes smoking cessation and healthy eating. Complimentary therapies are delivered by staff. There have been no matters of Adult Safeguarding reported in the service and any complaints or concerns are raised at resident meetings or to the manager or the company. There are no unresolved issues in the service. The home provides four en-suite rooms that are often used by women who appreciate the added privacy this allows. The home has had some redecoration and new flooring on the ground floor and further work is planned. Half of the staff group have National Vocational Qualifications at level 3 and attend ongoing training. Staff are encouraged to be champions in specific areas (for example health and safety) and receive suitable training. Staff also have training in things like complimentary therapies. There are plans for all staff to undertake basic training in cognitive therapy. The home has been very ably managed by the current manager who is moving to a new post. Good management systems are in place. There are interim arrangements at the moment and the company are recruiting a new manager to the position. We had 100 returns from people resident in the home at the time of our survey. Almost all of them had detailed comments about the experience of using this service. The ethos of the place is absolutely spot-on...it delivers what it says...individual qualities are enhanced by the attitude of the staff who are encouraging and challenging when necessary.... It gives an understanding on how to be clean and sober and start living normally again. Treats everyone as an individual and with respect. Very good....I now go to college and to the gym.... Annual Service Review Page 5 of 7 The staff are very good at listening to each persons problems...very professional and help as much as possible. There were a number of comments saying people enjoyed the group work and wanted more and that they appreciated the way they were given individual attention. The only adverse comments were from one survey that said sometimes the on-call person gave advice rather than come out and a number of surveys that said they wanted the staff team to be tougher with people who drank or used drugs during their recovery. We also had a good response from staff and they too were positive about the service and about working for Turning Point. Very supportive staff team...homely environment...good links with local resources...good levels of service user involvement. Staff told us they were keen to instigate any new practices that would help people who use the service and were eager to undertake more training. What are we going to do as a result of this annual service review? This review has not changed our opinion of the service. The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. Annual Service Review Page 6 of 7 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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