Latest Inspection
This is the latest available inspection report for this service, carried out on 28th 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 Good.
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 The Anchorage.
Annual service review
Name of Service: The Anchorage The quality rating for this care home is: The rating was made on: two star good service 0 5 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: Brenda Pears Date of this annual service review: 1 7 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 78 Wootton Road Kings Lynn Norfolk PE30 4BS 01553765378 Telephone number: Fax number: Email address: Provider web address:
lyn.james@daybreaksupport.com Name of registered provider(s): Name of registered manager (if applicable) Ms Lynda Yvonne James Conditions of registration: Category(ies) : learning disability Ms Lynda Yvonne James Number of places (if applicable): Under 65 Over 65 6 0 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 The Anchorage is a care home providing personal care and accommodation for six younger adults who have a learning difficulty. The home is privately owned by Ms Lynda Yvonne James and is situated in Kings Lynn on a busy road within walking distance from the town centre. There are also local shops and community services within the immediate local area of the home. The home has its own transport and undertakes regular trips with service users. An off road car parking area is available at the front of the home.The Anchorage is a converted house and the accommodation consists of single rooms, two of which have en-suite facilities. There are two lounges (one used as a games room) a kitchen/diner, and bathrooms on the ground and first floors. The gardens consist of paved and lawn areas with established borders and shrubbery.
Annual Service Review Page 2 of 7 0 5 1 1 2 0 0 8 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 that we have received, or asked for, since the last key inspection or annual service review. This included: 1. 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. 2. Information we have about how the service has managed any complaints. 3. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. 4. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 5. Relevant information from other organisations. What has this told us about the service? A completed Annual Quality Assurance Assessment (AQAA) was returned to the Commission as requested and the information was found to be detailed and provided us with information of how the home has progressed and developed over the last twelve months. From information contained within the AQAA and from the previous inspection we know how the service operates. Some of the practices undertaken include the following 1. Constant consultation is undertaken with people using the service. When any request is received or decision made, this is documented and a plan of action is established and monitored. 2. To promote empowerment and prevent any anxiety, the person themselves are involved in all stages of the action plan described in the above procedures. 3. Annual quality assessments are undertaken to ensure the service is appropriate and that it meets the needs of every person at The Anchorage in the way they choose. As a result of consultations as described above, some of the actions undertaken include the following 1. The administration and storage of medication has been altered to deliver a more personal and private routine around medication. 2. A potting shed is to be introduced to encourage gardening. 3. The menu plans have been altered following suggestions and requests from people using the service. 4. Major structural adjustments are to be undertaken to provide more space for arts and crafts to be enjoyed. Annual Service Review Page 4 of 7 5. In house forms are currently being updated and adjusted to make these easier to use and understand. Any redecoration and plans to alter the internal environment are fully discussed at all times. New patio doors opening onto an external patio area are to be installed. Thorough assessments are undertaken before any contract is developed to ensure individual needs can be met. Information is provided in picture format if needed and pictures of The Anchorage are sent if the person is unable to undertake visits. There are policies and procedures in place regarding such areas as the protection of residents. A staff photo board is in use to provide service users with details of who is due on duty and which staff will be in the home on any given day. An activities board has been agreed to allow service users to put up pictures of their chosen activities and share pictures of events they have enjoyed. Staff are encouraged to record compliments as well as complaints. Service users are assisted to write down any problems and these are passed to the relevant managers. Staff retention if good at The Anchorage and this provides continuity of care for those people receiving support. The staff group have regular supervision and appraisals. Policies and procedures are currently under review and will be developed in a format that enables staff to find relevant information easily. The previous inspection report informs us of the following 1. The home works on the basis of promoting dignity and providing choice for residents. Routines in the home put people using the service at the centre of all activities and choices. 2. A thorough assessment process helps develop appropriate care plans that reflect individual choice and wishes. 3. That every day is undertaken as each person chooses, and staff respect these wishes and provide appropriate support and assistance. 4. Training records showed us that all staff receive regular training. The Commission have not received a complaint regarding this service since the last review. The Commission is notified accordingly of any reportable incidents since the last inspection as is required under the terms of registration. Following one such incident, The Anchorage has been in contact with the Commission to discuss improved access in the event of an emergency. The manager kept us fully informed and after much searching and consultation with the relevant organisations, a solution was found that further supports the health and safety of the service users.
Annual Service Review Page 5 of 7 No survey information was available at the time of writing this report but it is expected that surveys will be returned to the Commission for use with the next full inspection. Overall, our judgement following this review is that The Anchorage continues to be managed effectively and in the best interests of people using services and of the staff. What are we going to do as a result of this annual service review? There will be no change to the proposed inspection plan and a key inspection will be carried out by 04/11/2010 However, the service can be inspected at any time if the Commission have any concerns about the quality of the service or safety of the people using the service. 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. Helpline:
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