Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd November 2009. 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 Elms [Stapleton].
Annual service review
Name of Service: The Elms [Stapleton] The quality rating for this care home is: The rating was made on: two star good service 2 2 1 0 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?
Yes 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: Sandra Jones Date of this annual service review: 2 3 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Park Road Stapleton Village Bristol BS16 1AA 01179584506 Telephone number: Fax number: Email address: Provider web address:
graeme.reynolds@brandontrust.org www.brandontrust.org The Brandon Trust Name of registered provider(s): Name of registered manager (if applicable) Mrs Tanya Abbott Ms Carole Theresa Mary Tooze Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 14 0 The Home may accommodate 9 named residents whose primary focus of care is their mental health needs. (Registration will revert to Learning Disability (LD) with no additional mental health care needs when these residents leave). The maximum number of service users who can be accommodated is 14 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) 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 None 2 2 1 0 2 0 0 8 Annual Service Review Page 2 of 6 The Elms is operated by the Brandon Trust and managed by louis Westlake (not currently registered with CSCI). The purpose of the home is to provide accommodation and personal care for up to fourteen adults with learning disabilities. Within the numbers, nine individuals with learning disabilities for whom mental health care needs is the primary focus of care, are accommodated. The property is situated within its own extensive grounds on Stapleton Village close to shops, bus routes and other amenities. It is arranged over two floors with shared space on the ground floor and bedrooms on both floors. The fees at the home range from £422.55 -£630.68 per week. 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 at all the information that we have received, or asked for, since the last key inspection or annual service review. 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. Information we have about how the service has managed any complaints. 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 and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. 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 clear and gave us all the information we asked for. The home most recent key inspection occurred on 22/10/08 and with the exception of one, NMS standards were assessed as good. Standards on Choice of Home; Individual Needs and Choices; Lifestyles; Personal Healthcare Support; Concerns, Complaints and Protection; Staffing and Conduct and management of the home were judged as good. The Environment standard was adequate and requirements to improve the environment were made. Two recommendations were also made through the inspection, which relate to reviewing the Statement of Purpose and to use the information gathered through behaviour charts to update management plans. We have received 17 Regulation 37 notifications since the last inspection and predominantly relate to aggressive and violent incidents. These incidents mainly involve the same two people, which are being managed through Safeguarding Adults strategy meetings, risk reduction care plans and social and healthcare professional involvement. Other incidents reported are regarding people leaving the property unsupported by staff, falls and medication errors. The manager of the home has informed CQC that there is an intention to close the home and seek alternative accommodation for the people currently living at The Elms. We advised the manager to contact the registration team to apply for de-registration. Annual Service Review Page 4 of 6 However, we have not received an application to cancel the registration of the home. The AQAA completed by the manager says that the improvements made in the last 12 months focus on supporting people to move into more independent living environments. These improvements are based on providing accessible formats so that people can make choices, ensuring that packages of care are detailed, facilitating opportunities for people to develop independent living skills and developing health action plans. Have your Say surveys were sent to the home to seek feedback from people living at the home about the way their care is being delivered. Five surveys were received from people at the home which says that they were supported by the staff at the home to complete the surveys. Three people said that they were asked if they wanted to move into the home and two people said that they received enough information to make decisions about moving into the home. Surveys comments indicate that the people at the home know who to approach with complaints and three knew how to make complaints. Three people said that they are treated well by the staff and manager, while two said this was usual. Two people said that the staff listen and act upon what they say; one said this was usual and one said it was sometimes. The home does not always tell us about the way aggressive and violent incidents are being managed unless we ask for the information. We were told about the intention to close and we advised the manager to apply for de-registration. However, we have not received the cancellation report and we remain unsure about the homes closure What are we going to do as a result of this annual service review? We will do a random inspection by October 2010 to look at the issues raised in this review. This inspection could mean that we will bring our next key inspection forward. 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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