Latest Inspection
This is the latest available inspection report for this service, carried out on 29th December 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 Homesteads.
Annual service review
Name of Service: The Homesteads 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: Alan Thompson Date of this annual service review: 0 3 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 216 Southend Road Stanford Le Hope Essex SS17 7AQ 01375402444 01375401937 homesteadscare@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Mr Steven Monaghan,Mr John Charles O`Connor Number of places (if applicable): Under 65 Over 65 8 0 The 8th bedroom (on the ground floor in the room converted from an office) will only be used to accommodate a resident following written approval from the commission. 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 The Homesteads is a corner plot establishment on the main Stanford le Hope road. The home provides personal care for adults with a learning disability. It is situated within a reasonable distance of local facilities and there is a bus stop outside the home. The home has 2 floors and provides single bedrooms with en-suite facilities. There is a reasonably sized patio/garden area to the rear of the property. A current copy of the homes Statement of Purpose is available upon request. All service users are provided with a user friendly Service Users Guide, and additional copies are available upon request. Change of manager. Annual Service Review Page 2 of 7 The fees range from £684.29 to £1120.00 weekly. Additional costs apply for chiropody, toiletries, sundries, hairdressing and newspapers. This information was provided to the Commission on 3/01/08. CQC inspection reports can be obtained from the home, or via the CQC internet website: www.cqc.org.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 looked at all the information that we have received, or asked for, since the last key inspection or annual service review (our last annual service review was on 23rd October 2008). 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. Any surveys that were returned to us by people using the service, their families and from other people with an interest in the home. What the service has told us about things that have happened in the home, 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. What has this told us about the service? Inspection Report: The last key inspection of this service was undertaken on 23rd November 2007 and found that of the 23 standards looked at, 1 was judged as exceeded, with 21 met and 1 as nearly met. The inspector concluded that: The Homesteads is well managed and provides a good level of care for residents with a learning disability. Information provided about the home is in a user friendly pictorial format ensuring residents are fully informed about life at the home. Care planning is person centred and residents are actively involved in the development of their care plan and daily life at the home. Each resident is fully supported to achieve or maintain their own personal goals. Staff enable all residents to have a full and active lifestyle with numerous social activities accessed in the local community. There is a stable workforce who are motivated and supported by regular updated training and effective management. Communication between representatives of people living at the home is excellent. This tells us that overall the home was achieving good outcomes for the people using the service, although there was one statutory requirement made that the registered provider and manager were required to address. This related to some of the medication practice used at the time. In response the manager has confirmed to us that action had been taken on this issue. This will be checked at the next key inspection. AQAA: This was completed when we asked for it and contained basic information about the Annual Service Review Page 4 of 7 service. The information included was not comprehensive but was judged to provide sufficient evidence that the manager had an understanding of the service, could identify what they did well, and was able to highlight areas for improvement. Information in the AQAA under what we do well, and how we evidence this included: Include all interested parties to be part of a lengthy transition, a comprehensive pre assessment detailing in depth future aims aspirations for the potential service user, adopting a person centred planning approach. This is evidenced by: Documentation of this transition, using detailed service user involvement, in their care plans. The views of the prospective service user, their relatives and all professionals within the multi disciplinary team, are involved. Through regular meetings, with service users and care professionals, we listen to and act upon positive and negative suggestions regarding our service, and act accordingly. Develop care packages and plans around the specific needs and requests, and provide appropriate activities according to these. Evidenced by: We document all relevant views and suggestions in meeting minutes and on individual care plans, incorporating progress reports based on these facts, we are a great believer in the service user having full participation in this process, encouraging a greater degree of independence. Liaise with health care team, our residents are supported to attend doctors, dentists, psychology, chiropody, and aromatherapy, the latter visiting on a fortnightly basis.each person has a health action plan in order to monitor and promote good health intervention. Reviews of care plans show individuals accomplishments. Healthy eating plans and exercise is encouraged. Evidenced by: Updated and monthly reviews of care plans show individual residents achievements. Supporting residents to attend essential appointments, healthy eating menus. Maintaining existing support team, employ appropriate experienced staff whenever possible, ensure staff receive regular up to date training, staff aware of individuals needs, maintain good relationship with families and social care professionals. Evidenced by: Staff support the service users, assisting them in their daily living, encouraging and empowering them, helping them access community facilities and supporting them with their healthcare needs. The data set provided with the AQAA shows that no complaints had been received by the service in the 12 months leading up to 1st October 2009 but there was one safeguarding referral raised about the home. This was properly dealt with and has been closed by the local safeguarding authority. We are not aware of any ongoing concerns about the welfare of service users. Information in the AQAA also confirms that all the required recruitment checks had been satisfactorily carried out on new staff, and that eight out of twelve permanent care workers had achieved their NVQ level 2, or above, awards. This means the service exceeds the recommended level of 50 of staff obtaining this qualification. The AQAA also shows how the service plans to introduce further changes to bring about improvements to benefit service users. Annual Service Review Page 5 of 7 Surveys: At the time of writing this service review we had received three completed surveys from those we sent out for people using the service. These had been completed with the help of staff and gave us views about the care provided. Responses confirmed that people knew who to speak to if they were unhappy. They confirmed that the home is always or usually always fresh and clean. All thought that staff always treated then well, and that carers always listened and acted on what they said. Actual comments in surveys returned to us included: I like their cooking and the way they look after me. Under what the home does well comments included: meals, staff, rooms. One person also commented that they did not like college and that they would like to go on holiday. The manager should take note of these points which we will follow up at our next inspection. We also received three completed surveys from staff, all thought that their induction very well covered what they needed to know when they started their jobs at the home. They also all thought that they are given training relevant to their roles, and that this helped them to understand and meet the needs of service users. All thought that they were supported regularly by the manager and the majority thought that there were always or usually enough staff to meet service users needs. We asked staff if they knew what to do if someone had concerns about the home, all confirmed that they did. Information received since last inspection: As required by regulations, the home has when necessary notified us of any relevant incidents/information that we are aware of since the last inspection. Based upon the information available at the time of completing this ASR we think that the quality of the service has not changed since out last review. What are we going to do as a result of this annual service review? At the present time we are not going to change our inspection plan, and will do a key inspection by 23rd November 2010. 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 using the service. Annual Service Review Page 6 of 7 Reader Information
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