Care Home: The Well House

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Annual service review Name of Service: The Well House The quality rating for this care home is: The rating was made on: two star good service 3 0 0 9 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: Alexis Reilly Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: The Well House Golden Cross East Sussex BN27 4AJ 01825873389 01825873379 maria.wellhouse@hotmail.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: The Well House Number of places (if applicable): Under 65 Over 65 9 0 The maximum number of service users who can be accommodated is: 9 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD 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 Well House is a nine bedded respite unit for adults with learning disabilities between the ages of eighteen and sixty five. The maximum stay for residents is six months although most service users stay for short periods of respite care. Two places are specifically for residents who have an additional physical disability. The home is situated on the A22 just outside Golden Cross and comprises a large detached house, some of which is over four hundred years old, a large garden and a play/craft room. All nine bedrooms have en-suite facilities with a washbasin, toilet and either bath or shower. There are four bedrooms on the ground floor. Two of these bedrooms is Annual Service Review Page 2 of 6 3 0 0 9 2 0 0 8 designed for the use of residents with physical disabilities. There is wheelchair access to all parts of the ground floor. The remaining five rooms are on the upper two floors of the home. The home has its own transport and in addition there is easy access to local bus services. The cost of staying at The Well House is between £100 and £187 per night dependent on a service users needs. Information about the home can be accessed by contacting the manager. 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. 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. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. The Well House is run generally with a holiday ethos in mind, although with long term clients a more structured timetable is in place, including local college placements, work placements, community based sessions i.e. flower club, local gym, salsa classes, belly dancing and music groups. Information in the AQAA shows the service is client led and all users of the service have day to day input in the running of the unit. As a respite / short term care facility all activities offered and decisions made are discussed with the people that use the service. Activities offered are flexible and if clients do not wish to take up an activity staffing is in place for this choice to be offered and in house options are made available. The service operates an open communication policy which allows clients and their parents and carers to express views, comments or concerns in a secure and confidential environment. All users of the service fill in a client feedback form which has been developed jointly by staff and service users. It asks questions about recent stays, what was good and what was not so good, these forms are then discussed with the clients and staff team, any major issues raised are acted upon and recorded in the care plan. Carer feedback forms are also completed by carers at the end of each stay. Clients using the service have six monthly reviews, where they and their carers are given the chance to put forward any issues, concerns, requests or changes to their care package. The service has had SKY TV installed in both lounges, this was something that was highlighted through client feedback forms, especially for the sport and music channels. All bedrooms have a Freesat box, so that clients have a wider range of choice on their bedroom televisions. There is wireless internet put throughout the house and clients have access to a computer. Some clients also have their own laptops and can access the internet through these during their stay. The downstairs layout has also changed, due to clients not wanting to spend time in the lounge as it was too big. The service Annual Service Review Page 4 of 6 now has two smaller lounges and one lounge dining room, this has had a lot of positive feedback from clients and staff. More musical theatre trips have been organised. The gallery in the garden has been changed and decorated and is now a more permanently set up for music sessions, the service continues to purchase more musical equipment to further develop their very popular music sessions. Originally swimming was not an activity offered, but now due to demand this is now being offered on a 1 to 1 basis to specific clients. One of the clients now regularly attends an aquafit session at the local pool. The service has made a vegetable garden within the main garden of the house. Clients have been very interested and eager to participate in growing and harvesting their own produce. The service has purchased a new house car, and they continue with redecorating communal areas and bedrooms, as an ongoing process of maintenance. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 30th September 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. 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