Care Home: Victoria Lodge

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Annual service review Name of Service: Victoria Lodge The quality rating for this care home is: The rating was made on: two star good service 1 6 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?   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: Lesley Webb Date of this annual service review: 0 2 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 59 Victoria Drive Bognor Regis West Sussex PO21 2TQ 01491579270 01491579738 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Victoria Lodge Ltd Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users to be accommodated is 6. 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 Victoria Lodge is a care home for younger adults (18-65) who have learning disabilities. The home is registered for six service users. The home is in a residential area in Bognor Regis. The building is detached and has surrounding gardens. There is an annex to the house that is currently used as an activities room. The service aims are to assist residents to develop independent living. The weekly fees range from #1378.00 to #21760.00. 1 6 1 0 2 0 0 8 Annual Service Review Page 2 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: 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. 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. For example it states it does the following to ensure that the views of people who live at the home are promoted and incorporated into what they do At Victoria Lodge the service users have 1-1 time. Each morning the staff make a plan of the day with the service users which includes appointments, any day services to be attended, relaxation time and trips and outings which they have chosen either on the day or in advance. This is recorded on the plan. One of the clients always chooses to go for a walk with staff in his wheelchair and stop for a cup of tea. Another of our clients will choose to go out for a drive and do some shopping and a coffee or go out for lunch. Our service users are involved in menu planning, shopping, choosing colour schemes for the home and personalising their own rooms. One of the clients chose to have the lounge pink, and we have accommodated this by painting it a very light shade of pink. Service users all take a turn to go and do the weekly shopping and choose the food to go with the menu of their choice. They also choose the extra food items while they are there. Clients families comment on the range of food available to the service users in the home, and how well stocked the cupboards and fridge are. Service users have time to reflect on what they have done or achieved. Our service users are aware of the complaints, comments and suggestions forms and policies and are given the Annual Service Review Page 3 of 7 opportunity to discuss these issues with their key workers or families if appropriate. One service user wanted to choose new Christmas decorations and went with a staff member to get the new tree and decorations to go on it. She also complained about old staff members and was reassured that they would not be returning. One service user has recently chosen a caravan holiday on the Isle of Wight with 1-1 staffing. She went to get the brochures and made the decision of where she wanted to go and when. She went during the last week of August to a holiday village in Shanklin. Staff supported her 1-1 while she was away. She visited lots of different places of interest and also enjoyed the entertainment at the site. She has also chosen her college timetable, attending the open evening with a member of staff and will be doing art and drama and communication starting in September. Ongoing staff training, supervisions, monitoring and good leadership from senior staff have resulted in a quality service which provides a consistent approach with better outcomes for the service users, allowing for more choice and respecting each person as an individual. Key workers are currently working on person centred plans with clients and this documentation will be an ongoing record for the changing needs of the service users. The staff will be attending training in the caretech my plan during September. Each month key workers spend time with the service users to do a report to reflect on what they have achieved and what has not gone so well to update the care plan. Victoria Lodge is a pleasant and happy home, which caters for service users with varying levels of ability and communication. Some service users may have some degree of challenging behaviour, mental health and autism. Service users are supported in spending time in the kitchen and helping with preparation of food and drinks and other household tasks. There has been a notable reduction in service user behaviours. Changes have been made to the environment with no adverse effects. The kitchen and lounge have been redecorated and refurbished. One service user who will not usually tolerate change has actively been involved in choosing new cushions and pieces of furniture for the lounge. The AQAA informs us how equality and diversity is promoted at the home, stating All staff at Victoria Lodge have had training in this area through NVQ training, and Induction programmes including policy and procedures. In terms of equality all service users are treated the same within the home. All race and religious needs are incorporated within the individual care plans of the service users. Presently no service users wish to follow any religious services. Service user support plans identify individual preferences for staff members to support. 1-1 times are held to identify if needs are being met. Race, gender identity, disability, sexual orientation, religion and belief choices are determined by the service user and guidance around this can be sought by professionals in these areas. One service user has been attending appointments with a community LD nurse for issues around sexuality. This is recorded as a care plan and risk assessments have been undertaken. Victoria Lodge provides service users with the opportunity to access the community every day and encourages community based activities where service users can meet and develop relationships with people outside the home. And that the following changes have been made We have ensured that all staff are aware of all policies and procedures and this has been implemented making a positive difference to the staff team and the way in which they work with the service users both in and outside of the home. Staff listen to service users wishes and choices. The service users access the community on a daily basis going to places of their choice locally and further afield. Service users are involved in the staff interview process by being given the opportunity to meet and chat to potential employees. Service users Annual Service Review Page 4 of 7 have been included in mandatory staff training and the day to day running of their home. All service users have been made aware of how to make a suggestion or complaint and this is recorded and followed up. Three residents completed surveys and returned them to us before we completed this Annual Service Review. All state they were asked if they wanted to move into the home. All state they received enough information about the home before they moved in so they could decide if it was the right place for them. All state they always make decisions about what they do each day. All state they know who to speak to if not happy. Two state they know how to make a complaint. One states they do not. All state the home is always fresh and clean. Two state the care staff and manager always treats them well. One that they usually. Two state that the care staff and manager always listens and acts on what they say. One that they usually. When asked the question What does the home do well comments were recorded of Arrange nice outings Nice food Include us in cooking and planning meals Listen to us Take good care of us They help me with my washing and my morning bath, or shower if I want it We go out for a drink and walks When asked the question What could the home do better two comments were recorded of - I am a new person I have only just moved in and have not had time to say if things could be better I dont know Five staff completed questionnaires and returned them to us before we undertook this Annual Service Review. Three state they are always given up to date information about the needs of the people they support. Two state they are usually. All state employment checks were carried out before they started work. Four state their manager regularly gives enough support and one often. Four state they know what to do if someone has concerns about the home. One person did not respond to this question. All state there are usually enough staff to meet the individual needs of all the people they support. When asked the question What does the home do well comments were recorded of Understands and meets the individuals needs Daily care and well being of the service users Continued positive contact with family Pursuing social activities and education Management The service users have a choice and a say in how the house is run, the menu for the week, where to go out to, which member of staff they would like to support them The staff team work very well together and get things done in a timely manor Team work, all staff work together well When asked the question What could the home do better comments were recorded of More training Making more funds available for the decoration and improvement of the home environment Engaging more staff Head office can give us better wages Maintenance, the up keep of the house, we seem to wait a long time before things are done around the house, lots of work are still outstanding and on going Training, very slow, take a long time for head office to organise Annual Service Review Page 5 of 7 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 16th October 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 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: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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