Latest Inspection
This is the latest available inspection report for this service, carried out on 15th 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 Wall Street.
Annual service review
Name of Service: Wall Street The quality rating for this care home is: The rating was made on: two star good service 1 2 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: Christina Lavelle Date of this annual service review: 1 2 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Wall Street Hereford Herefordshire HR4 9HP 01432342683 01432340609 Telephone number: Fax number: Email address: Provider web address:
www.livability.org.uk Livability Name of registered provider(s): Conditions of registration: Category(ies) : physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 10 0 The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Physical Disability (PD) 10 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: The service provider Livability notified us of a proposed change of their responsible individual. We agreed this change on 24 July 2009 and Elizabeth Mell is now the responsible individual for the home. 1 2 1 1 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service In June 2007 the services previous provider, the Shaftesbury Society, merged with another charitable organisation to form Grooms-Shaftesbury. This was renamed as Livability, which is a national Christian society with charitable status. The responsible individual for the home is Elizabeth Mell and the care manager is Stephen Nicolson, Annual Service Review Page 2 of 7 who was registered as manager in February 2007. The home at 14 Wall Street can provide accommodation with personal care for ten adults who must require care due to physical disabilities or to acquired head injuries. The scheme also provides emergency cover for the adjacent independent flats, however these are not subject to registration under the Care Standards Act. People using the service prefer to be known as tenants and so we call them tenants in our reports. 14 Wall Street is located in Hereford city centre and so has good access to services, facilities and the local community. The home was purpose built in 1993 and is suitably adapted and provides aids and equipment for people with physical disabilities. There are eight ground floor bedrooms with en-suite facilities and two semi-independent flats that have kitchens as well as bath or shower facilties. The home has a secure courtyard, a lounge, laundry, two bathrooms and two kitchen/dining areas for all the tenants to use. Information about the service is produced in a statement of purpose and a service users guide, which can be obtained from the home. Copies of our inspection reports are also available and are given to tenants. Placements in the home are block purchased by Herefordshire Council. Items not covered by the fee, which tenants have to pay extra for, are holidays, entertainment, transport, clothing, social activities and outings. 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 of the service. This includes the following: The ANNUAL QUALITY ASSURANCE ASSESSMENT (AQAA) completed by the manager. The AQAA is a self assessment form that focuses on how well outcomes are being met for people using care services. It also gives some numerical information about services. SURVEYS completed for us by six tenants and four of their relatives or advocates. The previous KEY INSPECTION, which was completed on 12 November 2008. All other INFORMATION we have obtained about the service. This can include events that affect the health, safety and/or welfare of tenants (we call these notifications) and any complaints or allegations. What has this told us about the service? The manager sent us their AQAA for the service in October, as we requested. Their AQAA is clear and detailed and gives us relevant information about the home. The AQAA says that IMPROVEMENTS made to the service in the last 12 months are: (1) Information for potential tenants and Livabilitys complaints procedures are now also produced in large print and in an easy read format. (2) Tenants care plans have been continually updated to include their current and changing care needs. Plans incorporate medication and consent for medication. (3) Investigated opportunities for individualised budgets and passed this information onto tenants. (4) Tenants have been supported to attend outside activities when they wish. (5) Tenants can now be offered support to have late bedtimes on request. (6) Complaints forms are checked to ensure responses and actions taken are recorded. (7) The manager has completed a train the trainer course on safeguarding adults and can offer regular on site training to staff. (8) The home has a new hoist and day slings for tenants. (9) Some floorings have been changed in tenants rooms to allow easier transfers. (10) Each kitchen has a new grill, as requested by tenants. (11) An outdoor pump for their water feature and outside table were purchased. (12) An aerial for ham radio was erected. (13) Electrical wiring tests and work was completed by certificated electricians. (14) The providers central office now has a dedicated recruitment officer to ensure that all policy requirements are completed. (15) Tenants take an active role in staff recruitment and interviews. (16) Staffing levels have been kept at contractually agreed levels. Bank staff have also been recruited and dependency on agency staff radically reduced. (17) Staff meetings now discuss the needs of tenants in all relevant areas. (18) On site training for staff on fire safety, health and safety and infection control. The AQAA says their PLANS FOR IMPROVEMENTS in the next 12 months include: (1) To restructure tenants contracts to include changes in funding. (2) To incorporate Annual Service Review Page 4 of 7 Deprivation of Liberties into tenants initial assessment process. (3) To introduce accredited training and in house updates on medication for staff. (4) Update staff training on moving and handling. (5) Add a domestic washing machine to the laundry to help tenants develop life skills. (6) Refurbish one of the homes hoists. (7) Raise funds to refurbish the kitchen, a new emergency call system and activities. (8) Continue to recruit volunteers to assist with tenants day time activities. (9) Deputy manager and other staff to complete National Vocational Qualification (NVQ). (10) Source local food hygiene training. (11) Develop a flexible training schedule to allow easier access for staff. (12) To incorporate staff questionnaires into quality assurance audits. In respect of meeting EQUALITY and DIVERSITY issues the AQAA says that Livability is committed to anti-discriminatory practice and ensuring quality of opportunity for its tenants, staff and volunteers. Racial, sexual or any form of harassment or discrimination will not be tolerated. They have an on site trainer on equality, diversity and dignity. Training sessions are available to all staff and tenants and further training will be held. Procedures regarding equality and diversity are adhered to and updated. SURVEYS completed by six TENANTS confirm they were all asked if they wanted to move into Wall Street and all but one person received enough information before they moved in to help them decide that the home was right for them. Five of them say they always make decisions about what they do and one usually. They all know who to speak to if they are not happy and how to make a complaint. Five saying that staff always listen and act on what they say and one usually. Most confirm that the home is always clean and fresh. Their comments include: The home is ideal for me...I treat the staff and other residents as my family; They ensure I have good personal care; They keep an eye on me to keep me healthy and the home gives me real choice. They feel the home could only do better with more staff for their activities as they are not always able to have assistance with social activities without planning ahead. SURVEYS completed by four tenants RELATIVES are also positive. Two feel the home always meets tenants needs and gives them agreed support and two usually. All say the home helps their relatives keep in touch with them and two that they are always kept up to date about important matters and two usually. They also indicate that staff usually have the right skills and experience to look after people properly. All confirm they know how to make a complaint and that any concerns they have raised were dealt with appropriately. They comment: The home recognises Xs needs and deals with them appropriately; The service is good. X has always been looked after well and we always feel welcome when we visit and a good home life is provided, however with more staff there could be more activities. The only other less positive comment is about the garden, which one person feels could be tidier and made more of a feature. We have not received any COMPLAINTS about the service since the last inspection and neither has the home. NOTIFICATIONS have been made appropriately to us. They were mostly in relation to serious illness of and/or tenants being admitted to hospital. Having considered all the evidence above that we obtained for this ANNUAL SERVICE REVIEW our judgement is that Wall Street continues to provide a good quality service. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We are therefore not going to change our inspection plan and a key inspection will be carried out by 11 November 2011. However we can inspect Wall Street at any time if we have any concerns about the quality of the service or about the health, safety and/or welfare of the tenants. Annual Service Review Page 6 of 7 Reader Information
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