Howbury House - Civica 201… · Overview of Provider Services Address: - Pickersleigh Grove, Malvern, WR14 2LU Annual Budget: - £1m Full time Equivalent Staffing: - 33 Howbury House

Overview of Provider Services

Address: - Pickersleigh Grove, Malvern, WR14 2LU

Annual Budget: - £1m

Full time Equivalent Staffing: - 33

Howbury House

Howbury House

DESCRIPTION:

Howbury House is a 32 bed Residential Home for Older People with

cognitive difficulties and dementia.

INVESTMENT

The service has also used an investment in Assistive Technology to

provide better quality and support. This featured positively in local

news in January 2018

https://www.worcesternews.co.uk/news/15815626.cash-boost-will-

bring-high-tech-to-malvern-care-home/

The CQC (Care Quality Commission inspection report included: -

“Staff were able to demonstrate they had sufficient knowledge and skills to carry out their roles effectively and to ensure people who used the service were safe." "Staff sought people's consent before providing care and provided choices so people could choose the support they received." "People told us they enjoyed meals times and were very positive about the choice and quality of the food they received." "Relatives told us people had developed good relationships with staff and they felt welcomed into the home whenever they visited."

https://www.worcesternews.co.uk/news/15815626.cash-boost-will-bring-high-tech-to-malvern-care-home/

https://www.worcesternews.co.uk/news/15815626.cash-boost-will-bring-high-tech-to-malvern-care-home/

CUSTOM SOLUTIONS

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WEB SOLUTIONS

ENTERPRISE MANAGEMENT SERVICES

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APPLICATION MANAGEMENT

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Address: - 35 Worth Crescent, Stourport on Severn,

DY13 8RR

Annual Budget: - £560k


Worth Crescent

Worth Crescent

DESCRIPTION:

Worth Crescent is one of two services providing Replacement Care (or Res-pite) to adults with a Learning Disability. Worth Crescent has 10 bedrooms, 2 of which are on the Ground Floor. There is no lift at the property, meaning most people who attend are physically mobile.


"At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evi-dence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns." "Worth Crescent has been developed and designed in line with the values that underpin Registering the Right Support and other best practice guid-ance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordi-nary a life as any Citizen." "The registered manager had identified potential risks to people and had put plans in place to support staff. Staff were consistent with management of risk while also promoting people's independence." "People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice." "Staff continued to treat people in a respectful and dignified way which had a positive impact on their wellbeing. People and relatives felt the staff team were kind, friendly and supportive." "The provider listened to people's views about the service and the way it was run. People and relatives felt they had the opportunity to raise their suggestions and ideas and found the registered manager approachable and supportive."

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Address: - 48 Stataion Road, Pershore, WR10 1PD



Pershore Short Breaks

Pershore Short Breaks

DESCRIPTION:

Pershore Short Breaks is the second of two services providing Replacement Care to Adults with a Learning Disability. There are 4 bedrooms, all of which are on the Ground Floor. The service shares the building with the Area Social Work Team, and is also utilised by Learning and Development and Urgent Promoting Independence.


“At this inspection we found the quality of care had been maintained and people continued to receive a service that was well led, providing safe, caring, effective and responsive care and support that met their needs." "There were enough skilled and knowledgeable staff to meet people's needs and provide effective care." "Care plans contained detailed information to enable people to receive appropriate care and support that was responsive to their needs." "The registered manager and the provider were in regular contact with people, or their relatives, to check the care provided was what people needed and expected." "Staff were caring and people were treated with dignity and respect." "Staff understood how to protect people from abuse and harm. There were procedures to keep people safe and manage identified risks to people's care." "The principles of the Mental Capacity Act (MCA) were followed by the registered manager and staff." "People were supported to have choice and control of their lives and staff sought permission before assisting them"

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Address: - 1 -7 Exmoor Drive, Bromsgrove, B60

0TW



Exmoor Drive

Exmoor Drive Exmoor Drive is a 12 bed Residential home providing long term care to adults with a Learning Disability. For some time the beds were restricted to 8 in order to ensure the staffing was suitable for those people living there. Investment was made to the staffing budget in 2017 and the remaining beds were opened, and the service is being developed to provide care to those people with a Learning Disability who also develop dementia.


"People received care from staff who knew how to keep them safe. Staff knew what they would do to protect a person from the risk of harm and how to report any concerns." "People got the assistance they asked for or staff ensured they were available to help them when needed." "People received their medicines as prescribed and by staff whose competency had been checked to administer their medicines safely." "People's care was provided by staff that had been trained to understand their needs and were supported in their role." "People's decisions about their care and treatment had been recorded and staff showed they listened and responded to people's choice to choose or decline care." "People are supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and sys-tems in the service support this practice." "The management team had kept their knowledge current and they led by example." "People were offered a range of interesting things to do and follow their interests." "Support was provided where needed and alternative diets had been prepared to meet people's nutritional needs." "Staff knew people's individual care needs and respected people's dignity and had been supported to maintain relationships with their families."





















Connect LD Long Term

DESCRIPTION:

There are several Connect services operating across the County. These

services are based in Bromsgrove (covering Bromsgrove and Droitwich),

Redditch, Worcester, Malvern and Evesham. The service in Wyre Forest

closed in March 2019 following a Cabinet decision in November 2018.

The services operate Monday to Friday and they provide mainly community

based day services to adults with a Learning Disability. Some of these services

are based in building owned by Worcestershire County Council while others

rent space from other buildings.

FEEDBACK:

Recent engagement with the people using the services and their families

prior to changes generated positive feedback:

• Carers reported that adults were very happy in the services and that

staff are providing a high quality service; the stability and reliability

of the services are highly valued by carers; people using the services

have long-established friendship groups; carers feel that their family

members are safe in the services and have a high degree of trust for

the staff.

• The variety of activities and amount of individual choice on a day-to-

day basis are valued by carers; the services are person-centred and

staff successfully meet everyone's needs and individual choices; the

community based activities are plentiful and varied and enable

people to contribute to their communities.

• Carers feel that the Connect services successfully increase people's

Independence; the separation of Connect from Resource Centres as

part of the previous reorganisation has enabled people in Connects

to increase their independence and confidence; the Connects

services encourage independence, for example through independent

travel training and voluntary work opportunities; there was a feeling

that people using the service have "blossomed" under the new

model.

• The service is of value to carers to help them maintain their caring

role. Lots of people attending Connect also attend other externally-

provided day services; however, Connect is a valued part of the day

service offer and it was felt that Connect offers a service which is

different from most other day service offers, with the opportunities

to access varied activities out in the community.

Annual Budget: £1.6m

Full Time Equivalent staffing: 61





















Annual Budget: £29k

Full Time Equivalent Staffing: 0.4

Resource Centres DESCRIPTION:

There are 4 Resource Centres in the county; Wyre Forest, Bromsgrove,

Pershore and Worcester.

The Resource Centres operate Monday to Friday and provide a variety of ac-

tivities to people with a Learning Disability. Many of these activities are

building based with some community based activities planned according to

individual needs and preferences.

FEEDBACK:

As with the Connect services, recent engagement with people using the ser-

vices and their carers gave positive feedback:

• The Resource Centres provide a quality service; carers feel that eve-

ryone is well looked after in a very positive way; carers often com-

pared the Council-provided services favourably to other services; the

services enable people to engage with their peer group and they are

"one big family"; there is effective partnership working between the

Resource Centres and other services.

• The experience and quality of the staff in the services is highly val-

ued by carers and there is a relationship of trust; people feel safe and

secure in the services and stability of the service, including the conti-

nuity of staff, is highly valued .

• The services offer a wide variety of activities, although some carers

felt that activities could be developed even further with the addition

of new types of activities.

• It was particularly felt that the services should be promoted to

younger people transitioning to adulthood.

LEISURE LINK:

Leisure Link is an extension of the Council's Day Services offer, providing 3

social clubs in the evenings in the Wyre Forest area, although these are at-

tended by people from across the county. There is a disco held every fort-

night, a music group held weekly and a sports club held fortnightly. The ser-

vice is co-ordinated by a single person working part time and uses sessional

workers to support this. The office is located at Worth Crescent.

Annual Budget: £2.5m






















Domiciliary Care Services DESCRIPTION:

There are a number of services that fall under the umbrella of Domiciliary Care. These

services operate from Wildwood.

URGENT PROMOTING INDEPENDENCE TEAM (UPI – sometimes referred to as Pathway 1

This service is commissioned by the CCGs and is designed to provide support to peo-

ple discharging from hospital. The target is to achieve 70 discharges per week from

Acute hospitals, Community hospitals and outlying hospitals. The service provides

short term support, usually around 4 weeks, and aims to reduce the need for long

term care by promoting people's independence after a period of illness. The service

regularly outperforms its targets. The most recent report on outcomes showed that in

the 12 months April 2018-March 2019 the service received 3742 referrals. Of the people

progressing to a service (2193) 94% had outcomes met or partially met. The main rea-

son for outcomes not being met or only partially met was medical limitations (217 out

of 289). The number of care hours per week saved as a cumulative total for the year is

5869.5. This service is also supplemented by a waking Night Service which operates

countywide along with a Night Sitting Service which provides urgent short term

support to prevent admission.

SIDE BY SIDE:

This is a specialist service providing domiciliary care to people living with dementia.

There are currently 25 people in receipt of the service and 35 staff. This group of staff

also provide social care in the two Prisons in the county, the additional support for

people living at The Woodlands (Supported Living) are also used as a resource to

provide a Service of Last Resort to those people whose care provider is unable to

continue or where a provider cannot be found in the market.

The Domiciliary Care service is sup-

ported by a Homecare Call Centre,

which takes calls from people using

the services, their families and carers

and staff employed in the services. It

also provides a point of access out of

normal office hours for other

professionals such as NHS staff

wanting to refer to the UPI service.

The Call Centre is operated from

06:30 to 22:00 7 days per week and is

staffed by people from existing teams

within their budgets.

RISK TEAM: In addition there is also a

Risk Team which supports people

with complex needs and challenging

behaviour. The Risk Team provides

advice and practical support to the

other Domiciliary Care Teams in

order to maximise the range of needs

that the services can meet. The Risk

Team has also been used in the past

to support external services and to

support reviews of care.

Annual Budget: £6.8m (inclusive of £3,5m

of Better Care Funding – for UPI, Night

Service and Night Sitting)






















Shared Lives

Shared Lives operates from Wildwood. Shared Lives is a service which provides accommodation

with support, but in a domestic family setting rather than traditional Supported Living. Shared

Lives has 85 placements supporting 117 individuals. Placements are provided by self-employed

Shared Lives Providers, of which there are currently 125 approved providers. Most placements

are for people with Learning Disabilities, though the service does support people with physical

disabilities and Older People. Shared Lives has recently been promoted with the aim of recruit-

ing more Shared Lives Providers. There is a very good awareness of Shared Lives, particularly

amongst the Learning Disability Social Work Teams.

Shared Lives is a member of Shared Lives Plus – this is the UK network for shared living, and

offer guidance, information regarding best practice, legal advice and insurance.

CQC (Care Quality Commission inspection report included: -

The following are key findings from the inspection (please note – references to Shared Lives Carers and

"staff" means those people who provide the care, and not the staff employed by the Council – these are

referred to in the CQC report as "Shared Lives Workers"):

“All people we spoke with felt safe from harm. One person told us '[Carers name] has got my best Interests at heart'. "Shared Lives carers told us how the training around maintaining people's safety and continued sup-port from the shared lives workers, helped them to support people in a way which kept them safe but promoted their independence." "Staff told us that people were encouraged to be independent and this was the ethos of the shared lives scheme. One person told us, 'I have my phone with me, so if I need to ring for help I know I can call, [shared lives carer and workers names.'" "The carers told us they supported people who they had been matched with and were able to support them appropriately." "We saw there were robust checks in place to ensure the carers were safe and had the right values to support people." "People we spoke with did not have any concerns about how their medication was managed. We spoke with carers who admin-istered medication and they told us they had training and support to do this safely." "A further shared lives worker told us how the registered manager encouraged them to develop their knowledge and said, 'They give you the opportunity to progress in your career'" "People felt their views and wishes were respected and that staff sought their consent first." "One person told us how they had been supported by their carer to eat a healthy balanced diet and was proud to tell us of their steady weight loss and how this had benefitted their overall fitness."

Annual Budget: £315k


Documents

Howbury House - Civica 201… · Overview of Provider Services Address: - Pickersleigh Grove, Malvern, WR14 2LU Annual Budget: - £1m Full time Equivalent Staffing: - 33 Howbury House