Better Outcomes for People with a Learning Disability


Quality Network Public Statements

   
Organisation Choices Housing Association Limited
Type Not for Profit Organisation 
Services included Residential and Day Care Services
Contact name Chris Sterling 
Tel. 01782 254000  
Email info@choicesha.co.uk
Public Statement   1999      

 

Our Services

CHOICES Housing Association is a special needs housing association that aims to provide special needs housing and support to people with learning disabilities end mental health problems. Based in Newcastle-under-Lyme, the CHOICES has a total of 17 homes (both residential and nursing homes) providing support to a total of 97 people. Most of the homes are purpose built to accommodate between three end six people. Everyone living in the residential and nursing homes requires 24 hour support.

Although everyone living within the service requires a variety of support from staff, there is a wide and varied difference in people's individual needs. Some people living in the service are elderly, some people have physical and sensory disabilities, some people require nursing care, some people have challenging behaviour and some people have mental health needs as well as learning disabilities.

The Service Review
The service review took place during October 1999. Ten service users were randomly selected to be visited as part of the evaluation and of these, nine participated in the review and one person declined. A Quality Network Service Review Group was established from service users, senior managers and support staff. In addition, the local citizen advocacy service were involved as well as service user's.
The review team was supported by Rachel Raymond and Jan Hill-Tout from the Quality Network.


Conclusions - What we found about the service

General findings
Overall CHOICES provides a high quality service to people with learning disabilities. Staff work to clear aims and values and try hard to ensure that people who use the service are supported in a positive and valued way.

CHOICES staff are helping service users achieve many aspects of the ten quality outcomes. The evaluation did not highlight any major concerns regarding people's lives and the quality of services they receive, but it did pin point areas in which improvements could be made.
The review highlighted that those people who use the service who have a greater level of disability have the greatest difficulty attaining the quality outcomes. These people require a greater amount of support from staff as well as additional help from advocates since they find it hard to choose how they live their lives. The review also highlighted that some people, particularly those people in the residential services with a greater level of disability who cannot communicate their needs effectively, did not receive the best healthcare as staff found it difficult to identify their needs. It was also highlighted that some G. P's also found it difficult to identify people's health needs.


What was going well:

  • People are supported in a positive and valued way.
  • People who are able, make many choices that affect their everyday lives.
  • People are encouraged to make important decisions that affect their lives. Staff assist people to plan their lives and agree what help and support is required both in the present and the future.
  • People are support in a dignified and respectful manner.
  • Families are encouraged to be involved in people's lives.
  • Most people are independent and are able to participate in everyday activities, both at home and in their local communities.
  • People are not abused or harassed.
  • People generally receive a much better level of health care than they had previously when living in hospital or hostel accommodation.

What we need to improve:

  • Interaction and engagement levels could be higher. Staff spend time doing things without involving service users. Some people spend a lot of time unoccupied.
  • People need more support to gain employment (both paid and voluntary).
  • People need help to establish more friendships other than paid staff.
  • People who find it difficult to communicate need greater access to advocates.
  • Staff need training in supporting people to advocate for themselves.
  • Staff need training in the prevention of abuse.
  • CHOICES needs to improve the way it listens to service users and their families.
  • CHOICES needs to ensure that all service users receive a high level of healthcare appropriate to their needs.

For further information please contact:
Chris Stirling (Community Service Manager)
CHOICES Housing Association,
1A King Street, Newcastle-under-Lyme, Staffordshire, ST5 1EN.
Tel: 01782 254000 Fax: 01782 254001 email: info@choices.co.uk

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