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Inspection on 20/11/09 for Bollingbroke House

Also see our care home review for Bollingbroke House for more information

This is the latest available inspection report for this service, carried out on 20th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Bollingbroke House The quality rating for this care home is: The rating was made on: two star good service 2 1 0 7 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: Shelagh Murphy Date of this annual service review: 1 4 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Common Road Brierley Barnsley South Yorkshire S72 9EA 01226712409 F/P01226712409 jcbollingbroke@googlemail.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Flagswan Two Ltd Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is:33 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 category: Old Age, not falling within any other category, Code OP - maximum number of places 33 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: Registered manager resigned. CQC notified on 30/6/09. CQC were notified that a new manager was appointed August 2009. The owner of the service informed us that this person was in the process of applying to us to register as the manager of the home. 2 1 0 7 2 0 0 8 Number of places (if applicable): Under 65 Over 65 0 33 Date of last key inspection: Annual Service Review Page 2 of 8 Date of last annual service review (if applicable): Brief description of the service Bollingbrooke House is located on the edge of Brierley village close to the border with West Yorkshire. The home is a large detached property, which was formerly a private family residence. The home stands within its own grounds with ample private car parking to the front and landscaped gardens to the rear. The gardens incorporate a duck pond with resident ducks. People in wheelchairs could find it difficult to negotiate the sloping garden but can easily access the terrace overlooking the garden. The accommodation is on two floors with a passenger lift. The main lounge and the smoke lounge have French windows onto the terrace and overlooking the rear gardens. There are dining rooms, which are both domestic in character. Annual Service Review Page 3 of 8 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 received, or asked for, since the last key inspection. This included: The Annual Quality Assurance Assessment or AQAA report 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. Information we have about how the service 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 inspections 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 report or AQAA, when we asked for it. It was clear and gave us all the information we asked for. We were notified in June 2009, by the new owner of the service that the previous manager had resigned and that as an interim measure an acting manager had been appointed. In September 2009, we were notified by the new owners that a new manager had been recruited to the post in August 2009. We were also advised that the manager had begun the process to become registered with us. This helps to protect peoples welfare. We looked at the information in the AQAA, information from our records and what stakeholders have told us 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 the AQAA report stated that the service will continue to listen to people who lived at the home and other stakeholders. They told us they did this by; Collating satisfaction surveys, which are given out to all stakeholders; They went on, We hold regular residents meetings with people to assess their satisfaction. Visitors are asked to make a few comments on the visitors records we keep for people. To ensure their experience as a visitor was positive and to check whether they felt the person they were visiting looked well cared for etc. They went on to tell us. We also involve people and their relatives in care plan reviews as appropriate. Annual Service Review Page 4 of 8 The manager told us that the following changes have been made at the home in response to listening to peoples views; Activities are now planned according to the residents choice, for the week ahead. This information is then posted on the notice board. They also told us, Outside entertainment is now bought in more frequently and again is chosen by people who live with us. They told us that, Mealtimes have changed to adapt to the needs of people, this was a direct response to peoples suggestions. Tea is now served later in the day. This demonstrated that the service to responds appropriately. In the AQAA report we asked what further changes the service had planned as a result of listening to people. This is what they told us; After reviewing questionnaires and from listening to people at their meetings there is a definite need for our own transport. This would enable outings to be more spontaneous and take place more frequently. A request for this has been made to the new owners. The AQAA report told us that, the home had experienced some barriers to improving the service over the last year. This is what they told us; There is no doubt that due to the home entering receivership, therefore, progress with certain aspects of improving the service has not been as swift as it could be. However, Now the home is under new ownership there is a very positive ethos and hopefully the pace of progress will quicken. Seven of the people who lived in the home had completed CQC surveys. Overall these told us that most people were very satisfied with the services they received at the home. Their comments included; They take wonderful care and attention. The staff are kind and caring. There is always somebody here and we are looked after well. Good meals and service. The home is clean and tidy. Helpful staff. The majority of the staff are all very pleasurable and helpful, a nice staff team. Peoples comments about what could be better included; Perhaps we could have a few more outings for those who are able. Often find other peoples clothes in my wardrobe. The AQAA report told us that the service has an experienced staff team. It stated they had over 50 per cent of the staff that have NVQ2 in Care awards. This was positive and demonstrated the services commitment to supporting staff in developing their skills and knowledge. Eight of the staff who worked at the home completed surveys. Overall they were very positive and their comments included; Our service provides quality and caring support. Staff are always available when assistance is required. Staff support each other and work well as a team. We make everyone welcome and try to meet peoples individual needs. We make sure people are well looked after. We always meet the needs of residents and it is a pleasant atmosphere for both residents and staff. Staff comments about what could be better included; Annual Service Review Page 5 of 8 Handrails are needed down the path as people go out and visit friends daily. We need more activities for people. We need better access to the building. Two of the Health professionals that we sent surveys to, returned them. The surveys were mainly very positive. Their comments about the service included; There is a good rapport between people and staff. They offer good care and support to people who require assistance. We also recieved a copy of a letter from a district nursing team. They wanted to inform us that this home had managed the care of a terminally ill patient, who wished to remain living at the home, with compassion and dignity, over and above what they would expect from a care home service. This was positive and was an example of how the staff meet peoples individual and complex needs. Health professionals comments about what could be better included; Sometimes there is not enough time to provide care they would like to, to some very demanding patients. They could provide more activities for clients and their visitorsand friends and field trips. We received two surveys from relatives of people who live at the home and their comments included; My brother and I have always been very happy with the way our Mother is treated here. The staff deserve very high praise. Cant think of anything they fall down on. Everything possible is done to make sure my Mother is comfortable and happy. We have nothing but praise for this caring home. They care about residents, staff even do things in their own time, e.g. My Mum loves tripe and staff fetch it in for her from Barnsley market. Relatives comments about what could be better included; Need more activities for people. The home could do with being updated with more modern fittings. From the AQAA report we can see that no complaints have been made to the service over the last year. And no complaints have been made to us over the last year. The AQAA report stated that no adult safeguarding referrals have been made by the home. 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? Annual Service Review Page 6 of 8 We are not going to change our inspection plan, and will do a key inspection by 19th September 2011. 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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