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Inspection on 29/03/10 for The Old Rectory

Also see our care home review for The Old Rectory for more information

This is the latest available inspection report for this service, carried out on 29th March 2010.

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 Excellent.

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: The Old Rectory The quality rating for this care home is: The rating was made on: three star excellent service 3 0 0 3 2 0 0 9 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: Judith Last Date of this annual service review: 2 4 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Cromer Road Hevingham Norwich Norfolk NR10 5QU 01603279238 F/P01603279238 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Mr Richard Jarvis,Mrs Susan Jarvis Number of places (if applicable): Under 65 Over 65 9 0 A maximum number of nine (9) services users with learning disabilities may be accommodated. 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 The Old Rectory is a care home providing personal care and accommodation for 9 younger adults with learning disabilities. Mr Richard Jarvis and Mrs Susan Jarvis own the home. Susan Jarvis has the responsibility for the management of the home. The Old Rectory is a Grade II listed Georgian building located on the outskirts of the village of Hevingham, some 8 miles from the City of Norwich. Most people need staff support to go out and use local facilities, but the home is within easy driving distance of the City of Norwich and the market town of Aylsham. The home has been made bigger and more comfortable for people living there. There Annual Service Review Page 2 of 7 3 0 0 3 2 0 0 9 are nine bedrooms, eight on the first floor and one on the ground floor. No one has to share a room. The home has various areas people can share, with different sitting areas. Outside there is a big garden that includes a pond and a wooded area. Next to the house there is an enclosed garden for people to use who might need extra support to keep them safe. When we last visited, it cost from £3088 to £3094.20 a month to live at the home. It costs extra for private chiropody, hairdressing, toiletries and personal spending, some day care activities and contributions towards transport and the cost of outings. There is also a charge to people for having their accounts independently audited where the manager handles their money. People living at the home will need Mrs Jarvis or the staff to explain inspection reports to them. 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 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 gives us some numerical information about the service. Surveys returned to us by four people living at the home and three of their relatives, by five people working there and four visiting professionals. Information we have about how the service has managed any complaints. What the manager has told us about things that have happened in the service. These are called notifications and are a legal requirement. The last key inspection and the results of any other visits we have made to the home, as well as the history of the service. Relevant information from other organisations and what other people have told us about the service. What has this told us about the service? The manager sent us the information we asked for in the AQAA, by the date we needed it. She included a lot of information about what the home does well and what evidence there is to show this. She also set out what improvements she thinks are needed and how she is going to go about achieving these over the next year. This shows she continues to take responsibility for monitoring and improving the quality of the service that people receive. We know from our previous visits that peoples needs are assessed before they move to the home. Visiting professionals confirm this, supporting what the manager tells us in the AQAA. Three professionals tell us that the homes assessment arrangements always ensure accurate information is gathered and the right service is planned for people. One professional feels this is usually the case. One adds that Staff meet service users needs in all areas. Staff surveys show that they recognise people as individuals with a variety of needs and that they feel they work hard to meet them. They also all say they have up to date information about peoples needs. This shows that staff are aware of the support that they are expected to offer each person. People living in the home tell us that they are happy there. We had comments like everything is OK, they look after me, I am very happy, and Im happy here. They say they are able to make decisions about what they do during the course of the week. Two visiting professionals commented to us specifically about activities. One says, They encourage clients to have lots of quality activities and outings of their own Annual Service Review Page 4 of 7 choice. Another says, A variety of activities is arranged including accessing community events. This confirms what staff say in their comments, and what the manager tells us in the AQAA, about opportunities for people. It shows that the Old Rectory continues to try and offer people a fulfilling lifestyle, which meets their recreational and social needs. We know from previous visits that staff support people well with their personal and health care needs. One visiting professional commented that the service is always receptive to professional advice and support. Another describes the service as always having gone beyond the call of duty. This shows that people continue to be well supported and that the staff team works cooperatively with others to promote peoples health and welfare. Relatives who wrote to us express a lot of satisfaction with the way the people they visit are supported. One says, the home is superbly run with efficiency but also loving and caring to individual needs. Another comments that, Every single thing in the home is excellently carried out. This shows that they feel confident people they visit are being well cared for. The AQAA tells us that one staff member has completed intensive training to help develop different ways of communicating with people. A staff member confirms this and is looking forward to the benefits they feel these developments will bring. This shows the service is taking steps to increase opportunities for people to express themselves and make their views known. This home has consistently had a very low turnover of staff. This gives people the opportunity to get to know those who support them, and for staff to develop proper understanding of peoples needs and the way they express themselves. The AQAA confirms that there is still low staff turnover and staff sickness so people are able to benefit from consistent care. In addition to this, one professional describes the manager as very experienced, and says that in their view she has employed extremely able staff. It is clear from staff surveys that morale is generally high. (One member of staff describes the Old Rectory as the nicest home I have worked in. ) This information helps confirm people benefit from an effective and skilled staff team, who are well managed and well led. Staff tell us they know what to do if someone has concerns about the home, and people living there say they know how to complain if they need to. The manager recognises the importance of staff being able to pick up concerns early and feels they are able to do this because they know people well. This helps staff to recognise when people may be distressed or bothered by something - even if they are not able to express this verbally. Mrs Jarvis participates in a forum for safeguarding people in Norfolk. We know from previous visits and from the AQAA that she gives this a high profile with staff, making sure they understand and are aware of their obligations and how they can contribute to protecting the people they support. These things show that every effort is made to ensure peoples concerns would be taken seriously and addressed, and that there are measures in place to protect people Annual Service Review Page 5 of 7 from exploitation or abuse. What are we going to do as a result of this annual service review? Information from the manager and the highly positive feedback in surveys returned to us leads us to conclude that people are still receiving an excellent service at the Old Rectory. As a result of this, we are not going to change our inspection programme. Under our current inspection regime, this means that the home would be subject to a key inspection before 30th March 2012, and be reviewed again before then. However, we can inspect at any time if we have any concerns about the safety or welfare of people living in the home. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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