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Inspection on 30/03/10 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 30th 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 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: The Old Rectory The quality rating for this care home is: The rating was made on: two star good service 0 4 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: David Smith Date of this annual service review: 2 5 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Chewton Hill Chewton Mendip Near Bath Somerset BA3 4NQ 01761241620 01761241497 michelle@bradburyhouse.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Miss Madele Steyl Conditions of registration: Category(ies) : learning disability Conditions of registration: Mr Neil Bradbury Number of places (if applicable): Under 65 Over 65 10 0 Service users who have concurrent mental health needs may be admitted. 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 homes manager, Madele Steyl, has now completed the registration process with us. 0 4 0 3 2 0 0 9 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Old Rectory is registered to provide a service for ten younger adults who have a learning disability. The service aims to support people who have relatively high needs including those who have Autistic Spectrum Disorders. The service is located in a large substantial house in the rural village of Chewton Mendip. The cathedral city of Wells is approximately 6 miles away and the city centres of Bath and Bristol are within travelling distance. There is a village shop across the main road. Annual Service Review Page 2 of 7 The home provides accommodation on three floors. The ground floor provides a lounge, dining room and activities/games room. There are two kitchens. The first is the house kitchen, which provides meals for the home. The second kitchen is accessible, with staff supervision, to the people living at the service. This kitchen is used to develop life skills. In addition to the living accommodation there are a range of staff areas including meeting room, administration office and staff office on the lower floor. The bedrooms are located on the upper floors. All the bedrooms are large and have en-suite facilities. There are three bathrooms, one of which has a spa bath. There is a staff area predominantly used by staff for night supervision. Additionally there is separate selfcontained staff accommodation. The service would not be suitable for people with a physical disability who could not access the stairs, as there is no lift to the upper floors. There is an accessible garden to the front of the house and a courtyard area to the rear. Bradbury Homes Ltd owns the home; the Registered Manager is Madele Steyl. 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. This included: The annual quality assurance assessment (AQAA) that was sent to us by the home. The AQAA is a self-assessment that focuses on how well outcomes are being met for people at The Old Rectory. It also gave us some numerical information. Surveys completed by some of the people who live in the home. Information we have about how the home has managed any complaints. Surveys completed by some members of staff who work at the home. What the home has told us about significant things that have happened, these are called notifications and are a legal requirement. The outcome of the last Key Inspection we carried out in March 2009. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that The Old Rectory is still providing a good service. The home state in their AQAA that they make sure they listen to the views of the people who live here. Regular reviews are held which people who live in the home and members of their family attend. They carry out quality assurance reviews where each person is able to express their views on their day care, their social activities and general life at The Old Rectory. They encourage self advocacy sessions; these give people an opportunity to express any concerns or difficulties they are having. The home has made a number of improvements in the last year, detailed in their AQAA, and these include: new furniture has been purchased for the lounge, new appliances such as a dishwasher, washing machine and tumble dryer have been installed and many areas of the home have been redecorated. They have a new minibus to transport people, individuals also now have a bus pass and are using public transport. Medicine storage and administration has been improved, budgets have been improved, the manager now has targets set with the view of improving different areas of work and the organisations managers now have more contact with each other enabling them to share good practice and their experience. The manager, Madele Steyl, has completed the registration process with us and is currently working to complete an NVQ Level 4 in Health and Social Care. They told us Annual Service Review Page 4 of 7 they are receiving support from an outside management consultant to enable them to manage their time and staff more productively and positively. They also know what further improvements they wish to make including: promoting greater independence for the people who live in the home, helping them to access new college courses so they have more choice and to provide structured, stimulating day care to enable people to become more independent. Five people who live in the home completed a survey for us. They told us they are able to do the things they wish during the day, evenings and at weekends. They said staff in the home treat them well and they listen to them and act on what they say. People confirmed they know who to speak with if they are unhappy and know how to complain if they need to. When asked what the home does well people said: good trips, they look after me and take me on trips, listen to music and watch sport with me. When asked what the home could do better one person said stop other service users from coming into my flat. Other comments were go to the pub more and noises at night from other service users. Two people could not think of anything the home could do better. Five members of staff working at the home wrote to us and said they are given up to date information about the people they support; they feel there are enough staff to meet peoples needs. They told us they are well supported, provided with relevant training and feel they have the right experience and knowledge to meet the different needs of the people who live at the home. When asked what the home does well comments from staff included: a nice atmosphere for the staff team to work in and for our service users to live in, we have a fully functional farm, day care and run lots of activities, we have a good team of support workers who all do their best for the clients and the staff team are exceptional and the management team are always available, very approachable and run the home extremely well. None of the staff felt the home could do anything better. Following the last Key Inspection in March 2009, we made these judgements regarding the quality of the service provided at The Old Rectory: Choice of Home, Lifestyle, Personal and Healthcare Support, Concerns Complaints and Protection, Environment, Staffing and Conduct and Management of the Home were all rated as good. Individual Needs and Choices was rated as adequate. The overall rating of the home was 2 star good. The AQAA confirms that no complaints have been made to the home in the last 12 months. 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 live at The Old Rectory. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a full review of the service by 4/03/12. However we can inspect The Old Rectory at any time if we have concerns about the quality of the service or the safety of the people who live here. 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. 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