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Inspection on 11/12/09 for Barnby Gate Care Home

Also see our care home review for Barnby Gate Care Home for more information

This inspection was carried out on 11th December 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: Barnby Gate Care Home The quality rating for this care home is: The rating was made on: two star good service 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: Linda Hirst Date of this annual service review: 0 9 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 97A - 97B Barnby Gate Newark Nottinghamshire NG24 1QZ 01636708856 Telephone number: Fax number: Email address: Provider web address:   dawn.heywood@nottscc.gov.uk Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Nottinghamshire County Council Number of places (if applicable): Under 65 Over 65 9 3 Nottinghamshire County Council is registered to provide accommodation and personal care to people at Barnby Gate Care Home, 97A - 97B Barnby Gate, Newark, Nottinghamshire, NG24 1QZ, whose primary care needs fall within the following numbers and category: Learning Disability (LD) - 9: Learning Disability over the age of 65 years (LD(E) - 3. 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: A new responsible person has been identified for the service. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Barnby Gate is a residential care home close to the centre of the market town of Newark, through which flows the River Trent. It is run by Nottinghamshire County Council, Adult Social Care and Health Department. The property is owned and maintained by New Leaf. The home is within easy walking distance of public transport and shops. There are plenty of leisure facilities in the town. These include pubs, restaurants, cafes, a bingo hall, bowling alley, theatre-cum-cinema, two disco halls, a leisure centre with Annual Service Review Page 2 of 6 swimming pool, and gyms. It is a very historic area, with a castle, museums and many activities at these venues. There is a large Showground where regular events are held. The home is registered to provide accommodation and personal care for up to twelve adults with a learning disability. The home consists of two properties, one a two-storey house and the other a bungalow, each housing up to six residents, all in single bedrooms. Some of the residents, who are in their later years, are mostly housed in the bungalow unit. There is an attractive, tranquil, secluded and safe garden to the rear of the home and car parking for the homes people carrier van and the staffs cars. The fees are approximately #352 per week. Where residents require one-to-one attention, this, for some residents, incurs an additonal charge. Annual Service Review Page 3 of 6 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 gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has 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 inspection 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 service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us most of the information we asked for, although the manager did not tell us the dates when policies and procedures were last reviewed. We looked at the information in the AQAA and our judgement is that the service is still providing good care and that they know what further improvements they need to make. People who use the service have told us that they are happy with it. They are particularly pleased with their holidays. Comments included, (I like) Going on trips out, (the service is good at) doing things you like,another told us they like the Saturday breakfasts. Three people told us they would like more holidays, trips out and more staff time. The staffing levels and its impact on activities was also raised in every survey we received from the staff. A typical comment was, staffing is sometimes stretched and that can compromise activities. The manager told us this is something they are aware of and a situation they are working to improve. We received comments from 12 members of staff, and it is clear that they are proud of the work they do and the quality of care that is delivered, they all commented positively on this. This is the most caring establishment I have worked within the 15 years I have been in the care environment. The residents are of paramount importance Annual Service Review Page 4 of 6 to everyone. They are valued and respected, with all staff going the extra mile to ensure they reach their full potential and quality of life. Pleasure to work here. Another commented, (we)support individuals health and social care needs. Regular updates to maintain skills and increase knowledge. They highlighted redecoration, improved storage at the service and increased staffing as areas where the service could improve and this should be considered as part of the ongoing quality assurance of the service. There have been no concerns, complaints or allegations made to us about the service since our last report and the manager has told us they have not received any directly. However, we are concerned that the manager told us in the AQAA that there have been four safeguarding investigations in the past year. We have only been made aware of one incident and the service should be letting us know about these events as soon as possible so we can assess the risk to people living at the service properly. We must be sent details of the other three incidents without further delay. Overall, however, the service works well with us and they 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? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. 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. Annual Service Review Page 5 of 6 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. Copyright © (2009) Care Quality Commission (CQC). 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