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Inspection on 09/09/09 for Bolealler House

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

This inspection was carried out on 9th September 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 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: Bolealler House The quality rating for this care home is: The rating was made on: three star excellent 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: Annie Foot Date of this annual service review: 1 0 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Bolealler House Westcott Cullompton Devon EX15 1RJ 0188438275 Telephone number: Fax number: Email address: Provider web address:   bh.ltd@tiscali.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : learning disability mental disorder, excluding learning disability or dementia Conditions of registration: Bolealler House Limited Number of places (if applicable): Under 65 Over 65 21 21 0 0 The maximum number of service users who can be accommodated is 21. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) Mental disorder, excluding learning disability or dementia (Code MD) 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 Bolealler House is owned by Bolealler House Ltd, a subsidiary of Allied Care Ltd. The property consists of a large detached country house with a converted stable block and a further extension, called Angels. It is situated in a rural area between Broadclyst and Cullompton. The main property is a period style house retaining many original and interesting features. The recent extension, Angels, is a stylish and modern house that Annual Service Review Page 2 of 7 operates separately from the main house, with its own kitchen, lounge, dining room and bedrooms. There are large grounds and lovely views of the surrounding countryside from many of the rooms. The home provides support and personal care for 20 adults with a learning disability or a mental health problem. The home has transport to enable service users to use local facilities. The inspection report is available in the home for anyone who requests to see a copy. The inspection reports are read out in Residents Meetings. All staff are given a copy of the report and asked to sign to confirm they have read it. Fees range from £442.45 to £1,368.91 per week 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 which took place on 7 August 2007 and the annual service review completed on 22 July 2008 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 home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and detailed and gave us all the information we asked for. The AQAA was completed by Dale Churchill who is the manager of the home. He was appointed to the post in June 2009. An application for registration as manager of the home has not yet been received by CQC. We also received 11 completed surveys from people living at the home. Some people had been assisted by a member of staff in completing the forms. The surveys tell us that everyone makes their own choices about what they with their time and that they are happy living at the home. Some people say they would like to do more things eg day trips and going out on the bus. Residents also tell us that staff listen and act on what they say. One person says that they asked to move into the home. The AQAA tells us barriers to improvement of the service has been caused by outside clubs which have closed down and not restarted. Various college courses have ended and for various reasons new ones are no longer available. The home has tried to reduce the impact of these barriers by arranging more activities inside and out side of the home which include weekly bingo, crafts, meal and skittle evenings, walks to the local pub for drinks or a meal. A computer has been installed in the main house for service users use. Annual Service Review Page 4 of 7 Improvements made over the past 12 months have included, revamping the grounds and rebuilding the fish pond. A large screen digital television has been installed and all service users now have either digital televisions or digital boxes in their bedrooms. The appointment of a new cook has been of benefit by involving service users with the planning of weekly menus and preparation and cooking of meals. The service aims to support service users preferred lifestyle and encourages their involvement in the running of the home. The home and the company has a robust procedure for concerns complaints and protection and are accessible for all to use. Copies of the policies displayed the front hall with lists of the care management teams so that complaints can be taken to external professionals. Everyone responding to our survey says they know who to speak to if they have any concerns or wish to make a complaint. No complaints or safeguarding referrals were received in the last twelve months. The Cared 4 induction process allows new staff an insight into the complaints process for service users and themselves. The AQAA notes that the environment is safe homely and comfortable. The home has extensive grounds which Service Users enjoy. Services Users with an interest in gardening are encouraged to participate in the day to day activities that keep the grounds safe and tidy. One service user has a small plot of ground where they grow their own vegetables this is also involving other service users who have a interest in gardening. There are a full range of polices and procedures in operation at the home. Policies are reviewed but a number have not been reviewed or updated since 2004. The home aims to operate at full occupancy and the majority of people living at the home have lived there fro several years. There has been one new admission in the last year. 25 permanent care staff are employed at the home. Of these 20 have achieved an NVQ level 2 or above in care. 10 staff have received induction training. 6 staff have left their employment at the home in the last year. The home continues to provide a high standard of care and there is no evidence to indicate that outcomes for people who use the service have changed since the last inspection of the service. 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 key inspection by 7 August, 2010. 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 7 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. Copyright © (2009) Care Quality Commission (CQC). 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