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Inspection on 15/12/09 for Boucherne

Also see our care home review for Boucherne for more information

This inspection was carried out on 15th 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: Boucherne 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: Ann Davey 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: Holloway Road Heybridge Maldon Essex CM9 4SQ 01621855429 01621854478 cjtibballs@btinternet.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Ann Carey Barlow Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Boucherne Ltd Number of places (if applicable): Under 65 Over 65 0 24 The maximum number of service users who can be accommodated is 24 The registered person may provide the following categories 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 categories: Old age, not falling within any other category - Code OP 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: We registered Ann Barlow as the manager of Bouchern in June 2009 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Boucherne provides residential care for up to 24 older people. The home is situated in Heybridge, a short distance away from Maldon town centre. The period detached Annual Service Review Page 2 of 6 property has been extended to provide additional accommodation but has not lost its character and homely atmosphere. The home has a good-sized garden at the rear, with a smaller garden at the front. There is a small car park for visitors to the side of the property. Accommodation is on two floors, accessible by stairs, a passenger lift and a stair lift. Accommodation comprises both single and double rooms. All rooms seen were well furnished and decorated. Local shops are a short distance away and the home is on a bus route. The fees for the home, at the time of inspection in June 2007, ranged between £393 and £435 a week depending on the accommodation provided and the source of funding. Additional charges were made for newspapers, toiletries, hairdressing and private chiropody. For more up to date information contact the home directly. 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 (CQC) looked at all the information we have received, or asked for since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us in May 2009 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. We send surveys to the home asking that they be distributed, completed and returned to us. We received 4 surveys from staff members, 3 surveys from relatives and 8 surveys from residents. Some comments have been included within this report. Information we have about how the service has managed any complaints. What the provision has told us about things that have happened in the service, these are called notifications and are a legal requirement. We spoke with the Manager by telephone on 9th November 2009 What has this told us about the service? We reviewed the information within the AQAA, assessed the information on the homes service record, read the surveys to see what people said about the service and we spoke with the manager on the telephone. Since the last inspection, the manager made application to be registered with us and this was finalised in June 2009. The manager updated us on their ongoing training and professional development programme. The AQQA was detailed and provided us with an overview of what the home had achieved since the last annual service review which took place on 27th June 2008 and the areas they want to develop. The AQAA reported within their summary we provide a comfortable and secure home for elderly people who need more care than can be provided in the community and/or choose to make their home with us. Our premises are domestic rather than institutional, our care practice is professional but informal with a stable group of staff who know the residents well. When asked how the home had improved during the last year, it was reported improved the outdoor facilities, decorated and re-floored some areas of the home. Improved in house training. Completed staff training in SOVA and medication. Staff have attended various other courses. When asked what they were hoping to develop and improve, it was reported make Sky TV available on request and improve our marketing. We noted within the AQAA that some of the homes policies, procedures and codes of practice had not been reviewed for a significant period of time. For example, values of privacy, dignity, choice, fulfilment, rights and independence had not been reviewed since 1988 and the missing service users had not been reviewed since 2001. All policies and procedures should be reviewed to ensure that care practices within the home meet with current legislation. We received positive comments about the home from residents within their surveys. Annual Service Review Page 4 of 6 These included they (staff) are always most hepful...there is a programme of activities and/or entertainment posted weekly...there is a choice at breakfast and alternative choices at lunchtime and dinner, the quality of the food is excellant...I am happy here and well looked after...everything seems to be in good order...everyone is kind and friendly and I appreciate this. Within their surveys, staff told us care plans are updated monthy...training is ongoing...our manager is very approachable and is always available to discuss concerns...we have regular staff meetings...induction plays a major role for new staff...regular supervisions are undertaken...staff are always willing to cover shifts. Relatives within their surveys told us very pleasant decor...excellant food...excellant staff response...as far as we can see the staff provide the appropriate care for all residenst...Bouchern actively supports residents to live the life they choose and encourages residents independence in daily living...the home creates a relaxed and homely environemnt...staff seem happy and contended...I love the open kitchen area, its like being in a big house, rather than a care home...its a lovely place for x to be in. During our telephone conversation with the manager we were informed that they had received no complaints about the provision or been involved with any safeguarding adults from harm enquiries within the past year. The manager said that there had been a consistent staffing group which had provided continuity for residents. The manager said that the home had been able to meet all the assessed care needs of residents and had maintained a good working relationship with health and social care professionals. The manager informed us that they meet on a month basis with the owners of the provision to discuss quality assurance issues. We were told that the home has a quality assurance and improvement plan in place which is monitored at this meeting. The manager explained that the homes annual quality and assurance report will be completed by the end of 2009. We do not have any current concerns about Bouchern and our records demonstrate that the they contact us as appropriate. From the information provided, Bouchern continues to provide positive outcomes for residents. What are we going to do as a result of this annual service review? We will carry out another regulatory activity by 8th November 2010. We can inspect the home at any time if we have concerns about the quality of the service or the safety of the people who use 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 6 of 6 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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