Inspection on 04/11/09 for Margaret House (Barley)
Also see our care home review for Margaret House (Barley) for more information
This inspection was carried out on 4th November 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.
Annual service review
Name of Service: Margaret House (Barley) 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?
Yes 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: Patricia House Date of this annual service review: 1 4 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Church End Barley Nr. Royston Hertfordshire SG8 8JS 01763848272 01763848867 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Mr T Kelly Number of places (if applicable): Under 65 Over 65 0 28 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 Margaret House is a large Victorian detached house, which has been converted to provide care for 28 elderly people. There are three floors connected by a passenger lift and staircases. The conversion and extensions to the house have been sympathetically made and the house retains elegant period features whilst being suitable for its use as a care home. All the bedrooms are single occupancy and eight now have en-suite facilities. There is parking at the front of the house, behind a large brick wall. The grounds are extensive and beautifully kept and there is a large conservatory with lovely views. The home is situated in the quiet village of Barley, not far from the town of Royston. The village has a Post Office, shop, Health Centre and Church and Margaret House forms an integral part of this community. The homes Statement of Purpose/Service Users Guide and last inspection report are displayed in the entrance hall. Current fees for the home are available on request but
Annual Service Review Page 2 of 6 include hairdressing, chiropody and outings. The only costs not included in the fees are charges for private telephones. 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? The last key inspection took place on 4th April 2007. We looked at all the information we have asked for or received about the service since the last inspection. The manager has completed and returned to the Commission the annual quality assurance assessment (AQAA). The AQAA is a self assessment document that focuses on how well outcomes are being met for people using the service. It also provides some statistical information about the service. Some of the information provided in the AQAA is included in this report. What has this told us about the service? In the AQAA the manager demonstrates how a robust programme of quality assurance is continuing to operate in the home. Some residents expressed a wish that some of their outings could be on a more individual basis and so a Renault Kangoo vehicle has been purchased for the home which is adapted for wheel chair access. The manager states that residents have been very pleased to be able to use this vehicle although larger vehicles are still used for group outings. The door of one bedroom has also been replaced at the request of the resident concerned. The manager confirms that there is a continuing maintenance programme in operation in the home. Most communal areas and bedrooms have been refurbished and the staff room has been completely upgraded. Flat screen televisions have been provided in the communal lounge and in some individual bedrooms. More staff training has been provided and, when one final care worker completes NVQ2 training, the whole staff team will have achieved NVQ 2 or above. The manager has also completed NVQ 4 training. In the AQAA the manager shows that in the last year all the homes policies and procedures have been reviewed and updated where appropriate, and that a larger variety of current information about care provision has now been made more easily available for staff. A new drugs cupboard and controlled drugs cabinet have also been installed to ensure the system for administering medication remains thorough for the protection of the residents. The manager states that no complaints have been received in the home in the last twelve months. No complaints about the service have been received by the Commission since the last inspection. From the information received so far we have judged that the home is still providing excellent services to the people involved . Annual Service Review Page 4 of 6 What are we going to do as a result of this annual service review? We can inspect the home at any time if we have concerns about the services provided. The next key inspection of the service will be undertaken before 4th April 2010. As with all care services, information will continue to be gathered over the intervening period. The homes performance will be subject to a process of continual assessment and evaluation in the light of any information received, with appropriate regulatory action being taken as indicated. 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:
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