Latest Inspection
This is the latest available inspection report for this service, carried out on 9th 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.
For extracts, read the latest CQC inspection for Acorn Manor.
Annual service review
Name of Service: Acorn Manor 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: Susan Taylor Date of this annual service review: 2 6 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Woodville Heywood Road Bideford North Devon EX39 3PG 01237423121 01237423623 arkenquiries@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Ark Care Homes Ltd Number of places (if applicable): Under 65 Over 65 9 0 Room 9, the ninth bedroom located on the lower ground floor of the annexe, currently used as a lounge, will only be used as a service user bedroom when an ensuite facility has been installed. The five rooms without ensuite facilities must not be used to accommodate a service user until: 1. Ensuite facilities are fully fitted. 2.Certified by Building Control department. 3.Approved by the Fire Authority. 4.National Minimum Standards are met. The home is to be registered to accommodate 9 service users who have a learning disability and are within the age range of 18-65 years. 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 Acorn Manor is registered to accommodate 9 people who have a learning disability and are within the age range of 18 - 65 years. The service is a large Georgian detached house situated on the outskirts of the small North Devon town of Bideford. The house is set in grounds of approximately 3 acres and is approached by its own private
Annual Service Review Page 2 of 6 driveway. The service has its own transport for and local transport services can also be used. Information about current fees can be obtained from the manager of the service. 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 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 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. 1 survey returned to us by a person using the service. Information we have received about how the service has managed the safeguarding process. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The last Annual Service Review on 14th February 2009. The last key inspection report dated 14th February 2008. The overall quality rating we awarded Acorn Manor at this inspection is GOOD. 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 clearly written and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make and are planning to carry these out. One person living at the home responded in a survey. They tell us that staff always treat them well and they feel listened to. Their comments tell us that they are contented and include I like the meals. The provider tells us in the AQAA that one person plays for Exeter city LD (learning disability) football team. Another person has achieved the Silver Duke of Edinburghs Award. This demonstrates an inclusive approach, in which people are part of the local community. Information [AQAA] sent tells us that their involvement is promoted by regular meetings, an open door policy of the management, playing a part in the selection of staff, access to advocates and quality assurance questionnaires. The AQAA gave examples of how the management had put into place ideas suggested by those living at the home. The provider also demonstrated that they understand the principles of the Mental Capacity Act, in the way they ensure that people who lack capacity are properly represented when best interest decisions are made for them. The provider has put into place an extensive refurbishment programme to improve the living environment for those who reside at the home. For example, they tell us in the Annual Service Review Page 4 of 6 AQAA that doors have been fitted to all the ensuite shower rooms, which has improved privacy for people. Responses to surveys showed that people considered their environment was well maintained and usually fresh and clean. The management offer their staff supervision, a good induction and appropriate training ensuring that those who live at the home receive support from a competent staff group. The Commission has received no information about concerns, complaints and neither has the provider. The provider dealt with a safeguarding issue in the last 12 months, relating to the actions of a member of staff. This was handled effectively, in that the provider followed disciplinary procedures and made an alert promptly to Devon Social Services and the Commission. We are satisfied that this was resolved appropriately. In the AQAA the provider tells us that there were 37 incidents requiring restraint / intervention 10 were escorted to a safer environment only in the last 12 months. The provider has appropriate guidance for staff about the use of restraint, which follows best practice. All of the staff have had training in how to deal with incidents, so that if physical intervention is required it is done in a non abusive way. Further information from the provider has verified that they have assessed that these incidents did not require notification to be made to the Commission as they were not serious. We have received notifications about other events such as the ill health of people that has demonstrated that appropriate action is taken to ensure peoples well being is met. Information in the AQAA tells us that quality assurance at the home has resulted in positive comments being made by the care managers about the progress people are making. Quality assurance surveys are done regularly, to ensure that people have opportunity to comment on current experience for individuals living at Acorn Manor. The management works well with the Care Quality Commission, showing us that they continue to offer a service which is improving and provides good outcomes for those who use it. What are we going to do as a result of this annual service review? We will continue to review this service. 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
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