Latest Inspection
This is the latest available inspection report for this service, carried out on 9th April 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 Barn and Coach House.
Annual service review
Name of Service: Barn and Coach House 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: Diane Roberts Date of this annual service review: 0 9 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Barn and Coach House High Road Stifford Essex RM16 5UE 01375383543 01375387715 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Mrs Susan Carol Merchant Number of places (if applicable): Under 65 Over 65 15 0 0 15 The maximum number of service users who can be accommodated is: 15 The registered person may provide the following category 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 Dementia - Code DE 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Barn and Coach House Residential Home provides care and accommodation for fifteen older people, including six people who suffer with dementia. The home is situated at the end of the village of North Stifford, close to Lakeside Shopping Centre and Grays Town. None. Annual Service Review Page 2 of 6 Accommodation is provided in eleven single bedrooms and two shared bedrooms, and the home has pleasant, homely lounge and dining areas. A stair lift that provides access to the first floor for people who are not able to climb the stairs, and the home has a bathroom equipped with a ceiling hoist to assist people who would be unable to get into a bath independently. The home is privately owned by Mrs Susan Merchant, and the registered manager is Ms Sharon Venton. A copy of the homes Service User Guide is available within the home, and the current fees are £395 per week. 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 out all the information that we have received, or asked for about the Barn and Coach House since the last key inspection. We looked at any notices that we received, these are the details of illness, death, injury or any other event in the care home that affects peoples well-being. We asked the manager to complete an Annual Quality Assurance Assessment (AQAA) form. This form is for the manager to consider and report on how well the service they provide meets the expected outcomes of the people using the service. We sent surveys to the manager to give to residents and relatives and asked them to tell us their views on how they think the home is run. We looked at the report that was written about the homes last key inspection. An Inspector went to the home as part of that key inspection and spent time with the residents, staff, the manager and visitors. What has this told us about the service? The manager has notified us on any significant matters that may have affected the wellbeing of residents. The manager completed an AQAA. This was submitted late and whilst it shows some development in the home, information provided is limited in areas and does not give a full picture of the home. For example the manager says that new care plans are in place but does not expand on this. The manager says that there is ongoing staff training but again the information available is limited. Whilst it is clear that there is some development, overall the sections on planned improvements or what we could do better are left blank. It is also noted that there is no mention of person centred care planning, mental capacity assessments, the deprivation of liberties and limited discussion on equality and diversity. This brings into question whether the team at the home are developing the business in line with current thinking and practice. It is also noted that there are eight residents in the home, living with dementia and the AQAA does not discuss any specialist care or facilities that they may require or that are provided. Overall the management need to ensure that they are keeping up to date and that they provide an adequate AQAA that reflects the home fully. In saying that we appreciate that this is a small home were staff know the residents well, residents are happy and outcomes are generally sound and in light of this we would not change our inspection programme but would give the management an opportunity to review their current approach and ensure that they are up to date. The manager in her AQAA said that they consult with residents through feedback questionnaires, monthly meetings and on a day to day basis, being a small home. Following feedback the manager said that they have changed the activities programme and have put in place an ongoing redecoration plan. From the AQAA the manager also confirms that some furniture has been replaced. We have not received any formal complaints about the home since the last inspection. The manager confirms that she has not had to deal with any formal complaints. From the AQAA, the manager has a very objective and open approach to complaints. Residents and relatives returned completed surveys to us. Overall these were positive about the home and the services provided. Comments included carers in the home are very patient, I am happy with the care my relative receives and the environment is friendly, very caring workers, it Annual Service Review Page 4 of 6 would be nice to see the decor updated and they have good visiting entertainers and people from the church also visit. The staff team at the home is stable and no agency staff are used. 10 out of the 14 staff members have NVQ qualifications, which is good. About half the staff have also been trained in infection control and nutrition. The manager confirms that all residents are nutritionally monitored and monitored for risks such as pressure sores and goes on to confirm that no residents have developed pressures sores in the home. The manager also confirms that each resident has an individual activities plan that is followed and group activities such as bingo, exercises and outings are also offered. At the last key inspection, where an inspector visited the home, we said Residents spoken to were very positive about the staff team at the Barn and Coach House. One person said that they thought the staff were lovely, and reported that you only have to ask and they will get things for you. During the inspection staff were observed to be caring and attentive towards residents and it was positive to see staff spending time in communal areas with residents, and interacting well with them. The home has a small, stable staff team, which means that staff are able to get to know residents well. This was very evident from discussions with staff, who showed a good understanding of each individual and their needs, which ensured that appropriate support could be provided. Staff reported that they felt that the home really felt like a home, to them as well as to the residents. They said that they felt well supported by the manager and by other staff, which meant that they felt that they worked well as a team, and enjoyed their work. This was reflected in a friendly atmosphere in the home, and a relative also commented that they found the staff cheerful and friendly. 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 3rd January 2011. 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:
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