Latest Inspection
This is the latest available inspection report for this service, carried out on 7th 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 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.
For extracts, read the latest CQC inspection for Briar House.
Annual service review
Name of Service: Briar House The quality rating for this care home is: The rating was made on: three star excellent service 2 6 1 1 2 0 0 8 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: Deborah Sullivan Date of this annual service review: 0 4 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Briar House 89 Povey Cross Road Hookwood Surrey RH6 0AE 01293786881 01293786881 briar@gccare.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: Cavendish Care Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD 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 Briar House is registered to provide accommodation and care to a maximum of six service users with a learning disability. The home is located in a residential area close to public amenities and other facilities and accommodation comprises of an office, lounge, kitchen, dining area, laundry room, bathrooms, toilets and six single bedrooms with en-suite facilities. The home has a garden which is secure and accessible and private parking is available at the front of the building. There is a new head office address. 2 6 1 1 2 0 0 8 Annual Service Review Page 2 of 7 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 or annual service review. 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 last key inspection of Briar House took place on 26th November 2008. The AQAA (Annual Quality Assurance Assessment) completed by the manager was returned within the given timescale and contained good quality information about the service and developments and improvements made to it over the past year. The AQAA tells us that up to date,accessible information about the home is available.There is a thorough admissions process and transition to the home is handled sensitively and at the service users pace.One new service user has been admitted during the past year. Each service user has a person centred care plan that is compiled in liaison with the service user,relatives and health and social care professionals and is regularly reviewed.Risk assessments are in place and service users are supported to make choices and decisions about their lives. Service users need support to communicate and have a range of communication needs,staff use tools such as symbols and signs to facilitate communication. The AQAA states that service users have access to health professionals such as GPs,dentists and an optician and that there is improved regular health needs monitoring.Some people have behavioural input from a psychologist. Service users follow a healthy diet and three service users have been supported to loose weight. Three relatives returned surveys and one wrote, All service users have individual programmes that seem to suit their needs.Dietary needs,mental and physical stimulation are catered for very well,we have found staff to be efficient and caring. Service users are offered a good range of activities at home and in the community.The AQAA tells us the range of activities has been increased and support is mostly given on a one to one basis.Activities include college,horse riding,work placements,going to the Annual Service Review Page 4 of 7 gym and bowling.Annual holidays are provided or service users can have days out instead if this suits their needs better. The ethnicity of service users is respected and service users are supported to attend church if they wish to and to have meals from their cultural backgrounds.The AQAA tells us that meals are well balanced and healthy and there is input from a nutritionist. The home won the Surrey Care Award for nutrition this year. Service users are encouraged to be as independent as possible and help with household activities such as cooking and cleaning.Contact with friends and relatives is promoted. The home has a complaints procedure that is accessible for service users.The AQAA tells us that the home has not received any complaints since the last inspection. There is also a safeguarding vulnerable adults procedure.Staff have annual safeguarding training and recruitment procedures include thorough vetting of applicants. One safeguarding alert has been investigated by the local authority during the past year. The AQAA says that bedrooms have been adapted to meet service users needs and are redecorated regularly.The home is kept well maintained and decorated,there are plans for recarpeting of some shared areas in coming months. A relative wrote on a survey that the home, Provides a relaxed family atmosphere whilst catering for the diverse needs of residents. One other comment was that the garden coud be made more enticing for service users. A key worker system is in place and changes to the key worker system have been of benefit to service users.The AQAA states that staff are well supported and supervised.The staff team is diverse.Some new staff have joined the home during the past year,new staff receive induction.Staff meetings are held monthly. Staff receive core training,mandatory update training and service specific courses are also provided.New medication training has been introduced.National Vocational Training in care is promoted and the AQAA tells us that the majority of staff have gained an NVQ in care at level 3 or are completing or due to start the course. The manager of the home who completed the AQAA has now left following a planned period of notice,we were informed in good time of her resignation and plans for the future management of the service.A manager who has previous experience of the home is now in post and the provider has stated that the new manager intends to apply to become registered manager. Internal quality assurance takes place,service user meetings are held and their views are sought individually as well.Parents meetings and forums are also held.There are internal audits,for example for medication and a six monthly audit by the general manager.Regulation 26 visits and reports are undertaken by the provider monthly. Relatives who returned surveys contained positive views about the home,one relative said, It gives understanding and very good bespoke care. Annual Service Review Page 5 of 7 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 of the service by 26th November 2011 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). 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 7 of 7 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
