Care Home: Dunraven

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Annual service review Name of Service: Dunraven The quality rating for this care home is: The rating was made on: two star good service 2 8 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: Alyson Fairweather Date of this annual service review: 1 2 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 12 Bourne Avenue Salisbury Wiltshire SP1 1LP 01722321055 Telephone number: Fax number: Email address: Provider web address:   eoconnormarsh@aol.com Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Mrs Brigid O`Connor Number of places (if applicable): Under 65 Over 65 15 15 No more than 15 service users with a Mental Disorder OR with a Mental Disorder, over 65 years of age at any one time. 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 Dunraven House is a privately owned care home, which offers accommodation and personal care to 15 younger adults with a mental disorder or 15 adults over 65 years of age with a mental disorder or a combination of the two age groups. It is one of four registered care homes operated by Mrs OConnor and Mrs OConnor-Marsh in the Salisbury area, which have been in operation since the late 1980s. Dunraven House is a large detached Victorian house, which is located next door to one of its sister homes, Dunraven Lodge. The location of the home is convenient for residents who make use of the facilities and amenities of Salisbury. The administration of all the homes is centred at Dunraven House and staffing is also organised centrally for all three homes. The premises provide fifteen single bedrooms for residents use with four bedrooms having Annual Service Review Page 2 of 6 N/A 2 8 1 1 2 0 0 8 on suite facilities. Residents bedrooms located on the first and second floor levels are accessed by use of a staircase with one bedroom located on the ground floor.The homes fees charged to residents for the care and accommodation ranged from £425 pounds upwards at the time of our last inspection. Information about the care and services provided is available from the home, in written form, by way of its Service User Guide and Statement of Purpose. 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 all the information that we have received, or asked for, since the last key inspection or annual service review. This included: a) 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. b) Surveys returned to us by people using the service and from other people with an interest in the service. c) Information we have about how the service has managed any complaints or safeguarding referrals. d) What the service has told us about things that have happened in the service. These are called notifications and are a legal requirement. e) The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. f) Relevant information from other organisations. g) What other people have told us about the service. What has this told us about the service? The owners told us that the views of residents at Dunraven House and others involved in their service are important to them, so that they can improve their service delivery and care procedures. They gather feedback in various way; for example the care leaders chat frequently with residents on a daily basis and the deputy managers also check that people are content and that they do not have any anxieties or concerns. The owners see residents nearly every day, and they told us that any suggestions or concerns are discussed and actioned directly. They have recently distributed surveys to residents, as well as visitors and professional surveys.The feedback from all surveys has been used to improve services. residents and visitors are invited to return them anonymously if they prefer. Progress has also been made with enabling residents to organise the dates and times, organise an agenda and chair the regular Dunraven Service Users Meeting. One resident told us: I like the home; they look after me. I have everything I want here. Another resident said: I am happy living here. All that I need or want is acted on straight away. The providers told us that residents are actively encouraged to manage various aspects of their home, and that this has improved over the last year with some people now organising the menus, goals for their care plans, recording their daily records and organising many activities, meetings and appointments. One resident said: I really like my room. It is a nice colour, which I chose, and another said: I have lots of friends here. Annual Service Review Page 4 of 6 The owners said that residents are always encouraged to be as independent as possible, and that staff empower them to promote their rights and responsibilities. They are encouraged and supported to make choices at all times, to reflect their own lifestyle. Care staff ensure all service users make choices about what they eat, what they wear, what activities they participate in, where they shop, what they do by day, who they befriend etc. One resident said: I like going on holiday from here, and another said: I pretty much do what I want, although I know they keep an eye on me! Staff training is given a high priority, and the home now has six staff who have achieved their Registered Managers Award (RMA). They have organised the staff rotas so that a deputy manager is available on every day shift. This is in addition to the carers. NVQ Training is promoted and continues for most staff. Two staff have been trained in manual handling as part of a Train the Trainers course, and can now provide this in-house. Training courses recently have included health and safety, fire safety, risk assessment, infection control, dementia, medication administration , nutrition and palliative care. One staff member told us: Staff are trained in all different areas, so we can meet all residents needs. Another said: Dunraven is very good at updating training for all staff; also supervisions keep us up to date on all policies and procedures, and another said: I am very happy in my job role. I feel the home has lots of opportunities for both residents and staff, eg activities, outings and training. What are we going to do as a result of this annual service review? Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 28th November 2010. 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. 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