Care Home: Firgrove House

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Annual service review Name of Service: Firgrove 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: Odette Coveney Date of this annual service review: 0 9 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Station Road Yate South Glos BS37 4AH 01454310636 01454310636 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 Jennifer Roberts,Mr Kenneth Roberts Number of places (if applicable): Under 65 Over 65 20 0 0 20 The maximum number of service users who can be accommodated is 20 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Coe OP) Dementia (Code DE) 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 Firgrove House is situated in Station Road at Yate. It is within walking distance of local amenities including shops, post office and public house. The home is made up of the Main House and smaller Coach House, and provides care for up to twenty older people including two with Dementia. The Main House is on three floors and offers places for fourteen older people while the Coach House has room for six. The house is decorated in a homely way with comfortable furnishings. In the Main Annual Service Review Page 2 of 7 House there is a lounge with adjacent conservatory and separate dining room. The Coach House has a lounge dining room. All of the bedrooms are for single occupancy other than two with the potential to be double rooms. There are ample bathrooms and WCs, the Coach House having some rooms with ensuite and the Main House with 3 ensuite facilities. 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 Annual Service Review that we undertook on March 16th 2009. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. We received this when we requested it in January 2010 . The AQAA is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also reviewed information we have about how the service has managed safeguarding issues and complaints in order to protect and support the people living at Firgrove House. 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 undertaken by us in March 2009. Relevant information from other organisations. 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 clear and gave us all the information we asked for. The manager of the home, Lorraine Beer completed the AQAA and returned it to us in January 2010. Within the AQAA the home reported to us about how they ensure that the needs and wishes of those who live at Firgrove House are known and responded to, they told us; Firgrove House actively promotes and welcomes feed back from residents, relatives and visitors to the home. This is conveyed through our publications in the Service User Guide and Conditions of Admission Contract, and encouraged with our annual Quality Assurance Questionnaires, residents review meetings, and regular residents meetings. They home also informed us that; On admission a variety of forms such as likes and dislikes, and key worker forms enable personal views to be documented, and reviewed regularly. The home also informed us that; Firgrove House promotes feed back from staff, and this is usually through staff meetings, supervision or appraisals. The service also informed us that; Firgrove House promotes equality and diversity in all aspects of the home. In regard to employees and residents we have policies in place to ensure this. The home also informed us that; Our staff, and to a more limited aspect, our residents cover a spectrum of age /race / gender, and we respect personal religion and belief. Currently we have a client who requires a Vegan Menu in addition to our more usual Diabetic Diets. Within the section of the AQAA where the provider can inform us what their service does well we were informed: We maintain good relationships with clients, relatives, Annual Service Review Page 4 of 7 and health professionals. The service informed us; Our Annual Quality Assurance Questionnaire results confirm that Firgrove House operates well. On 9th February 2010 we spoke with the manager Lorainne Beer. Ms Beer informed us that things were going well at the home and told us about the positive feedback the home had received when they conducted their Annual Quality Assurance of the service in November 2009. Ms Beer told us that the results were either very good or excellent in all outcome areas including the standards of care and support provided at the home. During our last key visit to the service in March 2009 we recorded that the home is well managed and is run in the best interests of the residents. We reported that residents are supported with individualised care plan and are supported to participate in the running of the home; we also said that the care records we had reviewed contained comprehensive information which focused on the specific requirement of the individual. The care plans also contained a range of information about the people who live at the home, this included likes and dislikes, choices made, how people communicate, support from family and friends. We found at our visit that care plans were regularly reviewed. As reported within our last annual review of the service we recorded that during our last key visit to the service on 6th March 2008, no requirements and only two recommendations were made. The recommendations were for the home to review the care plans to ensure they are holistic and person centred and evidence the involvement of the resident/relative in their development. We also recommended that the home write a detailed policy on the storage and management of residents valuables and lost property held in safekeeping. On Monday 16th March 2009 we contacted the home, we spoke with the Registered Manager who told us that both recommendations had been met in full. The manager Lorraine Beer is very responsive to advice and recommendations from other people, and acts upon them immediately if that benefits the people in her care. The manager of the home is Lorraine Beer. Within our last key inspection report we recorded: - Lorraine Beer is the registered manager. Mrs Beer has 17 years experience in the caring profession, and achieved the NVQ level 2 and 3 in care during her career. Her continual professional development includes achievement in the following subjects: NVQ Level 4 and Registered Managers Award, NVQ Assessor Award, Manual Handling Trainer and Appointed First Aider. During our last key visit Mrs Beer was able to demonstrate a good understanding of the requirements of the registered manager post and staff found her supportive and flexible. We also recorded that; Continuing support and guidance from Mrs Roberts one of the providers has encouraged Mrs Beer to develop her management skills. Mrs Beer and Mrs Roberts have high visibility in the home and give strong leadership and direction. The home has demonstrated to us when dealing with both complaints and safeguarding issues that they are open and transparent, they work well with other agencies in order to ensure the wellbeing, safety and best interests of the people in their care. Last year we received one anonymous complaint about the service provided for those who live at Firgrove House. We asked the manager of the service to investigate the issues which had been raised to us. The manager provided us with detailed information about their Annual Service Review Page 5 of 7 investigation and were clear about the process and the information they had gathered. We were satisfied with the homes response and no further action was taken by us. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. 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 as required in line with our inspection methodology. 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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