Care Home: Freehold Cottage

Annual service review Name of Service: Freehold Cottage The quality rating for this care home is: The rating was made on: two star good service 0 5 0 2 2 0 0 9 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: Marie Dickinson Date of this annual service review: 1 1 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 452 Market Street Shawforth Rochdale Lancashire OL12 8JB 01706853384 Telephone number: Fax number: Email address: Provider web address:   kiaran@gmail.com Mr Kiaran Desmond Burke Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 6 0 The registered person may provide the following categor 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: Mental disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 6 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 Freehold Cottage is registered to provide accommodation and personal care for six adults with a mental illness. The home is owned and managed by Mr Kiaran Burke. The home is a large detached cottage style building with a garden area to the rear of the house. It is situated on the Market Street and is a short distance by car and public transport. It is close to all local amenities such as shops, post office, library, pubs etc and situated on a main bus route to neighbouring towns such as Manchester, Annual Service Review Page 2 of 7 0 5 0 2 2 0 0 9 Rochdale, Bury and Bacup. Residents accommodation is in six single bedrooms on the first floor. Ground floor living arrangements include a lounge, dining area, laundry, and kitchen. Information about the service is available from the home for potential residents in a Statement of purpose and Service User Guide. Information about the current weekly charges for personal care and accommodation can be obtained from the home. Residents are responsible for purchasing optional extras such as hairdressing, and personal items. 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. 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 living in the home. It also gave us some numerical information about the service for example number of staff trained and of essential maintenance being caried out. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We looked at the previous key inspection report. We received comments from staff employed at the home, and from residents living there. 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 basic information we required. The information recorded in the AQAA informed us what they did well, how they had improved the service and of their plans for further improvements. They said that before any person is admitted to the home they have a full assessment of their needs. This will include where applicable information and assessments from other health and social care professionals. They are given a service user guide that explains the aims and objectives and philosophy of the home, its services and facilities. They said No resident takes up a placement before all needs have been communicated and a decision made as to whether the home can meet these. All information is communicated in a manner appropriate to the resident. All residents are given a contract of residence. They had improved by piloting a new Resident Centre Dial assessment tool (RCD) into their care planning process that will be implemented following a review. The philosophy of the home is that each resident maximises independence and decision making responsibility, and these aims are fundamental to care plans and risk assessments. Residents are supported to make full use of community facilities and preferences for daily living and social and recreational activities. Personal care is provided in a non intrusive way to ensure residents privacy and dignity is considered at all times. Healthcare is monitored and staff work with health care professionals in supporting residents to maintain their general physical and mental well being. They intend to access training from the supplying pharmacist re controlled drugs and staff are to access local diabetes awareness training. Annual Service Review Page 4 of 7 Residents are given guidance on raising any issue of concern they may have. Policies and procedures, recruitment practice, and appropriate training for staff in professional conduct and adult protection issues ensure residents rights, safety, and welfare is promoted. They intend to access training for staff to ensure they are familiar with their responsibilities and duty of care under the legislation of the Mental Capacity Act (MCA) and Deprivation Of Liberty Safeguards (DOLS). They said the home was maintained and essential services such as fire, gas and electric appliances are regularly serviced, although dates were not recorded in the AQAA. Staff are employed to keep the home clean and staff and residents complete training in health and hygiene. They had improved the home by replacing all windows with UPVC double glazed units, and completed decoration and renewal of carpet/ flooring to communal areas. Those residents wishing to have new decor/ flooring to their bedrooms have had this, and bathrooms have been decorated and a new panel installed. They are planning to replace all residents bedroom furniture. Staff at the home are long serving, and to support residents receive a continuity in their care, regular bank staff provide additional support when needed. Staff are trained, supervised and have their work appraised. Funding for staff training has been sourced and plans for staff to access relevant training made. There are two managers who are currently completing training required for their position. The registered provider oversees the running of the home offering support and guidance when required. They said, The ethos is that the home, its decisions, its policies and procedures, belong to the residents and are managed on their behalf. There is a business plan, an Investors In People accreditation and feedback is received from all stakeholders. Policies and procedures were reviewed in February 2009. Residents who provided written comments for this review considered the home generally met with their needs. They were cared for by staff who listened to them. They said they knew who to speak to if they were not happy or were concerned about anything. Comments included what the home did well. The home is ok and I am very happy at Freehold. Make good food, and look after us. Meals, sorting benefits out, medication always on time, cleaning bedrooms and bathroom and they make sure Christmas and birthdays are nice for us. I really enjoy living here. I like Freehold and I never want to move. Residents also said what improvements they would like such as Dinners and suppers, more choice of food. Provide more regular activities. Staff who provided written comments considered they were recruited properly and given the necessary training for their job. Induction covered what they needed to know and they considered they had enough support, experience and knowledge to meet the different needs of the residents living in the home. Comments on what the home did well included, It cares for clients in a very client friendly centred way and client needs are met as holistically as possible. Regular meetings are had with clients to have their say in their home and quality of service provided. This actually feels like a clients home as opposed to a home for clients. Provides a safe, secure, well maintained home for residents. Providing information, signposting and support on varying levels according to individual support plans. Clients meetings, and one to one to support residents needs/wants and how best to achieve and get the best outcome. Consulting with clients regularly, from menu planning, excursions, and activities, through to Annual Service Review Page 5 of 7 decorating schemes. I am well supported by management and other members of staff. Staff considered the home could do better by more emphasis on encouraging involvement within internal and external activities. No complaints had been received at the Commission and no complaints received at the home. It is our judgment this service continues to provide good outcomes for residents. What are we going to do as a result of this annual service review? We will continue to monitor information about the service and will do an inspection when required. 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. 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