Care Home: Hill Barn

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Annual service review Name of Service: Hill Barn The quality rating for this care home is: The rating was made on: three star excellent 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: Judith Last Date of this annual service review: 2 3 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Church Lane Sparham Norwich Norfolk NR9 5PP 01362688702 01362688040 hillbarn.tracey@btconnect.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Dr Maria Smart,Mr Richard Shand Smart Number of places (if applicable): Under 65 Over 65 0 1 26 0 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 Hill Barn is a care home providing residential care for twenty-five older people and one older person with a physical disability. The home is located in the village of Sparham. The home is an adapted barn with later extensions including a newly opened tenbedded wing. All accommodation is located on the ground floor. There are twenty-four single rooms and one shared room. Twenty-one of the bedrooms provide en-suite facilities. The home also offers a choice of sitting in three locations and ample assisted bathing facilities. There is a garden that those service users who choose to, can access very easily. It also provides sheltered areas where people can enjoy the garden. Annual Service Review Page 2 of 7 When we last visited the service, fees were from £400 to £470 per week. The manager can provide up to date information about current fees. 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 gives us some numerical information about the service. Surveys returned to us by seven people living at the home, by seven of their relatives and by eleven staff working there. Information we have about how the service has managed any complaints. What the manager has told us about things that have happened in the service. These are called notifications and are a legal requirement. The last key inspection and the results of any other visits we have made to the home, as well as the history of the service. Relevant information from other organisations and what other people have told us about the service. The home was rated as excellent at its last key inspection, which took place on 10th January 2008. The last annual service review of the service was carried out on 12th January 2009. What has this told us about the service? The manager sent us the information we asked for by the due date. This gave us all the information we needed about what she felt the service did well, and where improvements had been made or our planned. The information provided shows that she continues to take responsibility for looking at ways the service can be improved further, taking into account peoples views and wishes. Everyone who returned surveys to us spoke highly of the standard of care in the home. All of the people living there tell us they always get the medical care they need. People told us things like they are very happy at the home, everything is good, the organisation of the home is very good and all the staff are very polite and helpful and Generally I am very satisfied with the care and support which I receive. Relatives support this and almost all of them took the trouble to write extra comments on our surveys to tell us what they think. We had comments that the service is personal, friendly, supportive and with very well trained staff. The staff at Hill Barn are kind, considerate and caring and provide excellent care. Two visiting health professionals express satisfaction with the home. One adds the home does treat their residents with utmost respect and maintain their dignity at all times. Annual Service Review Page 4 of 7 These things confirm what the manager has told us in writing and shows that people feel very satisfied their personal and health care needs are met and that staff work hard to treat people as individuals, with respect and with dignity. Staff confirm that they have relevant training to help them support people effectively. Staff tell us that they feel the staff team works well together. They also say that their manager meets with them regularly or often to discuss the way they are working and to give them support. This helps show that the staff team continue to benefit from effective and skilled leadership and management. Everyone living in the home says that there are always or usually activities they can take part in if they want to. One relative comments that there are regular activities and some outings and another says that people are able to walk round the village and go to church if they are able to. This supports what the manager says about what goes on in the service. One relative did suggest that more board games would be welcomed by the person they visit. The manager says that activities are always under review to take into account peoples needs views and wishes and may wish to look at this suggestion further. However, the great majority of comments received show that peoples recreational and social needs are met. Everyone living in the home who wrote so us says they always or usually like the meals on offer. The manager tells us that menus have been revised after consulting with residents. One relative commented to us that drinks were cold and stewed when they reached the room of the person they visited. However, the manager says that thermal jugs are now in use and it would appear she has responded to this issue. One of the people living in the home who wrote so us, says that they do not know how to complain if they need to. However, the remainder do and all of the relatives who wrote say that they know how to make a complaint. The feel that if they have raised concerns these have always been dealt with appropriately. The manager says that she has an open door policy for anyone to approach her with concerns. Staff all say that they know what to do if someone has concerns about their care. Only two staff say that their recruitment did not provide for appropriate checks on any criminal record they may have, but add that they were in post before this was required. We know from past visits, from information from other staff and from information from the manager, that applicants for posts are vetted before they are employed. These things show that there are systems in place to ensure peoples concerns would be taken seriously and addressed and to help protect them from abuse. No one made any comments about the quality of the service that would give rise to concerns about the support people receive and outcomes for them in their daily lives. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 The information provided and the comments made to us support that the home continues to provide an excellent service to people living there. This means we are not going to change our inspection programme. Under our current inspection regime, we would visit the service before the 10th January 2011. However, we can inspect at any time if we have any reason to be concerned about peoples safety and welfare. 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. 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