Latest Inspection
This is the latest available inspection report for this service, carried out on 18th 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 Good.
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 Lynray and Peach Cottage Residential Care Home.
Annual service review
Name of Service: Lynray and Peach Cottage Residential Care Home The quality rating for this care home is: The rating was made on: two star good service 1 9 1 2 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: Louise Bushell Date of this annual service review: 1 6 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Lynray The Gore Rayne Braintree Essex CM77 6RL 01376329437 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: New Partnerships Limited Number of places (if applicable): Under 65 Over 65 5 0 The registered person may provide the following categories of service: Care Home only - Code PC. to service users of the following gender: Either. whose primary needs on admission to the home are within the following category: Learning disability - Code LD. The maximum number of service users who can be accommodated is: 5. 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 Lynray is registered for 3 people with learning disabilities to live there. The service is positioned in a quiet residential area on the outskirts of Braintree, North Essex. The home consists of three single rooms spread over two floors. All three have large ensuites attached. There is one further bathroom on the ground floor. They are all light and airy with large windows overlooking the grounds or surrounding areas. All bedrooms are lockable and contain; television aerial and sky connections; telephone and computer broadband points. The home further contains a large kitchen with
Annual Service Review Page 2 of 7 1 9 1 2 2 0 0 8 seperate untility for the laundry equipment.There is a comfortable lounge/diner with french doors out into a small secure garden area, which is partly paved. 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 and annual service review. This included; The previous annual quality assurance assessment (AQAA) that was sent to us by the service on the 15th October 2009. The completion of the AQAA is a legal requirement. It 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. 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 and any feedback received from completed questionnaires. What has this told us about the service? We have reviewed the services most recent annual quality assurance assessment (AQAA), this was completed in October 2009. The AQAA received was concise and clear and gave us all the information we asked for. We looked at the information we have regarding the service and our judgement is that the service is still providing a good outcomes for people. Surveys were sent to the people who use the service, staff, relatives and health care professionals, prior to this ASR. We have received a total of eleven surveys back from a range of people. This enables us to ensure that the service is still providing good outcomes for people. Comments received from a Senior Social Worker stated that the personalised, respectful and creative way Lynray have responded and managed the needs of some very challenging and damaged people has been very impressive and a joy to behold. They are very much trying to place a tailor made service around X as much as possible. In addition to this a further social care health professional responded in the questionnaire completed, that the care service always respects peoples privacy and dignity and that the service managers and staff always have the right skills and experience to support peoples social and health care needs. In support of this, the AQAA tells us that service users have gender specific support and as we have all males we have a high male staffing ratio. Personal care is individual and we have all en-suite bathrooms to encourage privacy. All support given is appropriate and we encourage the service users to dress for their age group. Service users are supported with dentist / opticians / doctors. We also support service users Annual Service Review Page 4 of 7 with maintaining a healthy lifestyle. Service users are encouraged to self medicate where possible. All medication is kept in individual rooms. We have policy and procedures and risk assessments in place to support this. Information gathered directly from the people using the service told us that the staff look after me well. They organise days out when I am not working with another member of staff. All staff members help me do all the house work thats needed to be done. The home has very understanding managers and staff who listen to any problems on my mind. All surveys received from people using the service determined that they are aware how to make a complaint and that they received enough information before moving into the service. This is further supported by the completed AQAA which states e have a service user guide which is informative and was developed with the service users. This includes staff pen pictures so that people know about our qualifications and experience and also incorporates service user views. Individuals are only accepted after a full needs assessment to ensure that we can meet their needs effectively. We include all necessary people in any assessment and aim to ensure that we see individuals in different situations to ensure that we have a varied view of their needs. We also ensure that we assess risk from an early stage so that we can look at ways to manage people safely and effectively. Our paperwork demonstrates this. All decision making is joint, including family, professionals with the service user at the heart. We have comprehensive transitions to ensure that we are all aware of what we will be providing to support the individual. We support the transition by agreeing what is appropriate for the individual and creating a plan. Within this prospective service users and their family visit and spend time in the home prior to agreeing admission. We always to visit the prospective resident and their family to get to know them and answer questions. This often takes place over many weeks. Feedback from a number of members of staff determines that the service offers a sound recruitment package and training opportunities. One staff member stated excellent recruitment process and training The AQAA tells us that we have varied staff and are developing individual roles for them. We have recruited a high number of males due to the needs and activities of our service users. We have over-employed to ensure that we always have consistent staffing All staff without other qualifications are undertaking NVQ 2 All staff are developing personal development plans. We have introduced a comprehensive induction plan. Recruitment procedures are based on equal opportunities and developed to ensure the protection of service users. For staff, two written references are needed before we will appoint them. Any gaps in the appointees employment record are examined. New staff can only be confirmed in post following completion of a satisfactory police check and check of the Protection of Children and Vulnerable Adults and NMC registers and a three-month probationary period. Staff will be employed in accordance with the codes of conduct and practice set by the General Social Care Council (GSCC) and given copies. All staff receive statements of terms and conditions when their CRB is received. Training needs are assessed on an individual level and staff are encouraged to help plan their own training needs. We have monthly supervisions and staff are regularly coached and mentored. Feedback from a relative stated Lynray meets all of Xs needs and gives him a wonderful quality of life more than we could give X at home. In addition to this feedback stated in our view there is nothing they could do better than they do now.
Annual Service Review Page 5 of 7 The AQAA tells us that the service is aware of self monitoring and is making continued improvements. The AQAA tells us that improvements have been made and are planing to be made, environmentally with the replacement of kitchen, purpose built to meet the needs of the service users. In addition to this the service tells us that they promote equality and diversity within the service. The AQAA states we not only employ a diverse workforce, we also have a cross section of service users. We ensure that access to our services is based on good assessment of whether we can meet their needs. This is individually assessed and we ensure that no person is disadvantaged from accessing our service. We aim to demonstrate that they we welcome and celebrate the diversity of people in both the community and the home, by; positively communicating to our residents that their diverse backgrounds enhance the life of the home. Respecting and providing for the ethnic, cultural and religious practices of residents. Outlawing negatively discriminatory behaviour by staff and others. Accommodating individual differences without censure. Helping residents to celebrate events, anniversaries and festivals which are important to them. In addition, the service continues to keep us informed of any significant events in the care service. We are not aware that any safeguarding referrals have been made. The AQAA tells us that the services polices and procedures have been reviewed and are current. Feedback received from one relative stated our X is very happy there; so much so that it is difficult to get X to visit us. From the information we have received, we believe that the service is still providing good outcomes for individuals. 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 complete an inspection by 17th November 2011 We can review at any time the regulatory activity of this service if we have reason to believe that the outcomes for the people who use the service have changed. Annual Service Review Page 6 of 7 Reader Information
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