Care Home: Oak Farm Clinic

Annual service review Name of Service: Oak Farm Clinic The quality rating for this care home is: The rating was made on: three star excellent service 1 1 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: Dorothy Binns Date of this annual service review: 2 6 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: 276 Fakenham Road Taverham Norwich Norfolk NR8 6AD 01603868953 01603865245 meryl.rushmere@eurotelonline.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Meryl Catherine Rushmere Conditions of registration: Category(ies) : physical disability Conditions of registration: Choicecare 2000 Limited Number of places (if applicable): Under 65 Over 65 35 0 The maximum number of service users between the ages of 18 and 65 years who have a physical disability that may be accommodated at Oak Farm Clinic (at either 276 Fakenham Road or 1 Cedar Court, Fakenham Road) is 35 The registered provider may provide the following categories of service only: Care home with Nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home fall within the following categories: Physical disability (PD) 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: There have been no registration changes in the last twelve months. 1 1 1 1 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 6 Oak Farm clinic offers specialist Neuro rehabilitation and continuing care to people with movement dysfunction and acquired brain injury. The unit was purpose built approximately 15 years ago and is registered to accommodate 31 people under the category of physical disabilities. All accommodation is on ground level in single rooms, some with en-suite facilities, and all areas of the unit can be accessed by people using equipment to assist with their mobility.The unit is located on the outskirts of Norwich and close to some public amenities, with easy access to public transport. 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 and 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 gave us some numerical information about the service. * Surveys returned to us by people using the service and from other people with an interest in 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. * 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. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was a clear and well written document giving us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and is able to demonstrate how it works hard to meet the needs of its clients.The AQAA outlined how it carries out the initial assessment of potential clients so that care can be tailored to individual needs and how the care plans are discussed thoroughly to ensure freedom of choice and risk management, and are reviewed regularly. A consultant neurologist and a consultant neuro psychologist visit every six weeks to support the specialist needs of the client group. The home also has an occupational therapy team who give clients individual time as well as organising social activities and outings.The AQAA outlined some of the activities that are offered on a regular basis and also mentioned that the budget for client amenities has been substantially increased. The AQAA also states that the home has reinstated a friends and family group to encourage a positive dialogue and deal with issues more quickly. The AQAA details what training staff have received in the last twelve months and how they have enrolled on a Nurse Mentorship programme. It also says that the training Annual Service Review Page 4 of 6 budget has increased. Overall the AQAA shows there are good channels of communication in the home. The AQAA told us that the home has dealt with seven complaints in the last year. The home sent us copies of two complaints and their response to them as they dealt with the care of people using the service. The responses were detailed and apologetic and said how the home had taken action on specific areas of concern. None of the seven complaints reached the Commission which tells us that the agency is responding to clients and acting on their concerns. The Commission received three surveys back from residents in the home giving their views about the home. All three said they were able to do what they wanted to do at the home and that staff always or usually listened to what they had to say and treated them well. One commented further I need to pace myself and have a set routine - they allow this and allocate one carer per shift to do this, making it run smoothly. Another thought the home did well on food and activities. Three relatives responded to the survey. One commented that she felt the home has improved considerably over the last two years ..... and most of all my son seems quite at ease and therefore happy in the home. Another said They demonstrate an understanding of the individual clients needs and thus cater for their needs and the third wrote the service responds well to requests for particular care needs. Has a good range of therapists which are utilised by my daughter. One staff responded to the survey and said she was given regular support and relevant training. She thought the home was good at providing training and creating knowledgable staff. The home continues to let us know about things that have happened since our last inspection and we have no reason to think other than that they are dealing with issues well. They have shown us that their service continues to provide excellent 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 the current arrangements whereby services which have a excellent rating and are not giving concern will receive an inspection every three years. We will do a key inspection at this service by 10th November 2011. 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. Annual Service Review Page 5 of 6 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. 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