Latest Inspection
This is the latest available inspection report for this service, carried out on 14th April 2010. CQC found this care home to be providing an Excellent service.
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 Old Court Barn.
What the care home does well No new people have moved in since October 2007. This person and his family had been given information about the home. The person had already known the home and the people living there for many years before he moved in. He had been supported to settle in and the placement has been a success. People are being supported to develop life skills and self confidence. This is a slow process and people have complex disabilities, but there are always aims in place which are reviewed each month. All feedback was very positive. The only suggestion for improvement was the shared bedroom being split into two single rooms. The building work to do this had just started on the inspection day. There have not been any complaints made to us since Mrs Dodds has been manager. The record showed she deals with any concerns from families quickly. People`s relatives told us they have confidence that she will act on their views. People`s care plans are up to date and their behaviours are reviewed every week. Positive strategies are in place to support people with their Autism and other special needs. Support is in place from community based professionals such as Psychology and Speech Therapy. Comments in surveys from these professionals included, `The clients are very well supported in all aspects of daily living and activities. I am impressed by the consistency of staff; I have been associated over the last 18 months and I have been impressed withthe quality of genuine person centred care and involvement of the staff. Staff have paid good attention to detail when recording behaviours and trying to understand it; Excellent Organisation who implements recommendations quickly. In my opinion they provide a consistently high standard of care`. People have their own activity plan made up of things they show an interest in and benefit from. Two people were seen enjoying an art session, one was on holiday with his family and some others were out attending planned sessions in the community. There is good flexibility if a person wants or needs to change their plan. Mrs Dodds explained that all but one person now goes swimming each week and this is very popular. Four people enjoy regular horse riding. Those who wish to go on an annual holidays, and contact with families is well supported. One family told us, `I cannot fault the service and the contact is excellent`. People are helped to communicate and be independent by the use of pictures and symbols or other visual aids. Two people are using talking photograph albums that can have a voice recording for each picture. People are well supported with their physical and emotional health care needs. Their medication is safely managed and any errors are carefully investigated by Mrs Dodds. People are being supported to make decisions and when these are made by others the Mental Capacity Act is followed. The small staff team are committed and the senior support structure is robust. There are good recruitment practices and the staff are well trained and supervised. Nine of the ten staff hold an NVQ award in Care. Mrs Dodds remains very motivated and she attends training to update her knowledge. For example, she and a senior worker have recently attended a course with a community psychologist called, Applied Approaches to Managing Behaviours that Challenge. What the care home could do better: Mrs Dodds showed in the AQAA that the home is being well managed in the best interest of the people living there. She has a clear idea of how to continue developing the service without our input, for example reduce staff turnover. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Old Court Barn Lumber Lane Lugwardine Hereford Herefordshire HR1 4AQ three star excellent service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jean Littler Date: 1 4 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Old Court Barn Lumber Lane Lugwardine Hereford Herefordshire HR1 4AQ 01432851260 01432853158 oldcourtbarn@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Victoria Ann Dodds Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Steven Richard Dodds (trading as `The Barns`) care home 7 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 7 The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category 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: Learning disability (LD) 7 Date of last inspection Brief description of the care home Old Court Barn is owned and operated as the sole concern of The Barns. The Home offers a personal care service to seven younger adults with severe learning disabilities, some of whom have Autism. The Home is situated on a quiet country lane in the
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home village of Lugwardine three miles from the City of Hereford. The Home is set in pleasant grounds. The accommodation is divided into the main house that has three single and one double bedroom with communal rooms and an adjoining area with two single bedrooms and its own communal facilities. The provider has written information about the service that can be sent out to interested parties. The inspection reports are available in the Home for visitors to see. The current fee range is between £733 and £1871 per week dependent on each individuals assessed needs. Additional charges are made for personal items such as clothes and toiletries, personal services such as chiropody and haircuts. Residents pay a contribution towards the cost of holidays and their mobility allowance goes towards the cost of providing the two vehicles. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
We, the Commission, carried out this Random Inspection over two hours to check if the judgement made at the last Key Inspection, on 8th September 2007, is still correct. We concluded that this is the case and the outcomes for people using the service are still Excellent To check this we did the following things:- We looked at some records such as complaints and surveys collected by the manager, Mrs Dodds, from residents relatives and health care professionals. We met some of the people living in the home and observed them doing their daily activities. Mrs Dodds showed us around the home. We spoke to her about how the home is being managed and any current issues. Some people living in the home, their relatives and staff gave us their views in surveys. Mrs Dodds sent information about the service to us before the visit in the Annual Quality Assurance Assessment. This told us what she thinks the service does well and what future plans there are. What the care home does well:
No new people have moved in since October 2007. This person and his family had been given information about the home. The person had already known the home and the people living there for many years before he moved in. He had been supported to settle in and the placement has been a success. People are being supported to develop life skills and self confidence. This is a slow process and people have complex disabilities, but there are always aims in place which are reviewed each month. All feedback was very positive. The only suggestion for improvement was the shared bedroom being split into two single rooms. The building work to do this had just started on the inspection day. There have not been any complaints made to us since Mrs Dodds has been manager. The record showed she deals with any concerns from families quickly. Peoples relatives told us they have confidence that she will act on their views. Peoples care plans are up to date and their behaviours are reviewed every week. Positive strategies are in place to support people with their Autism and other special needs. Support is in place from community based professionals such as Psychology and Speech Therapy. Comments in surveys from these professionals included, The clients are very well supported in all aspects of daily living and activities. I am impressed by the consistency of staff; I have been associated over the last 18 months and I have been impressed with
Care Homes for Adults (18-65 years) Page 4 of 8 the quality of genuine person centred care and involvement of the staff. Staff have paid good attention to detail when recording behaviours and trying to understand it; Excellent Organisation who implements recommendations quickly. In my opinion they provide a consistently high standard of care. People have their own activity plan made up of things they show an interest in and benefit from. Two people were seen enjoying an art session, one was on holiday with his family and some others were out attending planned sessions in the community. There is good flexibility if a person wants or needs to change their plan. Mrs Dodds explained that all but one person now goes swimming each week and this is very popular. Four people enjoy regular horse riding. Those who wish to go on an annual holidays, and contact with families is well supported. One family told us, I cannot fault the service and the contact is excellent. People are helped to communicate and be independent by the use of pictures and symbols or other visual aids. Two people are using talking photograph albums that can have a voice recording for each picture. People are well supported with their physical and emotional health care needs. Their medication is safely managed and any errors are carefully investigated by Mrs Dodds. People are being supported to make decisions and when these are made by others the Mental Capacity Act is followed. The small staff team are committed and the senior support structure is robust. There are good recruitment practices and the staff are well trained and supervised. Nine of the ten staff hold an NVQ award in Care. Mrs Dodds remains very motivated and she attends training to update her knowledge. For example, she and a senior worker have recently attended a course with a community psychologist called, Applied Approaches to Managing Behaviours that Challenge. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
