Care Home: The Barn House

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Annual service review Name of Service: The Barn House The quality rating for this care home is: The rating was made on: two star good service 0 9 0 9 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: Sally Hall Date of this annual service review: 1 4 0 9 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Quality Street Merstham Surrey RH1 3BB 01737643273 01737644551 nigelgungaloo@hotmail.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Mr Permal Naidoo Gungaloo, Mrs Gungaloo Number of places (if applicable): Under 65 Over 65 30 30 0 0 0 30 The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category/ies of service only: Care home with nursing - N to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Dementia - DE Mental Disorder, excluding learning disability or dementia - MD 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 The Barn House is a detached, adapted property, registered for 30 Service Users, requiring support with mental health needs or assistance with nursing care. 0 9 0 9 2 0 0 8 Annual Service Review Page 2 of 6 The home is situated in a quiet cul-de-sac in the village of Merstham. There are twenty single bedrooms rooms and five double rooms. Twenty three of the rooms have en-suite facilities. The garden is to the rear of the property and is laid mainly to lawn. There is limited parking to the front of the property and there is also on road parking. Mr Gungaloo is the registered manager and together with his wife are joint registered providers; both are registered nurses. The weekly fees range from 450- 550 pounds per week. 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. 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. Any sent 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, 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. What has this told us about the service? The last key inspection was undertaken on the 09 September 2008. The report was very positive, and just one requirement was made at that time, which required the service to ensure that they undertook CRB Criminal Record Bureau checks for all staff working at the home and evidence of this to be available on staff files. The AQAA, annual quality assurance assessment, did state that the staff files now contain all the required information including a POVA, Protection of Vulnerable Adults, check. All staff surveyed confirmed that a CRB was sent for before they started work at the home. However in the staffing section of the AQAA it stated the manager is going to encourage new recruits to give previous employers as references, this was of concern as this is a requirement within the recruitment procedure. Within the completed AQAA, annual quality assurance assessment, it identified areas where the service does well, where it had made improvements in the last year and gave examples of areas where further developments were being planned or were needed. Below are just some of the examples covered by this documents. The registered manager has stated within the AQAA that language problems are being experienced by some overseas staff at the home. This having been recognised, English training has been arranged for them and they are being supported by staff at the home. Staff training is a high priority with in the home with training be made available to all staff to not only ensure that there skills and knowledge to stay current but to ensure the they have the necessary understanding to look after people with varying conditions at the home. The shows the commitment to NVQs, National Vocational Qualification level 2 and above with all the homes permanent staff now having this qualification. Annual Service Review Page 4 of 6 It was apparent from the comments re equality and diversity within the AQAA that although some areas have been considered, training may be beneficial to ensure the full meaning of equality and diversity is fully understood and facilitated with in the home. The AQAA was completed at the end of June it evidenced that the policies and procedures in the home were due for review at that time, it is hoped that this work has been undertaken in a timely way to ensure policies and procedures remain current with good practice and legislation. The survey sent out by the commission had a generally good response, it included evidence that the service regularly meet the service users needs and included these comments from service users/family, Mr and Mrs Gungaloo are very supportive, staff are socialble and helpful and the house is clean. All but one service users who replied said that they received enough information to make an informed decission about the home before they were admitted. Two service users/family felt that less staff turn over would be benefical. All service users/families said that they do have activities regualerly, that they are able to talk to someone if they are concerned about anything in the home, and that staff listen to what you say and act on that when appropriate. Most service users liked the meals and they get the care they require. Staff who responded to the survey made comments like, The home does well in that it keeps the home clean and tidy, they provide enough staff and lots of choices for service users. Gives high quality care to its service users Staff also said they would like to see more training. A Care Manager (social worker) that responded commented that they felt the home provides individualised care, and the new care plans are a big improvement. They also felt that the odour noticable in the home has improved and they hope this will continue. The AQAA states that there have been 6 complaints received by the registered manager, it states in the AQAA that these have been responded to and conclued staisfactorily with in the time scales. The home having strategies in place to ensure that those who they provide a service for can make their views and complaints known and be confident their views will be listened to, taken seriously and acted upon. The evidence scrutinised gave the commission no reason to change it opinion of the service at this time, and therefore no change was made to the inspection schedule. What are we going to do as a result of this annual service review? There will be no change to the inspection plan and we will do a key unannounced inspection by 9th September 2010. 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. 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. 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