Care Home: The Belfry

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home
• Henrietta House

Annual service review Name of Service: The Belfry The quality rating for this care home is: The rating was made on: two star good 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: Alan Thompson Date of this annual service review: 0 8 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Dowsetts Lane Ramsden Heath Billericay Essex CM11 1HX 01268710116 01268710367 thebelfryrch@aol.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 Conditions of registration: Cloverform Limited Number of places (if applicable): Under 65 Over 65 0 12 The maximum number of service users who can be accommodated is 12 The registered person may provide the following categories 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: Old age, not falling within any other category - Code OP 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 Belfry is a detached family style residence situated in a residential area of the village of Ramsden Heath, close to the village shops. A bus route to Billericay passes close by, although access by public transport is limited. There is parking available for up to six vehicles at the front of the property and parking is permitted in the surrounding roads. There is an accessible garden to the rear of the Annual Service Review Page 2 of 7 property with a shaded seating area. The Belfry provides care for twelve older people in single rooms, all but one of the rooms have en-suite facilities. Bedrooms are located on two floors and accessible by lift or stairs. The home has a communal lounge and dining area. There are assisted bathrooms on both the ground and first floors, and a separate small room used by the hairdresser for hair washing. Information about the home may be obtained from the manager. At the time of our last inspection in March 2008 weekly charges ranged between £470.00 and £566.00. Additional charges are made for chiropody or hairdressing services and for personal items such as newspapers and sweets. CQC inspection reports can be obtained from the home, or via the CQC internet website, www.cqc.org.uk. 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 (our last annual service review was on 11th February 2009). 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 surveys that were returned to us by people using the service, their families and from other people with an interest in the home. What the service has told us about things that have happened in the home, 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 home in the last 12 months. What has this told us about the service? Inspection Report: The last key inspection of this service was undertaken on 5th March 2008 and found that of the 24 standards looked at, 20 were judged to have been met with 3 as almost met and 1 as not met. The inspector concluded that: The Belfry provides a homely environment and people living in the home benefit from the family atmosphere that the home provides. Staff confirmed they were supported by the manager. They also said that they had been offered training opportunities appropriate to their roles, and that there was a good team spirit at The Belfry. Relatives and other visitors are welcome and there is a private lounge where people living in the home can meet with their visitors privately. This tells us that overall the home was achieving good outcomes for the people using the service, although there were four statutory requirements made that the registered provider and manager were required to address. One of these related to a premises issue that was dealt with by the provider within 24 hours of our visit. The other shortfalls related to: activities for service users, quality assurance in the home and the frequency of recorded visits by the responsible person (registered provider regulation 26 reports). The AQAA document completed by the manager for our last ASR included confirmation that since our last inspection a member of staff had been employed to provide more in-house entertainment for service users, and that more regular regulation 26 visits have taken place. Also stated in the AQAA was that more feedback about the service is sought from residents and relatives via visits, meetings and reviews. Progress on these will be checked at our next key inspection. Annual Service Review Page 4 of 7 AQAA: This was completed when we asked for it and contained some information about the service. The information included was not comprehensive but was judged to provide sufficient evidence that the manager had an understanding of the service, could identify what they did well, and was able to highlight areas for improvement. Information in the AQAA under what we do well, how we evidence this and how we have improved in the last 12 months included: We encourage potential residents to come and look around and we invite them to stay for meals to help them with their decision making. We ensure that a one month trial is in place on admission. Our Statement of purpose and resident agreement have been updated. We have comprehensive, individually tailored care plans and staff are aware of specific needs of residents. We provide holistic care that is well supported by outside agencies such as district nurses, physiotherapists, continence nurses. We continue to use a broad range of assessment tools. We have purchased two new Malibu baths which are more comfortable for people to use. We have also purchased three new profiling beds and a new standing hoist. Residents are able to choose their own routines and have choice in every aspect of their daily lives. We have weekly music and movement sessions, we have more entertainment in the home and we now have a computer for residents use. All staff have completed Deprivation of Liberty training. We encourage the views of residents, relatives and other visitors to the home. We record and investigate complaints in order to improve our service. We carry out an annual audit of the home and regular premises maintenance is carried out. We have installed new laundry equipment, new doors and some areas have new furniture, new lighting and have been redecorated or refurbished. Staff receive regular training and supervision. We have a low staff turnover. We actively seek feedback from residents, relatives, staff and outside agencies through reviews, questionairres and meetings. We continue to review and update our management systems. The data set provided with the AQAA shows that three complaints had been received by the service in the 12 months leading up to 7th December 2009. The AQAA shows that all were investigated but none was upheld. Information in the AQAA also confirms that all the required recruitment checks had been satisfactorily carried out on new staff, and that six out of ten permanent care workers had achieved their NVQ level 2, or above, awards. This means the service exceeds the recommended level of 50 of staff obtaining this qualification. The AQAA also shows how the service plans to introduce further changes to bring about improvements to benefit service users. Surveys: At the time of writing this service review we had received four completed surveys from those we sent out for people using the service. These had been completed with the help of relatives or staff and gave us views about the care provided. Responses confirmed that most people knew who to speak to if they were unhappy. They confirmed that the home is always or usually always fresh and clean. All thought that staff always or usually always provided them the care and support they needed and that carers usually or always listened and acted on what they said. One always liked Annual Service Review Page 5 of 7 the meals, one usually like the meals and two sometimes liked the meals provided. One said the choice of lunch could be better and one said there could be better entertainment although all agreed that the home always or usually always arranged activities that they could take part in. Staff surveys returned confirmed that staff thought their induction covered what they needed to know when they started their jobs at the home. They also thought that they are given training relevant to their roles, and that this helped them to understand and meet the needs of service users. They thought that they were supported regularly by the manager and that there were enough staff to meet service users needs. Information received since the last inspection: As required by regulations, the home has when necessary notified us of any relevant incidents/information that we are aware of since the last inspection. Based upon the information available at the time of completing this ASR we think that the quality of the service has not changed since out last review. What are we going to do as a result of this annual service review? At the present time we are not going to change our inspection plan, and will do a key inspection by 5th March 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 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. 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - 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!