Care Home: The Old Dairy

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Annual service review Name of Service: The Old Dairy The quality rating for this care home is: The rating was made on: two star good service 2 7 1 0 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: Malcolm Kippax Date of this annual service review: 2 3 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 11 High Street West Lavington Devizes Wiltshire SN10 4HQ 01672562755 01672569477 old_dairy@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Cornerstones (UK) Ltd Number of places (if applicable): Under 65 Over 65 5 0 Any placement for short-term care or for an emergency placement must be agreed with the Commission before the placement commences. For the purpose of this condition, short-term is defined as a placement that is expected to last not longer than 3 months. An emergency admission is defined as an admission whereby someone is likely to be placed at short notice without an up-to-date assessment of needs having been carried out and the person has not had the opportunity to visit the home prior to placement. 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 Old Dairy is one of a number of care homes in Wiltshire that are run by Cornerstones (UK) Ltd. The Old Dairy is an old property in the village of West Lavington. Each person who lives at the home has their own bedroom. One bedroom is on the ground floor and the others are on the first floor. The communal rooms consist of a Annual Service Review Page 2 of 7 2 7 1 0 2 0 0 8 lounge and a dining room. The home has a domestic type kitchen. There is a garden and parking area at the front of the property. People at the home receive support from a home manager, a deputy manager and a team of support workers. Information about the home is available in a Statement of Purpose. Copies of inspection reports are available from Cornerstones (UK) and can also be seen on the Commissions website at 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. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the home. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gives us some numerical information about the home. - Surveys that have been returned to us giving peoples views about the home. - Information we have about how the home has managed any complaints. - What the home has told us about things that have happened. 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. - Relevant information from other organisations. - What other people have told us about the home. What has this told us about the service? We received an AQAA from the manager, which gave us information about the homes strengths and what has happened during the last 12 months. The manager summarised what the home does well: - Offers the service users opportunities to access educational, leisure and social activities. - Keeping abreast of new developments within social care. - Constantly evaluate the service we provide to our service users. We then systematically use that information to establish and action plan what we need to do better. - Service users are encouraged and supported to make decisions and make their preferences known. Training and development of staff. - Good communication with outside professionals regarding needs and requirements of the individual service users. - Good relationships between the staff and service user families. - Good record keeping. - We provide varied opportunities to develop the individual and group needs of the service users. - A personalised health care and support system. We were told in the AQAA about changes that have been made as a result of listening to the people who use the service: - Person centred planning training has commenced at The Old Dairy; staff and service user awareness of PCP has greatly developed. - PCP reviews have been introduced. Service user one page profiles have been worked on, developed, with input from service users, staff and other professionals involved. - Colour schemes and furniture for redecoration of individual bedrooms have been chosen in consultation with the service users. Also one service user requested new flooring. - We have recently purchased a camera with the intention of creating more pictorial aspects to documentation. - We have installed a computer downstairs for the service users to access. This has internet access and is available at all times. The service users requested this. Annual Service Review Page 4 of 7 We were also told about changes that have been made to ensure that equality and diversity are promoted within the service: - Managers have attended M.C.A. and D.o.L.S training. - The staff are participating in M.C.A. training. - We have an allocated member of staff who attends organisational PCP meetings with reference to developing knowledge of PCP. Further changes were being planned to promote equality and diversity: - To increase the amount of staff who are trained in person centred planning, and to ensure all staff have completed training in equality and diversity. - To investigate different formats of PCP that are individual to the service user. - We are looking into developing an end life plan for individual service users. We were told about other improvements that have taken place in the last 12 months: - The bathroom flooring has been renewed and the bathroom redecorated. - Service users bedroom has been decorated and flooring replaced. - The stairs and landing carpet has been replaced with service user input. - The home has a maintenance record. - The purchase of portable telephones to support the service users to have private phone calls. Overall we thought that the home had made a number of improvements during the last year, which had enhanced the service that the people at the home receive. We were told in the AQAA about the plans for improvement in the next 12 months. These included: - The rendering on the homes roadside needs replacing. - To update and redecorate the empty bedroom as and when it becomes occupied. - To develop a recruitment checklist to be signed by the proprietors prior to appointment. - Structured service user and keyworker one to one meetings to be held at least bi-monthly. - All partner agencies to be given a statement on the homes confidentiality policy. - To involve friends, family and if necessary advocates to ensure that the service users needs are being met. People at the home did not yet have health action plans. We were told that comprehensive plans were to be introduced. As part of this ASR, we sent surveys to the home so that these could be given out to the people who use the service, and to staff. We received surveys back from four people who use the service. They had help from support workers with completing the surveys. Their responses about the home were generally positive. People commented on the the things that they do and enjoy: - Like football - Ive been on the train to Bath - I like going to the Police headquarters to see the helicopter - Sometimes I hoover the landing - I sometimes cook and make quiche - I like the garden at the Old Dairy We had four surveys back from staff members. Staff told us that they were given up to date information about the needs of the people who they supported. They knew what Annual Service Review Page 5 of 7 to do if somebody had concerns about the home. We asked staff in the surveys about what the home does well. The staff members comments included: - Supports all service users in choosing daycare services, by giving them a number of choices. Provides great family contact for all service users. - We maintain a consistent staff team and the staff know the people they support very well and have good relationships with them. The staff also have good relationships with family/parents of service users and other professionals such as community teams and GPs. One staff member mentioned something that the home could do better: - Have more staff or more time available to have more 1:1 time with service users and to do paperwork uninterrupted. There have been no changes in the management of the Old Dairy since we inspected the home. The manager has kept us notified of various events. The home has not received any complaints during the last year. What are we going to do as a result of this annual service review? Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 27th October 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 who use the service. 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