Care Home: The Old Forge

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Annual service review Name of Service: The Old Forge The quality rating for this care home is: The rating was made on: two star good service 2 6 0 2 2 0 0 9 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: Maureen Richards 2 6 0 2 2 0 1 1 Date of this annual service review: 1 0 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: Mill Road Slapton Buckinghamshire LU7 9BT 01525221506 Telephone number: Fax number: Email address: Provider web address:   www.turnstone.org.uk Turnstone Support Ltd Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 4 0 The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability - LD Have there been any changes in the ownership, management or the 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 Forge is a small care home that is registered to provide care and accommodation to four service users with learning disabilities. The home is managed by Turnstone Support Housing Association.The Old Forge is situated in the village of Slapton, close to the border of Bedfordshire. The home is centrally situated in the village, close to the local amenities. The nearby towns of Leighton Buzzard, Aylesbury and Milton Keynes provide the service users with a wide range of amenities. Access to the towns is via the homes own transport.The Old Forge is a single storey building, which has been sympathetically refurbished to meet the needs of service users. There 2 6 0 2 2 0 0 9 None Annual Service Review Page 2 of 8 is a car park at the front of the property with spaces for approximately four or five vehicles. At the rear of the property there are enclosed communal gardens. Annual Service Review Page 3 of 8 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. 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, 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 home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was informative and outlined what progress and improvements have been made within the home and what it aims to achieve over the next year. Surveys were sent to four service users, five Social and health care professionals, eleven staff, four relatives and one advocate. Completed surveys were received from four service users, two Social and health care professionals, seven staff and two relatives in respect of this annual service review and the feedback from those have been incorporated into the report. Service users were supported by staff from the home to complete the surveys. The AQAA tells us that service users are provided with the key information on the home which is explained to them in their preferred way of communication. It indicates that the organisation has an assessment, referral and start of service policy which includes initial visits, advocacy, refusals, appeals, visits to service and transition, offer of service and support, start of service and review of service which ensures that prospective service users are fully assessed and compatible with other service users. The home has had no admissions in the previous 12 months. The plans for Annual Service Review Page 4 of 8 improvements over the next 12 months are to develop material in audio format to suit the needs of one service user. The AQAA tells us that comprehensive person centred care plans including individual risk assessments are in place which identifies the support required by service users to meet their identified needs including communication needs. These are kept up to date and reviewed. The plans for improvement over the next 12 months is to develop care plans in pictorial and audio format to benefit service users The AQAA tells us that all service users have access to a range of leisure and social activities with this being developed on to increase sensory interaction activities with service users. Family links are promoted and objects of reference are used to promote service users choices and decisions in aspects of their daily lifes, including meals. The AQAA tells us that service user health and personal care needs are identified in care plans and met. Each service user have their own health record to evidence this with service users having access to relevant health professionals as required. Service users are supported with their medication by staff trained and assessed as competent in this role. The AQAA indicates that the home has had no complaints in the previous 12 months. The AQAA tells us that a complaints and concerns procedure is available in an audio and pictorial format suitable to service users needs. This is explained to the service users every 6 months with records maintained of this. Written feedback received from service users confirm that they know how to make a complaint. Written feedback from staff confirms that they know what to do if someone has concerns about the home. Written feedback from relatives confirms that both relatives that responded know how to make a complaint. The Commission have received no complaints in respect of this service. The AQAA confirms that service users have access to advocacy services. The AQAA confirms that the home has had no safeguarding of vulnerable adults referrals and safeguarding of vulnerable investigations in the previous 12 months. A safeguarding and whistle blowing policy is in place with the dataset section of the AQAA indicating that the whistle blowing policy was last reviewed in April 2008 and the safeguarding of vulnerable adults policy was reviewed in April 2009. The AQAA tells us that staff are trained in safeguarding and that policies, procedures and auditing systems are in place to monitor service users finances. The AQAA tells us that the home is maintained, clean, personalised and homely with plans for improvement to improve the garden area and purchase new equipment to benefit service users. The AQAA tells us that the home has an established staff team and has two care staff vacancies which are covered by regular sessional workers to provide continuity of care for service users. Staff are suitably recruited, inducted, trained and supervised in their roles to benefit service users. Written feedback received from staff confirm that they were suitably recruited, inducted, trained and are supported and supervised in the roles. Staff commented under what the home does well that they are very lucky to have such a good supporting manager whom is good at running the home and supporting Annual Service Review Page 5 of 8 service users and staff.She is very fair and gives her support to service users and staff very well. They work as a team in supporting service users needs. They get lots of training to do their job. No use of agency and a good team of staff. One staff member commented under what the home could do better was that the Old Forge works well and that the only thing that could be better on occasions is teamwork and communication. This may need to be explored further with the staff team. The AQAA confirms that nine out of the eleven care staff have achieved a National Vocational Qualification level 2 or above. The home has a registered manager who is suitably experienced and trained for the role with a team leader who has a National Vocational Qualification to support her in her role. The information supplied in the AQAA would demonstrate that she continues to make positive changes within the service to benefit service users. The home has kept the Commission informed under Regulation 37 of notifications that affect the well being of service users. The dataset section of the AQAA indicates that some policies were updated in 2004, 2006, 2007, 2008, and 2009. The AQAA indicates that the servicing of equipment is up to date. Written feedback received from service users confirm they are happy with the care provided. They commented under what the home does well is listen to me, give me choices and independence, always involve me in decisions and I am informed of changes, given great support with my health needs, entertainment and outings, person centred care and acts on my responses. One service user commented under what the home could do better was to upgrade the television. Written feedback from relatives confirms they are always happy with the care provided and one person commented that what they do well is everything. One relative commented that they are very pleased with the service provided and the long term continuity of the manager and some of the staff. Relatives made no comments on what the service could improve on. Written feedback from two Social and Health care professional involved with the home indicated they were usually happy with the care provided and one person commented under what the service does well is that staff have consistently engaged in an 8 week project which involves service users in a sensory session. Staff have been very interested in this project and have tried to continue to use the sensory approach between sessions. They commented under what the service could improve on is to continue to improve the ways of communicating with service by developing intensive interaction skills. Written feedback from staff confirm that what the service does well is meet individual Annual Service Review Page 6 of 8 needs including health needs, provide a safe, clean and enjoyable place for the service users to live in, person centred with regular reviews and meetings to address individuals needs, service users get a good range of variety and choice and are well supported, listening to service users and improving their everyday life, keep up a very high standard of hygiene and support with activities and holidays. One staff member commented under what the home could do better was if funding was available to provide more activities and holidays. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by the 26th February 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 7 of 8 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). 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