Care Home: The Tynings

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Annual service review Name of Service: The Tynings 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: Paul Chapman Date of this annual service review: 1 8 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: The Tynings The Tynings Walmore Hill Minsterworth Gloucestershire GL2 8LA 01452751037 Telephone number: Fax number: Email address: Provider web address:   grapevinecareadmin@gmail.com Name of registered provider(s): Name of registered manager (if applicable) Miss Lindsey Riley Conditions of registration: Category(ies) : learning disability Conditions of registration: Grapevine Care Ltd Number of places (if applicable): Under 65 Over 65 6 0 The maximum number of service users who can be accommodated is 6. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning Disability (Code LD) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The service does not currently have a registered manager is post. There is an acting manager in post and speaking to them before completing this annual service review they confirmed that the CQC will have received their application by December 2009. Date of last key inspection: Date of last annual service review (if applicable): Annual Service Review Page 2 of 7 Brief description of the service The Tynings opened in 2005, and is registered to provide care for up to five people with a learning disability. It is located in a rural area near the village of Minsterworth and is about 10 miles from Gloucester. The home is set in seven acres of land and various animals are kept including sheep, horses, chickens and pigs. Residents have single rooms. Four bedrooms have en-suite facilities and the fifth has access to a nearby bathroom. There is a large dining and living area on the ground floor, as well as a conservatory with views over the countryside. 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 of the information we have received, or asked for, since the last key inspection was completed. The information used to create this annual service review is based on the following information: The last key and random inspection reports. The previous Annual Service Review. 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 living in the home. It also gives us data about staffing. Surveys completed by people using the service. Any complaints about the service. The notifications received from the home. This is when a service tells us that something significant has taken place. Registered care homes are legally required to tell us about certain important events. What has this told us about the service? The last key inspection was completed on 23/10/2007 and the quality of the service was rated as good. A random inspection site visit of the service was completed on 26/11/08 due to concerns raised by health care professionals over the quality of care being provided. At this visit it was agreed that there had been some problems with staffing the home, care planning, medication management, activities and providing the appropriate diet for people. As a result of this we made 5 requirements in the subsequent report. An Annual Service Review (ASR) was completed on 25/03/09 and based on the evidence provided we judged that the service provider had met/or was working towards meeting the requirements of the previous inspection report. The Annual Quality Assurance Assessment was thoroughly completed by the acting manager and will form the basis of the next key inspection. In the AQAA the acting manager made a number of statements about the services improvements over the past 12 months. These include: Peoples care plans and risk assessments have been reviewed and updated with their involvement where possible. Key workers check all care plans and risk assessments on a monthly basis with each person (where possible) and updated the plans and assessments as required. The management team also review plans and assessments every 3 months. The home has employed a housekeeper who works with people individually in the kitchen to prepare their lunch time meals. Annual Service Review Page 4 of 7 All of the care plans and health action plans have been updated. Communication between external professionals and the staff team is much improved and both are working well together so that we are all able to provide the best possible care to the people in the home. All of the people living in the home has a copy of the pictorial complaints procedure that they keep in their room. The homes kitchen has been re-furbished. staff are listened too and consulted with where possible about changes that may need to be made to improve the smooth running of the home. There is low turn over of staff, and a staff survey has been introduced. Staff supervision with the manager is completed every 6 - 8 weeks.The manager has an open door policy. 8 staff have completed relevant NVQs (National Vocational Qualification). Team leaders have been introduced and they are responsible for managing shifts. They ensure that all appointments and activities happen as required. The staff and management team are more stable. Regulation 26 visits are being completed regularly. The AQAA asks the provider to identify what their planned improvements are for the next 12 months. The acting manager stated; To continue providing a high quality service and staff team to ensure that people have a fulfilled and happy environment to live in. To offer people more choice, ie work placements, using public transport which will help to develop their independence. To continue looking into new activities and opportunities for people in the home. Continue good communication between external agencies and the home so that the service we provide is of the highest standard. Monitor the systems we have in place to ensure all staff understand the importance of protecting people from any form of abuse. Provide staff with update training where applicable. Make better use of the land around the home, develop some vegetable plots and in time be able to grow and harvest most of the vegetables that the home needs from the garden. People who choose to be involved in the gardening will be able to suggest what they would like to grow and be able to work on the land as part of their activities. Maintain a stable staff team to benefit people in the home so that they do not keep going through changes. We received completed CQC questionnaires from 5 staff and 5 people living in the Annual Service Review Page 5 of 7 home. Staff were asked what the home does well? they answered, focus on service users at all times, Good training, very good staff/service user relationships, I feel that the home does all things well, All staff and service users are made to feel valued and listened too, the home is very clean and clients get support when it is needed. Comments from people living in the home included, I live here because I like to be independent, I am happy. All other responses about the home were positive. The acting manager states in the AQAA that they have not received any complaints since the previous inspection. The CQC has not received any complaints about the service. The CQC has received notifications as required since the previous inspection was completed. 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 23rd October 2010. 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. 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