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Inspection on 04/05/10 for Garswood

Also see our care home review for Garswood for more information

This is the latest available inspection report for this service, carried out on 4th May 2010.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Garswood The quality rating for this care home is: The rating was made on: three star excellent 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: Margaret VanSchaick Date of this annual service review: 2 9 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 32 Trafalgar Road Southport Merseyside PR8 2EX 01704568105 01704569192 pippabatesGarswood@cch-uk.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Miss Phillipa Bates Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Christadelphian Nursing & Residential Care Number of places (if applicable): Under 65 Over 65 7 0 0 35 The registered person may provide the following category 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 (35), Dementia - code DE (7). The maximum number of service users who can be accommodated is: 42. 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 Garswood is an older detached property dating back to 1892 that had been converted into a care service in 1948 and provides residential care for forty-two Older Persons. There is a large extension to the rear of the property and substantial garden grounds Annual Service Review Page 2 of 7 surround the property on three sides with ample parking for visitors and staff. It is situated in a residential area of Southport close to public transport and within easy reach of the amenities that serve the Southport and Birkdale area. The service provides accommodation over four floors, with lift access to each floor. There is ramp access to various parts of the service also. Garswood has 26 single bedrooms and 8 double bedrooms all have en-suite facilities. The communal space provides two dining rooms, three lounges and a conservatory. There are also small seating areas situated throughout the service which some of the residents where observed to use. The large games/function room is at present unused. The service has an external lift in place, which enables service users to access the rear gardens. The service has a summerhouse, which is pleasantly situated in the rear garden. The home has suitably adapted equipment to assist with the varying needs of the service users. There is a call-bell system throughout the service. A `loop system is in place in the two of the lounges for the hearing impaired resident. Garswood is owned by a Charity Organisation, Christadelphian Care Homes and is managed by Miss Pippa Bates. The weekly fees range from £436-£670 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? The annual service review for Garswood included the following: An annual quality assurance assessment (AQAA) was sent by us to the service. The AQAA is a self assessment and a dataset that is filled in once a year by all providers and it is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. 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 manager has managed any complaints. What the service has told us about incidents 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 and what other people have told us about the service. What has this told us about the service? The manager, Pippa Bates has sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the manager and staff are still providing an excellent service. They recognise that they are striving to make further changes as a result of listening to people. They were also able to evidence what they do well and any changes they have implemented. Surveys were sent out to residents and staff to gain their views of the service. We received completed survey forms from 8 residents and 1 staff. Residents were complimentary about how the service was run. Comments from surveys include: The home does everything well, they couldnt do anything better (resident) Theres always outings to go on, We could do with some new turf in the back garden following the bonfire. (resident) I am very satisfied, everything seems okay. If you want to be left alone you can be but if you want help or company you can have it. Im quite comfortable and happy the way I am. (resident) The home could not do any better. I am happy as it is. (resident) Annual Service Review Page 4 of 7 I think the staff are very good, I am happy here. (resident) I feel that I can talk to anyone here, which is good for me as I have no one. I would like to have more windows open. I think the fact that I wanted to retire here and I want to die here speaks volumes. (resident) Generally speaking I have had some good times and some bad times. Sometimes better communication is needed. (resident) I think the outings and activities are fantastic now. (staff) The AQAA reports that all residents now have a key worker chosen by themselves. The key worker ensures that residents individual plans of care are updated on a monthly basis with the resident fully involved. All residents have a plan of care, which identifies their individual health and social care needs. Staff are provided with good information for the care of residents and the district nursing service is contacted for their clinical input and advice. The service now also accommodate a Dementia Unit for 7 residents whose needs require more specialist care. The AQAA reports that for the residents whose needs have changed over the years, they now have an improved level of care more suited to their needs. Staff have access to a good training programme and regular supervision to ensure they have the skills and knowledge to provide the care and support to people who use the service. Training is provided in safe working practices and the AQAA confirms staff continue with the NVQ qualification in care. The AQAA reports that staff have had further training in Dementia care, my home life, personal centred care planning and 24 hour nutrition in Dementia care. Staff are recruited through robust recruitment procedures to ensure residents are safe. New staff receive an induction, which ensures they are familiar with the services philosophy, its care practices and health and safety policies and procedures. Residents are encouraged to take part in social activities with staff support. Residents are also supported in following their religious beliefs. The AQAA reports that two activities persons consult with residents regularly to ensure the activities are suited to their needs and where possible try to arrange special wishes. Special wishes are for residents who would like to do something outside the usual range of activities. The service continues to make ongoing improvements to the environment to ensure that Garswood provides a safe, homely and comfortable place for residents to live in. Residents have been involved in choosing colours and bringing in their own furniture items when bedrooms have been refurbished. The manager continues to advised us about anything that has happened and any issues have been managed effectively. The manager works well with us and has demonstrated to us that the service continues to provide excellent outcomes for the people who use it. There has been no cause to visit the service since the last key inspection. We have not received any complaints since the last inspection. The manager reviews the quality of the service and residents or their relatives are given satisfaction questionnaires to complete. This enables them to express their views and be part of the management of the service. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We are not going to change our inspection plan. We will do a key inspection by 26th March 2011. We can inspect the service at any time if we have any concerns about the service or the safety of the people using it. 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. 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