Latest Inspection
This is the latest available inspection report for this service, carried out on 8th April 2010. CQC found this care home to be providing an Excellent service.
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.
For extracts, read the latest CQC inspection for Grayling.
What the care home does well Each person living at the home has their own care plan and record of their care. This is based around the company`s assessment and care planning documentation. The record we looked at showed that a full assessment and introductory process had been completed before the person moved in. This included visits to the home to meet people and make sure it was the right place for the person to live. We looked at people`s care records which showed that people take part in lots of different activities and events. People enjoy activities such as listening to bagpipe music,watching DVD`s, playing skittles. People also have the opportunity to have yoga sessions and also go out to various day centres. Day trips out have been organised to Flamingo Land,Dalby Forrest and a shopping trip to York. The care record we looked at also showed that people have involvement from other health professionals, such as their dentist, optician and doctors. The medication storage arrangements and recording we looked at showed us that medication is being managed safely by the home. There have been no recent complaints or safeguarding incidents at the home. Staff we spoke to had received safeguarding training and knew how to report any concerns. Two staff have also completed the Level 2 alerter course. We held a discussion with the manager about how staff are able to recognise when someone is unhappy when some people are unable to verbally communicate. We were informed that staff are clear when someone is unhappy by observing people`s body language. During our visit the home was found to be clean and tidy and provided people with a homely and comfortable place to live. We checked a random selection of maintenance certificates and found that these were up to date. We checked one recent recruitment record and found that all the appropriate checks and information had been obtained before the staff member started to work in the home. The records also showed that appropriate induction and ongoing training had been arranged.Discussions with the manager and the rota confirmed that staff levels are arranged with people`s routines and preferences in mind,as much as possible. We found that the home has an appropriate management structure in place. The manager is appropriately qualified and experienced and is supported by a deputy manager. What the care home could do better: We feel that Graylings continues to provide good and excellent outcomes for the people who live there and we have made no new requirements or recommendations as a result of this random inspection. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Grayling Back Lane South Middleton Pickering North Yorkshire YO18 8NU three star excellent service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Irene Ward Date: 0 8 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Grayling Back Lane South Middleton Pickering North Yorkshire YO18 8NU 01751477209 F/P01751477209 Telephone number: Fax number: Email address: Provider web address: www.wilfward.org.uk Name of registered provider(s): Name of registered manager (if applicable) Mr Christopher Buntin Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Wilf Ward Family Trust care home 4 Number of places (if applicable): Under 65 Over 65 4 learning disability Conditions of registration: 4 Registered for 4 Service Users with Learning Disabilities some or all of whom may also have Physical Disability Date of last inspection Brief description of the care home Grayling is registered to provide long term accommodation to 4 younger adults or older people who have a learning disability and/or a physical disability. Mr Christopher Buntin is the Registered Manager and the local health authority owns it with care provided by the Wilf Ward Family Trust a registered charity. Grayling is a large detached bungalow situated in the village of Middleton approximately one mile from Pickering. A former private dwelling it now offers suitable
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home accommodation for four residents. There are gardens to the front and rear accessible to residents. There are four bedrooms offering residents single room accommodation, one of which has an en-suite facility. A communal lounge is provided with television, video and music system. There is a dining kitchen, communal bathroom and toilet facilities Information about the service is available on request and it can be provided in a variety of formats. On the 11th April 2007 the cost of the service was between £78.85 to £137.90 per week, the actual amount paid by a resident is determined through a financial assessment. This covers the accommodation costs, the local health authority meets the cost of the personal care. They and their carer are informed of this cost prior to their admission. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This was an announced inspection of the Graylings. The visit was completed on 8th April 2010 by one inspector. The homes staff and the people living there knew that we were going to visit on this day. This was to make sure people were in at the time we visited.During our visit we looked at a selection of records, looked round some parts of the building and talked to some of the people who live at the home and the staff who work there. Before our visit we looked at all of the information we had about the service and asked the home to complete an annual quality assurance assessment. This is a self-assessment that tells us about the home. We also sent out surveys to people who live and work at the home. We used all of this information to plan our inspection visit and have included it in this report where appropriate. What the care home does well:
Each person living at the home has their own care plan and record of their care. This is based around the companys assessment and care planning documentation. The record we looked at showed that a full assessment and introductory process had been completed before the person moved in. This included visits to the home to meet people and make sure it was the right place for the person to live. We looked at peoples care records which showed that people take part in lots of different activities and events. People enjoy activities such as listening to bagpipe music,watching DVDs, playing skittles. People also have the opportunity to have yoga sessions and also go out to various day centres. Day trips out have been organised to Flamingo Land,Dalby Forrest and a shopping trip to York. The care record we looked at also showed that people have involvement from other health professionals, such as their dentist, optician and doctors. The medication storage arrangements and recording we looked at showed us that medication is being managed safely by the home. There have been no recent complaints or safeguarding incidents at the home. Staff we spoke to had received safeguarding training and knew how to report any concerns. Two staff have also completed the Level 2 alerter course. We held a discussion with the manager about how staff are able to recognise when someone is unhappy when some people are unable to verbally communicate. We were informed that staff are clear when someone is unhappy by observing peoples body language. During our visit the home was found to be clean and tidy and provided people with a homely and comfortable place to live. We checked a random selection of maintenance certificates and found that these were up to date. We checked one recent recruitment record and found that all the appropriate checks and information had been obtained before the staff member started to work in the home. The records also showed that appropriate induction and ongoing training had been arranged. Care Homes for Adults (18-65 years) Page 4 of 8 Discussions with the manager and the rota confirmed that staff levels are arranged with peoples routines and preferences in mind,as much as possible. We found that the home has an appropriate management structure in place. The manager is appropriately qualified and experienced and is supported by a deputy manager. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!