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Care Home: Grevill House

  • 279 London Road Charlton Kings Cheltenham Glos GL52 6YL
  • Tel: 01242512964
  • Fax: 01242224278
  • Planned feature Advertise here!

Grevill House is a purpose built Care Home, providing nursing and personal care to 50 residents over 65 years of age. The home is managed by the Orders of St John Care Trust. Grevill House is situated in the village of Charlton Kings, approximately 2 miles from Cheltenham Town centre. The home has 50 single rooms, with comfortable homely communal accommodation on both floors. A shaft lift has been installed for easy access to the upper floor. Although only two of the rooms have en suite facilities, there are several assisted bathrooms and separate toilet facilities throughout the home. Some of the bedrooms at the front of the property have the benefit of a small balcony. An additional independent facility known as the Ashley Intermediate Care Centre provides intermediate care for 15 service users. All the large comfortably furnished bedrooms have en suite facilities and the service users have the benefit of sunny open plan communal rooms. They have access to full rehabilitation support services during their short stay in the unit. The property is surrounded by landscaped gardens. The care provider supplies information about the home, including the most recent inspection report in a file at the entrance of Grevill House.Annual Service Review

  • Latitude: 51.882999420166
    Longitude: -2.0450000762939
  • Manager: Mrs Annie Jeannine Francois Ferris
  • Price p/w: ~
  • UK
  • Total Capacity: 65
  • Type: Care home with nursing
  • Provider: The Orders of St John Care Trust
  • Ownership: Voluntary
  • Care Home ID: 7338
Residents Needs:
Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 5th November 2009. 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 Good.

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 Grevill House.

Annual service review Name of Service: Grevill House 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: Ruth Wilcox Date of this annual service review: 0 5 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: 279 London Road Charlton Kings Cheltenham Glos GL52 6YL 01242512964 01242224278 manager.grevill@osjctglos.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) The Orders of St John Care Trust Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Temporary Variation - One named service user under the age of 65 years. The home will revert to the original service user category when the named service user no longer resides at the home or reaches 65 years of age. Temporary Variation - One named service user under the age of 65 years. The home will revert to the original service user category when the named service user no longer resides at the home. Temporary Variation - One named service user under the age of 65 years. The home will revert to the original service user category when the named service user no longer resides at the home. 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 Registered Manager has left the home. A new manager has been appointed but is not yet registered with CQC. Number of places (if applicable): Under 65 Over 65 0 65 Date of last key inspection: Annual Service Review Page 2 of 8 Date of last annual service review (if applicable): Brief description of the service Grevill House is a purpose built Care Home, providing nursing and personal care to 50 residents over 65 years of age. The home is managed by the Orders of St John Care Trust. Grevill House is situated in the village of Charlton Kings, approximately 2 miles from Cheltenham Town centre. The home has 50 single rooms, with comfortable homely communal accommodation on both floors. A shaft lift has been installed for easy access to the upper floor. Although only two of the rooms have en suite facilities, there are several assisted bathrooms and separate toilet facilities throughout the home. Some of the bedrooms at the front of the property have the benefit of a small balcony. An additional independent facility known as the Ashley Intermediate Care Centre provides intermediate care for 15 service users. All the large comfortably furnished bedrooms have en suite facilities and the service users have the benefit of sunny open plan communal rooms. They have access to full rehabilitation support services during their short stay in the unit. The property is surrounded by landscaped gardens. The care provider supplies information about the home, including the most recent inspection report in a file at the entrance of Grevill House. 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. 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 should also give us some numerical information (Dataset) 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 manager had only been appointed to Grevill House two months prior to completing the AQAA for the home in August. The AQAA was generally completed to a very good standard, and conveyed a very honest and frankly detailed assessment of the home, what had been achieved and what was left to achieve. The manager was evidently developing a good understanding of the residents and their families, and the staff group. The manager has not been registered with us for her role and an application from her is expected by CQC. She is appropriately experienced for the position, and has begun reviewing systems in the home, including staff deployment and ways of working. The homes policies and procedures had been kept under review, some having been reviewed more recently than others. We were told about the ways in which the quality of the care and services were being regularly monitored, and there would appear to be some good quality monitoring systems in use. This had included taking into account the views of the residents and their families, and also other stakeholders. An open-door style of management was demonstrated, with anyone free to offer suggestions and ideas for the benefit of the residents and their lives in the home. We were told about some of the changes that have been brought about as a result of the residents raising issues and making their wishes known; this has included changes to routines. The aim appeared to be one which created a warm, relaxed and open environment for people. The AQAA and dataset indicated that high resident occupancy levels had been attained, and that there were a range of complex needs being accomodated in the home amongst the residents. No pressure ulcers were reported, however the home had informed us on at least two occasions of people being admitted to the home from Annual Service Review Page 4 of 8 hospital with an ulcer already having been sustained. The AQAA described the pre-admission process to us, which included trial visits, access to information and a comprehensive pre-admission assessment for all prospective residents. Assessment and subsequent care planning was reported as being highly individualised, with an emphasis towards respect for diversity, choice and dignity. A new care planning documentation system had been implemented, which was reported as having been time consuming to introduce. The aim of the care plan was to plan how residents personal and health needs would be met in accordance with their assessment and wishes. There were plans to introduce individualised End of Life care plans for people, so that their advanced wishes might be known and catered for. We were told that staff were kept well informed about residents changing needs, and that any levels of disability were addressed through the provision of necessary equipment, staff training and multidisciplinary input where needed. The range of external health care services that were used in the home were described to us, and residents evidently had the necessary support, treatments and advice as appropriate for their particular circumstances. The purpose of the intermediate care unit was described to us, and was designed to prevent hospital admissions, or to limit the time people had to spend in an acute hospital setting. The aim of the unit was also to be enabling for its residents and to promote as much independence as possible so that people could be rehabilitated again. A multidisciplinary healthcare team was deployed in the unit. We were told about the social arrangements in the home, which were designed to meet a variety of tastes and abilities. It was acknowledged within the AQAA that this was an area for attention, with the accessibility of the programme for all residents needing improvement. Residents appeared to be supported to maintain their social contacts, with alternative ways of achieving this for some for whom there were challenges in this area. The AQAA told us about the rolling programme of maintenance and redecoration that was ongoing in order to improve the environment for the residents. A number of bedrooms had been redecorated, with some floorings and windows replaced. The dataset showed us that equipment in the home was being serviced and checked for safety. Self-closing devices had been fitted to residents bedroom doors as a safety feature in the event of a fire. Risk assessments were being conducted to address areas related to all health and safety aspects of life in the home, and an Infection Control audit was being carried out. We were told about the steady staff levels in the home, with a highly motivated staff team in place, which benefitted from a supportive network. A sound recruitment process was indicated, which included a robust interview and selection process. Staff received a good induction training programme when first joining the home, with all having access and support for good ongoing training and development opportunities. Staff had made good progress with the National Vocational Qualification (NVQ) training in care, with high numbers of them having acheived it. Staff were receiving regular supervision and support, and had regular meetings. Despite the steady staff levels stated the AQAA also reported that there had been a good number of new staff to induct to the home, and the dataset showed that there had been a significant number Annual Service Review Page 5 of 8 of shifts in the preceding three months when agency care staff had been employed. The sound process for addressing concerns and complaints was reported, with a clear emphasis shown towards upholding residents rights through the homes policies, and staff training and awareness. Risk management to reduce risks to the health and safety of residents was demonstrated. The dataset reported two complaints received by the home in the preceding twelve months, each of which had reportedly been addressed promptly, but neither of which had been upheld. This was not entirely accurate, as a complaint had been investigated at the end of 2008 after being referred and overseen by us, to The Orders of St John Care Trust. Evidence was found to uphold that particular complaint at that time. The home has kept us informed of significant events in the home. Fourteen out of twenty residents to whom we sent surveys returned them to us. In the main people responded positively to our questions about the home, the care, the staff, the social arrangements and the meals. However there were some variations with this. One person said the home could do with more staff, with two indicating that they received the care they needed sometimes. One person out of the fourteen said that there were never any activities in the home, whilst another said there could be more activities. Five out of the fourteen responses indicated that they had not been provided with a contract. We contacted the home directly to explore this further. We were told that there had been some administrative problems in recent months that had caused isolated failures in this area. This had been recognised, and a full audit had checked individual circumstances, with any identified shortfalls receiving urgent attention to be rectified. At the time of writing this report signed copies of contracts were still awaited from just two residents. Most people confirmed that the staff were available when needed, with a number indicating that this was sometimes. One person told us that there is very good care available, and that the cooking was good. Another told us that the care had improved over the past three months, but that staff availablity could be variable. They went on to say that the home gave a good level of basic care, and that food was good but variety was limited. This person also commented that things had improved in the home since the appointment of a new manager. One person said that the home showed care, compassion and dignity to the residents, and that minor problems were always immediately addressed. They went on to say that the care staff were wonderful. Four out of ten staff to whom we sent surveys returned them to us. Staff confirmed that they had up to date information about residents needs, and that they had gone through a safe recruitment procedure, and had received induction and ongoing training and support to do their job. One person commented that the new manager was tackling issues of persistent absenteeism so that staffing levels were improving, and also that recruitment was taking place. They went on to write that the staff were very proud of the service they provide. Another member of staff wrote that staff provided individual personalised care to Annual Service Review Page 6 of 8 residents, and that communication between staff, residents and visitors was good. Another wrote that they were looking forward to working with the new manager. Just one member of staff who responded had more negative things to say, commenting that there were never enough staff here, and that staff needed better career opportunities. Two out of the six visiting healthcare professionals to whom we sent surveys responded to us. Neither of these raised any concerns, with one commenting particularly on the caring environment, but also commenting that the handwashing facilities could do with improvement for staff and visitors. We looked at all the information 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 23rd 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 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). 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 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. 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