Care Home: Greystone House

Annual service review Name of Service: Greystone House The quality rating for this care home is: The rating was made on: two star good service 1 4 0 1 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: Margaret Drury Date of this annual service review: 0 5 0 2 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service Address of service: 319 Blackwell Road Carlisle Cumbria CA2 4RS 01228536349 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Mr John Sibbald Ruddick,Mrs Susan Ruddick Number of places (if applicable): Under 65 Over 65 24 0 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: Mental disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accommodated is: 24. 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 Greystone House is a large Victorian, two storey detached property on the outskirts of Carlisle city. It has been modernised and converted for its present use, including three purpose built extensions to the side and rear of the original building. Greystone House is home to twenty-four people who have difficulties maintaining aspects of their mental health. Two carers, a senior and the manager staff a normal shift, with two waking staff on duty at night. The Home has three lounges situated on the ground floor, one of which is a designated smoking area. There are also two dining areas. One of the Annual Service Review Page 2 of 6 1 4 0 1 2 0 0 9 three bathrooms is equipped with a hoist to safely assist people with physical needs. There are twenty-two single bedrooms and one twin bedded room. Fourteen of the single rooms have en-suite facilities. The Home has a central laundry and kitchen. Both laundry services and meals are provided to service users. There is a six-person passenger lift to the first floor. The Home has a private garden to the front and a s maller garden/patio area to the rear. The Home is well placed for local facilities including shops, post office and church. There is a regular bus service to the city that stops adjacent to the Home and Hammonds Pond Park is only a short walk away. The fees at this service are currently #422.00 per week with extra charges for hairdressing and personal toiletries. This home does not provide intermediate care. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? An annual quality assurance assessment (AQAA) was sent by us to the registered manager of the home. The AQAA is a self assessment and a dataset that is completed once a year by all registered providers. It is one of the main ways in which we obtain information about how they are meeting outcomes for people using their service. The AQAA also provides statistical information about the individual service. We requested the views of some of the people that have an interest in this service. This included people who live in Greystone House, their relatives and people who work at the the home. There views were gathered by the use of surveys. We received surveys from residents, staff, health care professionals and from family members. The information contained in the last inspection report also contributed to this report. We checked whether there had been any complaints made about the care provided or whether there had been any matters regarding the safeguarding of vulnerable adults. There had been no complaints made, neither had there been any adult protection issues raised. What has this told us about the service? From the information contained in the AQAA and that received from other agencies we judged that this service continues to meet the National Minimum Standards of the Care Standards Act. One of the ways we gather information is through surveys sent to people who have an interest in this service asking for their opinions about the care and support provided. We received completed surveys from residents, staff relatives and health care professional all containing positive comments. Residents told us, I get good food and good care. The house is clean and tidy. One of the visiting doctors confirmed that there were no concerns about the care and attention given by the staff. Relatives were also impressed with the level of care provided and one lady told us that They take good care of my mother , she is happy and content. The carers are kind and thoughtful and the home is well run with high standards. Staff commented There is a friendly and relaxed atmosphere in the home and we have a very good senior team. Maybe the home could provide staff to cover holidays. The manager indicated on the AQAA that there has been a number of changes made since the last inspection. The statement of purpose is now more user friendly in layout and content. The newly appointed deputy manager has taken on a more prominent role in the development and review of care, resulting in more comprehensive care plans. Adjustments have been made to the medication documentation as an added safety measure. The policy in respect of the safeguarding of vulnerable adults has been reviewed and updated in order to make this more accessible to all concerned. The plan for redecoration and refurbishment is continuing to ensure the environmental standards remain as high as possible. Staff training is continuing with the training plans being updated so that relevant training can be provided in a cost effective way. Menus have been reviewed and changed in response to suggestions made by those living in the home. There are plans in place for continued improvements in the coming twelve months. These include, the manager acting on suggestions made in this years internal quality audit. A new training plan will be implemented to ensure all training is kept up to date. Annual Service Review Page 4 of 6 Emphasis will be placed on formal training in adult protection. The manager is also hoping to access accredited medication training. In house training in privacy and dignity is being prepared in order to strengthen the care practices already in place. The redecoration and refurbishment of the home will continue to ensure the environmental standards remain high. The manager will continue to ensure those living in Grey stone House have a voice in the running of the home. What are we going to do as a result of this annual service review? We will continue to monitor this service and will conduct a key inspection when required. Annual Service Review Page 5 of 6 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. 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