Care Home: Grisedale Croft

Annual service review Name of Service: Grisedale Croft The quality rating for this care home is: The rating was made on: two star good service 1 2 1 1 2 0 0 8 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: 1 6 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: Church Road Alston Cumbria CA9 3QS 01434381221 Telephone number: Fax number: Email address: Provider web address:   www.cumbriacare.org.uk Cumbria Care Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 19 0 0 19 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, Dementia - Code DE. The maximum number of service users who can be accomodated is: 19. 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 Grisedale Croft is a care home offering accommodation and care for up to 19 older people, two of whom may have varying forms of dementia. Cumbria Care, an internal business unit of Cumbria County Council, operates the home, which is run on a day-today basis by Ms Sandra Shepherd. Grisedale Croft is situated on two floors, the upper being served by a passenger lift and a stair lift. All the rooms are for single occupation, six of them having a small kitchen and toilet. There are bedrooms on the ground floor, Annual Service Review Page 2 of 6 1 2 1 1 2 0 0 8 together with a lounge/diner, smoking lounge, a bathroom and toilets. On the first floor there are bedrooms, a lounge/diner, bathroom and toilets. The six rooms with the kitchen and toilet are situated on the mezzanine floor that is accessed by a short flight of stairs and the stair lift. There are well kept gardens and car parking at the front of the building. 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? To complete the annual service review for Grisedale Croft we, The Care Quality Commission (CQC), gathered information in a variety of ways. An Annual Quality Assurance Assessment (AQAA) was sent to the home to be completed by the registered manager. The AQAA is a self assessment and dataset that must be completed annually by every registered service. It is one of the main ways we gather information about the provision of care and the ways in which providers believe they are meeting the assessed needs of those people using the service. The manager gave details of what the home has achieved since the last inspection and what she hopes to put in place over the next 12 months. We sent questionnaires to residents, family members, health care professionals and staff, to ask their opinions about the service provided. We looked at information about how the manager dealt with any issues or complaints and checked the last key inspection report. We also looked at any notifications about events at the home sent to CQC since the last inspection and at information that may have been received from other external agencies. What has this told us about the service? From the details outlined in the AQAA and information received from other sources we judge that this home continues to meet the National Minimum Standards (NMS) of the Care Standards Act. We had a reasonable response to the survey forms most of which contained positive comments about the care and support provided by Grisedale Croft. Comments from those living in the home included, The home is clean and we get nice food, There is not much that could be better. Comments from family members include, My mother is happy at Grisedale Croft and she left her home of 60 years. The staff made her feel very comfortable. They respect her individuality and privacy whilst encouraging her to socialise when appropriate, I feel the home makes the best of what is, given the funds available and the service seems satisfactory. One family member did however express the wish that the home would buy nice bread. We received positive comments from the district nursing service which included, The home offers very high levels of care and commitment to the people living there, We have a close working relationship with the carers and pharmacy providing the medicines and every care is taken with the medication records. Many of the care staff have worked at the home for a number of years and all commented that the staff team, Gives care and consideration to residents involvement in the local community wherever possible. Another survey said that The residents welfare is paramount and we try to give the best care and support to the residents. All the staff that completed surveys agreed that the residents are well cared for and that the standard of care is very high. Although, on the whole the staff comments were favourable there was a general feeling that the residents would benefit greatly from a larger staff team that would allow more individual time to spend with the residents, provide more activities and maybe take them out more. It was also generally felt that the home would benefit from some upgrading and the purchase of new furnishings. Over the past year the manager has accessed new manual handling equipment as Annual Service Review Page 4 of 6 early as possible to ensure the assessed needs are met quickly. All health care changes are discussed with family members sooner rather than later. Activities have improved with more outings arranged and regular entertainment provided. Training in Protection of Vulnerable Adults has been completed and NVQ training is now being undertaken through a new provider, which has been of benefit to the staff. There are now 2 moving and handling key workers in place and the manager is working towards a qualification in computer studies. Domestic staff now cover 7 days a week, some redecoration has been completed and some new carpeting laid. The manager did confirm that the main barriers to improvement were lack of funding and the length of time taken to complete the recruitment process for new staff. Over the next 12 months there are hopes that the refurbishing of the building will continue providing funding is available. The manager is hoping to to improve the amount of information available regarding end of life wishes and care. It is hoped to introduce more flexibility into the daily routines and look at more activities for residents with reduced mobility. Plans are in hand to assist the staff to complete all sections of their personal development files through staff supervision. All administrative procedures will be brought up to date and it is hoped to update the computer skills of the senior staff. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an 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. 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. 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