Latest Inspection
This is the latest available inspection report for this service, carried out on 7th January 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.
For extracts, read the latest CQC inspection for Stratheden.
Annual service review
Name of Service: Stratheden 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?
Yes 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: Elizabeth Kelley Date of this annual service review: 3 0 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 8 Portland Square Carlisle Cumbria CA1 1PY 01228818376 Telephone number: Fax number: Email address: Provider web address:
stratheden@croftlands.plus.com Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: The Croftlands Trust Number of places (if applicable): Under 65 Over 65 9 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: 9 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: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Stratheden is a nine bedded home for people experiencing enduring mental health problems. The property is set in an attractive town square very close to the centre of Carlisle. The premises are a large terraced, four-storey older property, which has been modernised and converted for its present use. On the ground floor there is a lounge, conservatory, kitchen, dining room and office. On the first and second floors there are 8 bedrooms. In the basement there is a self-contained flat for one service user, and a games room with snooker table. All service users have individual bedrooms, each with a wash hand-basin. The Croftlands Trust operates Stratheden. This is a non-profit
Annual Service Review Page 2 of 6 Application for new manager making organisation, which runs a number of residential and community based mental health services in the County. All referrals are made, and funded via the Integrated Health and Social Services Team. A Handbook is available for prospective residents, which includes a summary of the latest Commission for Social Care Inspection report. 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? We looked at all the information that we have received, or asked for, since the last key inspection in October 2007. This included Surveys returned to us by people using the service and from other people with an interest in the service. 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 outcome and information. Relevant information from other organisations. We asked for an Annual Quality Assurance Assessment AQAA a self-assessment that focuses on how well outcomes are being met for people receiving the services. What has this told us about the service? The overall picture was that people living at the home are pleased to be offered an individually tailored service that promotes their well being and offers opportunities to become more independent. The AQAA told us of developments: The most significant change is a clearer shift towards recovery both as a concept and as a way of working. As an aid to this we use the Outcome Star, a way of working which uses a pictorial method of establishing clients current situations and monitoring progress. This includes individual responsibility and is a clearer method of identifying which areas require work to achieve progress towards individual goals and a clearer method of identifying specific difficulties that can be focused on. Staff have completed the Deprivation of Liberty and Safeguarding Adults e-learning programmes and return to this three monthly, a training file has been developed for the staff to follow. A service user participation co-ordinator is employed by the organisation. This was set up to deliver a range of interventions which would include service users. Staff surveys highlighted two areas for development: the first was to ensure that staff had enough information on people and their mental health issue prior to working with them; and the second was to ensure that staff received sufficient support from the manager of the home. People living at the home reported receiving good support. However one person felt that staff didnt always listen on act on what they said. The home has recently undergone a whistle blowing incident which resulted in a serious disciplinary matter. The home continues to send in important information as is required of them. One of these incidents that we followed up was a possible safe guarding issue, and we were not entirely confident that the organisation handled this in line with local protocols. This was a serious incident and brought into question emergency protocols within the home, and staff understanding of their duty of care. Annual Service Review Page 4 of 6 The home has recently had a change in manager, and this coupled with the comments made above lead us to judge that the home should have an inspection sooner than we would have normally planned. What are we going to do as a result of this annual service review? In light of the above incident,the staff disciplinary matter, and a change in manager we will be bringing the next key inspection forward. 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:
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