Random inspection report
Care homes for older people
Name: Address: Ranelagh Grange 90 Stoney Lane Rainhill Merseyside L35 9JZ 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: Adele Berriman Date: 1 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Ranelagh Grange 90 Stoney Lane Rainhill Merseyside L35 9JZ 01514931558 01514309351 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Christine Taylor Type of registration: Number of places registered: Conditions of registration: Category(ies) : Prime Healthcare UK Limited care home 39 Number of places (if applicable): Under 65 Over 65 36 3 old age, not falling within any other category physical disability Conditions of registration: 0 0 The service may admit up to 36 service users in the category of Old Age and up to 3 in the category of Physical Disability over 65 years of age. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Ranelagh Grange is registered to provide 39 beds for personal and residential care for older persons over 65 years of age. The home is now privately owned by Mr Patarra of Prime healthcare LTD.The Registered Manager is Mrs Chris Jones Taylor. The home is situated close to Whiston hospital near to local amenities. The building is a large detached building which offers a highly decorated and maintained environment. Care Homes for Older People Page 3 of 10 What we found:
During this random inspection of the service we looked at the outcome areas for health and personal care and complaints and protection. Prior to our visit the manager had completed an Annual Quality Assurance Assessment (AQAA). This document gave the service the opportunity to tell us what they felt they did well, what improvements they had made over the last 12 months and their plans for improvement over the next 12 months. The AQAA was well written and contained the information we asked for. Before our visit six people living at the home and five members of staff told completed a survey form to tell us their views of living and working at Ranelagh Grange. The majority of people who completed a survey form told us that they always receive the care and support they need. Prior to our inspection they told us in their AQAA (Annual Quality Assurance Assessment) that they had recently introduced a new care plan format. During our visit the manager told us that the care planning system was still new and staff were getting to know the documentation. She told us that people living at the home were having more input into their care planning and weekly discussion with people about their care were taking place. We saw that each person had their own file that contained their personal information, pre admission information and their care plan. We looked at four peoples care plans and saw that they contained information about their day to day needs. We saw that detailed information was available in some of the care plans on how people wished to be supported. For example, one persons care plan for eating and drinking stated (X) enjoys cornflakes and toast for breakfast with a cup of tea. J likes to be told what is on his plate at mealtimes . (X) is able to cut up his own food and is able to choose his drink ie tea, coffee choices of juice. The majority of staff who completed a survey form told us that they are always given up to date information about the needs of the people they support. We saw that the care plans contained a section service users consent to resuscitation. We saw that family had signed for on behalf of their relative regarding wishes around resuscitation. This format did not comply with the current guidance under the Mental Capacity Act 2005. To ensure that peoples rights are fully represented under the current legislation the service must remove the current format and seek advice regarding the Mental Capacity Act 2005. We saw that risk assessments specific to individuals needs formed part of the care plans. We saw risk assessments that considered the risk from falls, moving and handling, skin pressure areas and nutrition. We saw that not all of the care plans contained information identified by risk assessments. To ensure that people receive the care and support they require risk assessments should contain up to date information to help ensure that an accurate assessment of the identified risk takes place. Care Homes for Older People Page 4 of 10 We saw records that demonstrated that people had regular access to local health care professionals. The majority of people who completed a survey form told us that the home always make sure that they get the medical care they require. During our visit we observed two visiting chiropodists sat in the conservatory attending to peoples foot care. Seven other people, including visitors were also sat in the room. People should be able to receive visits from health care professionals in private. We saw that they had a policy for the recording, receipt, administration and disposal of medication. The policy did not contain guidance regarding the use of covert medication or for the correct storage of controlled drugs. We saw that medication was stored in a locked room in locked cabinets. The senior member of staff on duty demonstrated a good awareness of the homes administration of medication. We saw that people had been prescribed medication to be taken on an as and when required basis (PRN). One person was unable to ask staff for their PRN medication. To help ensure that people receive their medication when they need it; detailed information should be available and recorded from the prescriber regarding when PRN medication should be offered and administered. Throughout the visit we observed people being treated in a friendly dignified manner by the staff team. We saw that information relating to the homes complaints procedure was available. A register was available for the manager to record any complaints that were made about the service. They told us that they had not received any complaints within the last 12 months. All of the people who completed a survey form told us that there is someone to talk to if they were not happy. The majority of people told us that they knew how to make a formal complaint about the service. We saw that they had policies and procedures in place for the protection of vulnerable people. They told us that these policies were in the process of being updated. A copy of St Helens Social Services safeguarding procedures was also available. During the visit the manager demonstrated a good awareness of local safeguarding procedures. All staff who completed a survey form told us that they knew what to do if someone had concerns about the home. What the care home does well:
They ensure that people have access to local health care professionals. People have their individual care plan which they have input into. Care Homes for Older People Page 5 of 10 People are supported by a staff team who know them well. People knew who to talk to if they were not happy about something and knew how to make a formal complaint. Policies and procedures were in place to safeguarding people. 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 Older People Page 6 of 10 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 Older People Page 7 of 10 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 1 7 12 Advice must be sought 13/08/2010 regarding the Mental Capacity Act 2005 in relation resuscitation. This is to ensure that peoples rights under the Mental Capacity Act 2005 regarding decision making are upheld. 2 9 13 The medication policy must 13/08/2010 include information about the use of covert medication and controlled drugs. Information relating to when PRN medication is administered must be available for people who do not have the capacity to request it. This is to ensure that people receive their medication appropriately. Care Homes for Older People Page 8 of 10 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 1 7 Risk assessments should contain detailed up to date information to ensure that an accurate assessment of risk can take place. People should receive treatment from health care professional in private. 2 8 Care Homes for Older People Page 9 of 10 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 Older People 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 Older People Page 10 of 10 - 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!
