Please wait

Inspection on 30/11/09 for The Grange

Also see our care home review for The Grange for more information

This is the latest available inspection report for this service, carried out on 30th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: The Grange The quality rating for this care home is: The rating was made on: two star good service 2 0 1 0 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: Annie Foot Date of this annual service review: 2 3 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 2 Mount Road Parkstone Poole Dorset BH14 0QW 01202715914 01202743557 Telephone number: Fax number: Email address: Provider web address:   www.lcdisability.org Leonard Cheshire Disability Name of registered provider(s): Conditions of registration: Category(ies) : physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 27 0 The maximum number of service users who can be accommodated is 27. The registered person may provide the following category of service only: Care home only (Code PC) to service users of either gender whose primary care needs on admission to the home are within the following category: Physical disability - Code PD 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 The Grange is a home owned by the Leonard Cheshire Disability a national charity, and accommodates up to twenty-seven adults who have a physical disability. There are four apartments on the ground floor of the home providing accommodation for a total of twenty people and a respite unit on the first floor providing further accommodation for people either on a temporary or permanent basis. Each unit has a kitchen,dining room and two bathrooms, and people have their own bedroom. A communal area in the centre of the building comprises a seated coffee area, with a fishpond, where guests and visitors can also sit. There is a large paved courtyard for use in the Annual Service Review Page 2 of 7 2 0 1 0 2 0 0 8 summer. The Grange offers adapted living facilities to accommodate people who use wheelchairs. There are adapted baths, beds, a lift, automatic doors and manual and electric hoists. People who use the service have access to some adapted vehicles available to provide transport. The Grange is situated in a residential area of Parkstone, close to local shops and amenities. A bus route is located nearby. The fees for people living at The Grange range from £589 to £907 per week based on assessment of individual needs. The fee excludes items such as hairdressing, chiropody, personal toiletries, activities, magazines, newspapers and holidays. Further information on fair terms of contracts and care home fees can be found on the Office of Fair Tradings website: www.oft.gov.uk. Annual Service Review Page 3 of 7 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 which took place on 20 October 2008. 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 also gave us some numerical information 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 home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and detailed and gave us all the information we asked for. We also received 9 completed surveys from people living at the home. Some people had been assisted by a relative or staff member in completing the forms. The majority of respondents to the surveys say that potential residents receive sufficient information about the home prior to making a decision to move in. The AQAA reports that there have been no new admissions to the home over the last year. The home aims to operate at full occupancy. 23 short term admissions were received during the year. We received 2 completed surveys from heath care professionals. These tell us that staff address identified health care needs and support individuals in follow up care. Staff are willing to listen and follow advice from a medical or nursing perspective and to address any training needs. One survey commented that the staff are all very knowledgeable about each resident. Health care professionals confirm that they have excellent working relationships with all the staff. The AQAA reports that there has been an increased number of activities introduced during the year. Service users are encouraged and supported to undertake activities Annual Service Review Page 4 of 7 independently or with reduced request for support, particularly regarding the use of public transport. A Computer with internet access is provided and made available to service users to allow increased opportunity for education, leisure and social interests. A number of the surveys received from people living at the home and from staff say they would like to see more activities offered. Comments were received about the lack of staff available to support people in going out, remarking on the pressure that staff have, to get back to cover other staff going off shift. Others would like to see more social events at weekends as, it can be very boring with nothing to do except sit in front of the TV all day. A volunteer coordinator is in place to support the home. As the Volunteer Co-ordinator was on sick leave during the year, a lack of new volunteers were recruited. From our surveys it is noted that the food is usually enjoyed by people living at the home. In particular a vegetarian commented that their food needs were always catered for. Some people requested more fresh meals rather than prepackaged meals. There is a robust complaints procedure in place. Service users are supported to attend local and regional meetings by an independent facilitator, to discuss any concerns either individually or collectively. One complaint was received and resolved during the year. The complaint was upheld (in part). One safeguarding investigation was undertaken. Everyone responding to our surveys say they know who to talk to if they have any concerns or wish to make a complaint. A number of improvements have been made to the environment over the year. These have included, the refurbishment of four downstairs kitchen/dining rooms. New carpets have been purchased and fitted in some hallways and bedrooms and redecoration of various areas including bedrooms, hallways and main thoroughfare have been undertaken. A new mini bus has been purchased. 17 full time nursing/care staff are employed at the home, and 30 part time staff. There are 47 permanent members of care staff employed. Of these 23 have achieved an NVQ level 2 or above in care. New staff receive induction training and other relevant training is offered. All staff are trained in the prevention and control of infection and in assistance with eating. Training in malnutrition care has not been provided. 12 staff have left their employment at the home in the last year. We received 8 completed surveys from staff employed at the home. These tell us that staff are given up to date information about the needs of people they care for. They confirm that staff receive induction and other relevant training to meet the needs of residents. All of the surveys commented on the high quality of training available. Staff say they receive good support from the manager who meets with them regularly to discuss working practice. Staff say policies are always maintained and are up to date. New developments are shared within the staff team and they are kept well informed. One person noted that policies are very well managed by the team leaders and management. Annual Service Review Page 5 of 7 Staff say there is a friendly atmosphere at the home, and that, there is good teamwork, offering service users full and varied life choice. Several comments were noted in surveys from residents, staff and health care professionals about staff shortages. Comments were made regarding the lack of time available to do things with residents due to being short staffed. Some respondents to surveys think there could be better communication between the staff, particularly at hand-overs and at times of change. The AQAA reports that the home has experienced a difficult period over the last year when several senior staff either left or were on long term sick leave. This meant managing without a number of supervisory staff followed by a process of rebuilding teams. The AQAA reports that the organisation is undergoing a major review of all of its processes and personnel. This is intended to provide greater efficiency and performance. The direct impact on each service is not yet clear but the overall effect should provide service users with a higher quality of support to meet both personal and social needs. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. There is no evidence to indicate that outcomes for people who use the service have changed since the last inspection of the service. 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 20 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 6 of 7 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 7 of 7 - 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!