This is the latest available inspection report for this service, carried out on 4th 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 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.
Annual service review
Name of Service: Thorncliffe Grange Nursing Home The quality rating for this care home is: The rating was made on: two star good service 2 3 0 9 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?
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: User doesnt belongs to any group Date of this annual service review: 0 3 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 2-4 Windmill Lane Denton Tameside M34 3RN 01613200740 01613207374 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Partnership Caring Limited Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: For 26 - 50 service users requiring nursing care 2 Registered Nurses to be on duty over each 24 hour period. For up to 25 service users requiring nursing care 1 Registered Nurse to be on duty over each 24 hour period. No service user to be admitted into the home who is under 55 years of age. The home is registered for a maximum of 50 service users to include up to 15 DE(E), up to 50 OP, up to 50 PD, up to 50 PD(E). The Manager must be supernumerary at all times. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 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:
Annual Service Review Number of places (if applicable): Under 65 Over 65 0 0 50 15 50 50 The registered manager left her employment
Page 2 of 6 with the service earlier this year. Another manager was employed but has also left before becoming registered with the Care Quality Commission. Post currently vacant. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Thorncliffe Grange provides accommodation for up to 50 service users requiring personal and nursing care. The accommodation is provided within two converted Edwardian houses that are connected by a purpose built extension and link. Most rooms are single, some with ensuite facilities and all are provided with washbasins. The home is located off the main A57 in the town of Denton. It is on the main bus route and is close to Denton town centre. Parking is available near the home. 2 3 0 9 2 0 0 8 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 or annual service review. 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 information about how the service operates and is staffed. Information we may 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. What other people may have told us about the service. The previous key inspection and the results of any other visits that we may have made to the service in the last 12 months. What has this told us about the service? We received the annual quality assurance assessment (AQAA) and all the information requested had been completed. This had been completed by a manager no longer employed at the home. Within the AQAA the manager told us what they consider have been improvements to the service in the last 12 months and this has included, ensuring that staff receive training in abuse and Adult Protection every 12 months, the refurbishment of rooms which have become vacant and improved the cleanliness of the home. We are also told that the service has been successful in maintaining the Investors In People award. We are also told that each person living in the home has a care plan providing in depth information of each service users needs and ability. A daily report is completed for each resident and care plans are reviewed monthly and take into account any changes that become apparent. All care plans are fully discussed with the residents or family members to ensure that service users are satisfied with the level of personal care provided. During a recent monitoring visit by the Contract and Performance department from Tameside Metropolitan Borough Council a number of concerns were raised about the standard of care plans viewed and general lack of relevant information being available about individuals daily living needs. It is important that at all times care plans and related information fully reflect the current needs of the individual with clear guidance to staff as to how those needs should be met in the most appropriate way. Lack of such information being available could place both the person using the service and Annual Service Review Page 4 of 6 staff at risk. Concerns were also raised about some parts of the environment requiring redecoration and that general health and safety was not being followed regarding the use of cleaning products within the home. It was stated that communal bathrooms (were) found to have bottles of disinfectant and liquid air freshener within reach of residents, none of the sluices were locked despite a notice on one of them, again with bottles of disinfectant within reach of residents and soiled laundry is stored in a bathroom along with some wheelchairs which were noted not to have foot plates attached, and in another bathroom there are walking frames being stored. Not following appropriate health and safety procedures regarding the use and storage of cleaning products and aids and equipment used in the home could place both people using the service and staff at risk. These concerns have resulted in the Contracts and Performance department suspending any further admissions into the home until further notice. The Care Quality Commission has recently received a number of complaints and concerns raised about staffing levels in the home and lack of a consistent manager being available on a day to day basis. The Commission wrote to the owner who confirmed, in writing, that the problem with staffing had been resolved by the recruitment of more staff and was confident that the same problem will not happen again. The owner also confirmed that until such a time a new manager could be recruited, the area manager of the organisation would manage the home in order to provide consistency of support to both staff and people using the service. What are we going to do as a result of this annual service review? We will carry out a random inspection of the service before 31 January 2010 to look at those areas of concern identified in this report. The outcome of the random inspection could result in the date of the next key inspection being brought 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:
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 6 of 6 - 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!
