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Inspection on 29/04/10 for Abbey Grange Nursing Home

Also see our care home review for Abbey Grange Nursing Home for more information

This inspection was carried out on 29th April 2010.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

What the care home does well

The acting manager and staff have worked hard over the last few weeks to improve the service. What we saw when we were at the home, what staff told us and what visiting professionals told us, showed the service was improving outcomes for people living there.

What the care home could do better:

The consultant and acting manager acknowledged that the home still had a long way to go but felt they were moving in the right direction. The requirements from the last key inspection will be looked at in full at the next key inspection to determine compliance.

Random inspection report Care homes for older people Name: Address: Abbey Grange Nursing Home Cammel Road Firth Park Sheffield South Yorkshire S5 6UU zero star poor service 09/03/2010 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: Sarah Powell Date: 2 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: Abbey Grange Nursing Home Cammel Road Firth Park Sheffield South Yorkshire S5 6UU 01142560046 01142617962 abbey.grange@btconnect.com None Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Tracey Jane Turner Type of registration: Number of places registered: Conditions of registration: Category(ies) : Larongrove Limited care home 87 Number of places (if applicable): Under 65 Over 65 37 50 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 9 0 3 2 0 1 0 Abbey Grange is a care home providing personal care and nursing care. Accommodation is provided for 87 people. The home is currently in administration but still trading as Larangrove Limited. It is situated in the Firvale area near to the Northern General hospital a short walk away from the main bus route to the town centre. The nearest shopping area is situated at Firvale. Care Homes for Older People Page 2 of 11 Brief description of the care home The home is a converted property with extensions, accommodation is provided on three floors that are accessed by a lift. The original property has been extended to provide 87 beds for nursing and personal care with 65 single and 11 double bedrooms. The grounds are accessible and well laid out, the garden sitting areas are attractive and well maintained. The previous inspection report was made available to people and their families, details of this was on the homes notice board. The current fees at Abbey Grange ranged from £327 to £361 for residential care, £479 for nursing care including nursing care component, and £369 for EMI (Elderly mentally Infirm) care per week. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. Care Homes for Older People Page 3 of 11 What we found: This announced random visit took place on 29 April 2010 commencing at 09:30 and finishing at 12:30. Random means we will look at specific areas. The quality rating will only change following a key inspection. Therefore the rating for this service will stay the same following this random inspection. The purpose of this random visit was to look at with some of the requirements from the key inspection on 9 March 2010 and to also discuss the improvement plan with the acting manager and the consultant employed to oversee the home. We looked at measures that had been put in place to comply with the statutory requirement notice issued on 12 April 2010 regarding regulation 20, Restrictions on acting for service users. Since the key inspection in March 2010 the registered manager has left. The deputy manager has been appointed acting manager. The consultant has also appointed a clinical supervisor to assist the acting manager and the upstairs residential unit has a team leader in post. We looked around the building, the cleanliness observed had improved since the key inspection. The toilets and bathrooms were clean, bedroom carpets had been cleaned and we detected fewer odours in the environment. The home is working with a consultant in hygiene management, who had completed a full and detailed review of all rooms within the home. They have compiled a report following this review, containing a series of recommendations, which will be used in conjunction with the deep cleaning of the home The hygiene consultant is working with staff to formulate the necessary cleaning schedules and will make weekly visits to the home to gauge progress and feed back comments to the management team. We were told that the staff have also reviewed the existing suppliers of hygiene products and have chosen a single supplier who had been recommended by the hygiene management consultant. Specific training on the new products to meet COSHH regulations has commenced to ensure safety of staff and people living at Abbey Grange. During the tour of the building we observed that mops were still not being stored or cleaned appropriately to prevent cross contamination. This was discussed with the acting manager who said she would seek advice from the Infection Control Team at Sheffield Council; to ensure correct cleaning and storage of mops is implemented to prevent spread of infection. We noticed during our visit that some mattresses were only covered in a plastic sheet. This did not enable them to be thoroughly cleaned, as fluids could get into the mattress. The acting manger told us she would look into replacing the mattresses with ones that were appropriate for use in care homes to ensure infection control measures were met. Care Homes for Older People Page 4 of 11 We spoke to staff and they told us they felt the home had moved on in the last few weeks and things were improving. They told us communication had much improved and said they were working more as a team. During our visit we discussed the Statutory Requirement Notice regarding finances. We were told that bank accounts had been opened for all people, who the home had appointeeship for. We were given a list of account numbers, however we were told the accounts were at zero balance. This was because the pensions, people were receiving, did not fully cover the cost of their fees. We were told, rather than people going into debit in the accounts, the Administrators were taking peoples pensions directly and the person was accruing a debt. When they had been financially re-assessed, this should be paid by the contribution from the placing authority. The people have had financial re assessments by Sheffield Council. We have been told by the officer from Sheffield City Council that the pensions should cover the cost of the fees. Since the home went into administration there has been some confusion regarding finances. Due to this Sheffield are arranging a meeting with the administrators to resolve the issues. The administrators overseeing the home have put in place measures they are able, to comply with the requirement notice and are working with Sheffield Council to resolve the issues. The standard regarding finances will be looked at again at the key inspection. We spoke to visiting professionals who had been into the home to review people and their care plans. They told us that the plans of care had improved and now identified peoples needs and how to meet them. They told us the assessment of needs were still to be implemented, however the deputy manager was aware of this and was working with them to get this commenced. We looked at a training file of one member of staff, all training had been completed and all certificates of attendance were in the file. This corresponded with the training matrix supplied by the acting manager. The acting manager told us she had reorganised all the staff training files and had determined what training was required. The relevant courses had been booked and staff allocated places. This would ensure that all staff were appropriately trained to meet peoples needs. Full feedback was given to the acting manager and the consultant during and at the end of the visit. What the care home does well: What they could do better: Care Homes for Older People Page 5 of 11 The consultant and acting manager acknowledged that the home still had a long way to go but felt they were moving in the right direction. The requirements from the last key inspection will be looked at in full at the next key inspection to determine compliance. 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 11 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 3 14 People must have an 01/05/2010 assessment of needs undertaken prior to admission to Abbey Grange. This includes an assessment provided by the placing authority. The home should also draw up an needs assessment to be able to generate a plan of care from the assessment of needs. To ensure peoples needs are identified and can be met. 2 7 15 People must have a plan of 01/05/2010 care with all needs identified and how these needs will be met, ensuring it is kept under review. This will ensure peoples changing needs are identified and met. 3 8 12 Proper provision must be provided for the health, welfare and care of people. This will ensure their needs are met. 01/05/2010 4 9 13 Arrangements must be in 01/05/2010 place for recording, handling, safekeeping, administration and disposal of medicines in the care home. Page 7 of 11 Care Homes for Older People 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 This will ensure medicines are given as prescribed and procedures safeguard people. 5 18 12 People must be protected from abuse by following correct policies and procedures. To ensure people are not subject to abuse. 6 19 23 The premises and equipment 01/08/2010 must be kept in a good state of repair and maintained in good working order. To ensure the People live in a safe well maintained environment. 7 26 13 To thoroughly clean items of 19/03/2010 equipment, toilets and bathrooms. To prevent the spread of infection at the care home. 8 26 13 Suitable arrangements must 19/03/2010 be in place to prevent infection, toxic conditions and the spread of infection at the care home. To protect people from risk of infection. 9 30 18 Staff must receive training 01/05/2010 appropriate to the work they are to perform. Including; Infection Control, Health and Safety, moving and Page 8 of 11 01/04/2010 Care Homes for Older People 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 Handling, fire Safety and Adult Safeguarding. To ensure peoples needs are met. 10 31 10 The registered manager 01/04/2010 must manage the care home with sufficient care, competence and skill. To be able to discharge their responsibilities. 11 35 20 Peoples financial interests 04/05/2010 must be safeguarded. The account must be in the name of the person and the account is not to be used in connnection with the carrying on or management of the care home. To ensure people finances are protected. Further enforcement action is being taken. 12 38 37 Information must be given to 10/05/2010 the commission any event which adversely affects the safety of a person. To ensure people are protected. Care Homes for Older People Page 9 of 11 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 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 Care Homes for Older People Page 10 of 11 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 11 of 11 - 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. 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