Inspection on 16/01/06 for Acorn Grange

This inspection was carried out on 16th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Acorn Grange 20/01/10

Acorn Grange 04/03/09

Acorn Grange 05/12/06

Acorn Grange 29/07/05

Acorn Grange 07/03/05

Acorn Grange 02/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Acorn Grange Acorn Grange Vicarage Road West Cornforth Durham DL17 9JW Lead Inspector Jean Pegg Unannounced Inspection 16th January 2006 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Acorn Grange Address Acorn Grange Vicarage Road West Cornforth Durham DL17 9JW 01740 656976 01740 656667 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Manor Care Home Group Melanie Dawn Clarke Care Home 59 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (40) of places Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th July 2005 Brief Description of the Service: Acorn Grange is registered to provide residential accommodation for older people including nineteen people with dementia. Acorn Grange provides services for up to fifty nine people including day care. The home is situated in its own grounds which includes parking and colourful borders to the front and large lawned areas to the back of the building. Inside the home provides single bedroom accommodation over three floors. A passenger lift enables access to the upper floors. Only one bedroom has ensuite facilities. The home also has two conservatories, two dining rooms and several lounges. Acorn Grange is situated off a main street in West Cornforth, providing good access to local shops, and social facilities. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Monday January 16 and lasted for 7 hours. During this inspection 3 staff, 5 service users and 1 relative were spoken to. 1 service user and 4 relative comment cards have been received since the last inspection report. Evidence for this inspection was got by looking at care plans and staff records, management records, watching what was happening in the home, talking to people and listening to what they had to say. Comments taken from relative comment cards include “ No comments – only to say that I have found everything 101 ” and “Although there are always enough staff on duty some staff need to work double shifts…..” and “I can’t find any complaints about the staff or the home. I am more than satisfied with the care of my mother” What the service does well: What has improved since the last inspection? Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 6 Staff have been given copies of the code of practice reproduced by the General Council for Social care. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: None of these standards were assessed. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: None of these standards were assessed. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 &15 Staff at the home try to help services experience the lifestyle they want. Service users are helped to exercise choice in their daily lives. Service users receive a balanced diet and their nutritional needs are met. EVIDENCE: The manager described how families are encouraged to help staff find out about service user past interests and preferences. This information is recorded on care pans. The home has an activities coordinator who monitors service user participation in activities. Service users are offered a choice of one to one or group activities. The home tries to accommodate service user religious beliefs. Service users spoken to described some of the choices they made in the home and how they spent their time. The home has procedures in place that enable service users to manage their own finances for as long as they choose to do so. Leaflets are provided by the home that detail how advocacy services can be accessed. Service user bedrooms showed that they were encouraged to personalise them with their own possessions etc. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 11 All staff have undertaken a training programme called Focus on Food. The manager said that a lot of what they had learnt had been put into practice and more than one service user passed comment on how they had put on weight since they had come into the home. Staff were seen helping some service users who had problems eating independently. The meal times seen were unhurried. The dining rooms have recently been redecorated and furnished, however, although they are clean the larger dining room lacks character and would benefit from some room dressing to add colour. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The home has systems in place to try to ensure the protection of service users. EVIDENCE: 4 of the 5 relatives who completed comment cards said that they knew how to make a complaint. All staff have recently completed a 12 week course in Adult Protection and are currently awaiting the certificates. The home a range of policies in place that are meant to guide staff and protect service users from abuse. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: None of these standards were assessed. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 &30 78 of staff are trained to a nationally recognised standard. Staff have all the checks required by regulation before they are allowed to work at the home. Staff are trained to do their jobs. EVIDENCE: 25 out of 32 care staff are trained to at least NVQ (National Vocational Qualification) level 2. 5 staff have both NVQ level 2 and 3 and 4 staff are starting NVQ level 4 in care. The previous inspection recommended that staff should be given copies of the code of conduct produced by the General Council for Social care. The manager confirmed that this has now happened. Staff records were checked and all staff had CRB (Criminal record Bureau) checks completed before they started working at the home. Completed induction booklets were seen showing how staff are trained in different topics and then observed carrying out a range of different care tasks. The manager was able to show that she monitors staff training making sure that staff receive the training they need to do the job. The manager has also organised training to be given by the Emergency Care Practitioner that works with the home and from District nurses who attend the home. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 The home appears to be well managed. The manager tries to run the home taking into account the best interests of service users. Service user finances are accounted for. Appropriate health and safety checks are carried out. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 16 EVIDENCE: The manager is still in her first year as registered manager for the home. She has nearly completed her Registered Managers Award and has started her NVQ (National Vocational Qualification) level 4 in care. Before taking up post as manager she was the deputy manager of the home and has worked previously in a nursing home. The manager regularly attends Collaborative Care meetings with social services and meetings with the Primary Care Trust every month. There was evidence that the manager was organised in her approach to management and she was able to provide a clear picture for how she sees care developing in the home. The area manager completes monthly reports on the home and copies are sent to the Commission for Social Care Inspection. Minutes of a residents meeting were seen were questions were asked about the care provided. To date the manager has sent out 35 surveys to relatives and to date 15 have been returned. The results so far are fairly positive although the standard of decoration and furnishings have been criticised by 3 people. Some nice comments have been made including “We would like to thank the staff for the excellent service they supply.” And “Very happy and satisfied with the care and attention received by my mam. Very grateful to everyone concerned.” The manager has also developed some checklists to be used to audit the home against the national minimum care standards so that progress can be monitored and improvements made. This is seen as very good practice. The manager described the homes system for managing service user finances and showed evidence of written records made. Records of valuables held for service users were seen. The manager was able to sow records of staff mandatory training and evidence of equipment and maintenance checks having been carried out in the home. The manager has produced a good range of general work risk assessments and the accident books and accident analysis are kept up to date. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP15 Good Practice Recommendations The larger dining room lacks character and would benefit from some room dressing to add colour. Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Acorn Grange DS0000007611.V267571.R01.S.doc Version 5.0 Page 20 - 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. 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