Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Chatsworth Grange Nursing Home Hollybank Road Intake Sheffield South Yorkshire S12 2BX The quality rating for this care home is: The rating was made on: two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Sue Turner Date: 1 0 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Chatsworth Grange Nursing Home Hollybank Road Intake Sheffield South Yorkshire S12 2BX 01142358000 01142358009 chatsworthgrange@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Southern Cross (LSC) Ltd care home 66 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia 0 Over 65 66 Conditions of registration: One specific service user under the age of 65 named on variation dated 6th September 2006 may reside at the home. Date of last inspection Brief description of the care home Chatsworth Grange is a purpose built nursing home registered for people with dementia. The home is close to public transport, shops, public houses and churches. Chatsworth Grange provides 66 single rooms, all of which have en-suite facilities. The home is divided into four units, which have their own lounge, dining, toilet and bathing facilities. The grounds are well maintained and a car park is provided. The home also provides an activities room, a hairdressing salon and a multi sensory room. The home has a Statement of Purpose and a Service User Guide which was displayed in the home and available to people and their relatives. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about Care Homes for Older People Page 2 of 11 how to raise any issues of concern or make a complaint was on display in the entrance hall. The range of fees can be obtained by contacting the manager at the home. Care Homes for Older People Page 3 of 11 What we found:
This inspection was carried out on a purely random basis to check out peoples well being. Sue Turner, regulation inspector carried out the visit. The site visit started at 8:45 am and finished at 13:30 pm. The manager is Henry Cateaux and he was present during the visit. Linda Knowles is the Operations Manager, she was also present for part of this visit. Linda and Henry were given feedback during and at the end of the visit. Time was spent observing and interacting with staff and people. Nine staff, five relatives and five people living in the home were spoken to. Choice of Home The homes Statement of Purpose (SOP) and Service User Guide (SUG) were available and on display in the entrance hall. The SOP had not been updated recently so some information was out of date. The SUG had been updated but still had some outdated information. The manager said that him or the deputy carried out a pre assessment so that they could be assured that they could meet the persons needs. People were invited to visit the home and spend time meeting the staff and seeing the services available. Health and Personal Care Two peoples care plans were checked. Peoples health, personal and social care needs were recorded. Relatives said, My fathers care is very good. Staff are very good at keeping me informed about my wifes health and welfare. Sometimes I feel a little prompting is required to follow through certain issues. Im here every day, my wife always has clean clothes on and looks really well cared for. One person said they had recently become concerned about their relative as they had suffered a number of falls. They werent sure why this was but said it usually happened during the morning. We spoke to the manager and operations manager about this and said that the person should be referred to the falls clinic so that further investigations could be carried out. The manager agreed that this was necessary and said this would be done immediately. The home had a significant number of very dependent people. Some people were on constant bed rest and many were put back into bed during the afternoon. We observed that people looked comfortable whilst sitting or lying in bed. Staff were seen regularly moving peoples positions so that they would not become sore and uncomfortable. The pharmacist, who supplied the medication carried out checks to ensure that medications were being administered, stored and disposed of correctly. Medicines were securely stored around the home in locked trolleys within treatment rooms. Medicine Administration Records (MAR) checked were completed with staffs signatures. During the site visit we observed that people were cared for in a friendly way. People said, Theres nowt wrong with this place. I feel very safe living here. Staff are lovely. Staff help me to get bathed whenever I want one, its great. Daily Life and Social Activities People were seen to get up when they chose and walked freely around the home, if able. Relatives spoken to said they were able to visit at any time and were made to feel very welcome. The home employed two activities co ordinators that worked Care Homes for Older People Page 4 of 11 Monday to Friday. People said that they enjoyed taking part in social activities within the home. The manager said that the activities workers also spent time with people on a one to one basis. People and relatives said it would be better if there was more social activities during the weekends. Staff said they did try and get people to join in with sing songs etc, but this depended greatly on their own workload. We observed lunch being served in the dining rooms. People were offered choices to suit their preferences. Dining room tables were set nicely with tablecloths, cutlery and matching crockery. The dining rooms were quite small and at times seemed busy and noisy. Staff were also able to give one to one assistance to people were necessary. When describing the food people said, its good, cant grumble, very nice and plenty of it. Relatives said, People are very well fed. I have lunch her everyday so I know its good. My father enjoys his meals and is a healthy weight, no problems. Complaints and Protection People and their families had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall. Relatives said, I have never had any reason whatsoever to complain. If I needed to speak to someone I would see the manager. I havent used the complaints procedure but I am aware of it. I have raised some small things with staff but they have always sorted them out for me. We have not received any complaints about the service since the last inspection. The homes complaints log was up to date. It had the details of the seven complaints made to them since the last inspection. Staff spoken to were aware of their role and responsibilities in dealing with any alleged safeguarding incidents. The manager said that updated and refresher training in adult safeguarding had been arranged and was due to take place over the next few months. Environment The home was clean and tidy. Lounge and dining areas were domestically furnished. Bedrooms were spacious and personalised. Since the last inspection refurbishment of the home had continued. One relative said there were a number of chairs that were in need of re upholstering. We saw that some chairs were ripped and worn. The home smelt fresh and clean throughout the day. Controls of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Staff had undertaken training in infection control. Relatives said, Only odd times when accidents happen is there a problem. It is soon dealt with. There are excellent standards of hygiene throughout the home. Bedrooms and communal areas always appear to be well kept. Staffing On the day of the site visit staffing numbers were at an acceptable level. Carers said it would be nice if they had more time to spend with people during the weekend but this was when staffing levels were at their lowest. We talked to the manager and operations manager about this. They acknowledged that at weekends when activity workers, the manager and administration staff werent around it appeared that staffing levels were low. Domestic staff were also reduced at weekends, to as few as one person working every other Sunday. The manager said he would undertake a review of staffing numbers so that the home maintained an acceptable number of staff on duty every day including weekends. Mandatory training had been booked and further Care Homes for Older People Page 5 of 11 training in specialized topics for example dementia was being delivered. Staff were able to talk about the various training courses that they had attended, which included mandatory training, for example, Moving and Handling, Food Hygiene, First Aid and Fire. Staff said they were encouraged to attend training on various care topics and the frequency of training had increased in recent months. A number of care staff had completed the NVQ Level 2 in care and others had commenced the training. The number of staff trained exceeded the required minimum of 50 per cent of the staff team trained to NVQ Level 2 in Care. Two records of employment were checked. These included all of the required information including interview assessment, verification of identity, references, certificates of training, health checks and evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check. Application forms recorded peoples previous employment. Management and Administration The manager had been in post since October 2008. He was in the process of registering with us. He was clearly committed to ensuring that people living in the home were consistently well cared for, safe and happy. The manager said that the home was visited each month by the person nominated to carry out Regulation 26 visits. Each month she spent time speaking to people, staff and relatives. A report about the quality of the service provided was completed. These were seen. Staff said that regular staff meetings took place. Relative meetings also took place and the manager made himself available out of hours should anyone wish to speak to him. People, staff and relatives said they were happy to approach the manager at any time for advice, guidance or to look at any issues. They all said that they were confident that he would respond to any concerns they may have. There was a well organised system in place to ensure that people, relatives and professionals were given the opportunity to give their views of the home and make suggestions for improvements. Questionnaires were sent out on a rotating basis. We saw a selection of questionnaires returned and they were very positive. The home handles money on behalf of some people. This was checked for two people. Account sheets were kept, receipts were seen for all transactions and monies kept balanced with what was recorded on the account sheet. Fire records evidenced that the fire alarms were checked weekly by the handyman. However when he was on holiday the checks were not carried out. We spoke to the manager about designating another person to do this in the handymans absence. Staff said that they had received fire training and fire drills. A fire risk assessment had been completed. As the home cares for people with dementia the fire risk assessment should include specific details about how, in the event of a fire, people with dementia safe would be kept safe. The home had a sluice on each of the four units. Two sluices were not fitted with key pads and could be easily accessed. The temperature of the water in the sluices was extremely high. When this was pointed out to the manager he said key pads would be fitted to the sluices within 48 hours, when the handyman was next on duty. What the care home does well:
People living in the home said that the care they were receiving was good. They made comments such as, Everyone is very kind. Care Homes for Older People Page 6 of 11 The staff will do anything I ask. I have a nice room which I enjoy being in. I cant grumble. I have nothing to worry about. Comments received from talking to relatives were in the main positive and included, The staff are very helpful and supportive. Very homely and friendly. The home is well run, although I feel more staff could be on duty. I give the home full marks. Staff arent always as friendly as they could be. The staff are kind and cheerful towards people and they know each resident very well. We observed that people were well dressed in clean clothes and had received a good standard of personal care. Peoples health care was monitored and access to health specialists was available. People and relatives said that staff were always respectful towards them. People said that they had a choice of food and that the quality of food served was good and plentiful. There was a complaints procedure and adult protection procedure in place, to promote peoples safety. People said that they felt safe living at the home. 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 7 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 27 18 Sufficient staff must be on duty at all times to ensure that people?s needs are being consistently met. 03/12/2007 Care Homes for Older People Page 8 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, Care Homes 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 8 12 The person who has suffered 19/01/2009 a number of falls must be referred to the falls clinic. So that further advice and support can be offered. This will to protect the persons health, safety and welfare. 2 38 13 Sluice room doors must be kept locked at all times. So that peoples health and safety is protected. 02/02/2009 3 38 13 The fire risk assessment 02/02/2009 must highlight any particular precautions that need to be in place for people that have dementia. So that people are kept safe. 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 1 The Statement of Purpose and Service User Guide should be updated. Care Homes for Older People Page 9 of 11 2 3 4 12 19 38 There should be activities, outings and entertainment provided during the weekend. The chairs that are ripped and worn should be reupholstered or replaced. There should be a person, who is designated to carry out the fire system checks when the handyman is off duty. Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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. 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!
