Random inspection report
Care homes for older people
Name: Address: Hinton Grange Bullen Close Cambridge Cambridgeshire CB1 4YU one star adequate service 04/08/2009 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: Alison Hilton Date: 2 1 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Hinton Grange Bullen Close Cambridge Cambridgeshire CB1 4YU 01223246360 01223246361 manager.hintongrange@careuk.com www.careuk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care UK Community Partnerships Ltd care home 60 Number of places (if applicable): Under 65 Over 65 0 0 60 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 60 60 0 60 The maximum number of service users who can be accomodated is: 60 The registered person may provide the following categories of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - code OP Dementia - Code DE Mental Disorder, excluding learning disability or dementia - Code MD Physical disability - Code PD Date of last inspection 0 4 0 8 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Hinton Grange is a purpose built home registered to provide accommodation, support and nursing care for up to 60 people over the age of 65 years, some of whom have a mental disorder or have been diagnosed with dementia. It is a two-storey building, surrounded by safe, well maintained enclosed gardens, and is situated in the suburbs of Cambridge close to local amenities and shops. Public transport to the city of Cambridge is readily available. Hinton Grange Care Home provides 52 single and 4 double occupancy bedrooms some of which have en-suite facilities. There are 4 separate bathrooms, 4 separate shower facilities and ten toilets. The home is on two floors. The ground floor has the extra care unit, which caters for residents with dementia or other mental health diagnoses. The first floor can be accessed by lift or stairs and provides residential and nursing care. Carers and nurses provide 24hr care in the home. Copies of inspection reports are kept in the foyer at Hinton Grange. The cost of care at Hinton Grange is available from the office on request. Care Homes for Older People Page 3 of 8 What we found:
We, the Care Quality Commission (CQC) carried out a random inspection of Hinton Grange on Monday 21st December 2009 at 10:40 hrs. This inspection was completed by two inspectors to check that requirements made during the key inspection on 4th August 2009 and compliance visit on 17th August 2009 had been met. We looked at the care plans for people living in the home and found that the information provided did not always give a clear picture of their needs. One person had information in a paper file that was incorrect about pain they was supposed to be suffering from. When we spoke to the person they stated they did not have any pain just itching. The person said they saw the GP regularly and were very happy with the care they received in the home. There was no care plan relating to medication for another person where it would have been useful to link with evaluation of pain and the use of medication for this. The service improvement director showed us a care plan that had been updated and written in a very personalised way with much greater detail and said this was how all care plans were expected to be written but it was a work in progress. Staff were very aware of who was on a food, fluid or turn chart and the reasons for them. Eight food/fluid charts,4 turn charts and five dressing plans were seen and all had been completed as required. The service improvement director stated that the night nurse totals the fluid intake and records this on the computer system used in the home. Medication Administration Record (MAR) charts were seen. One had been handwritten because the person was a new admission and the local chemist had not yet provided blister packs and typed MAR charts. The handwritten prescription details had been signed by two staff and there were sample signatures at the front of the register. The acting manager had not provided a sample signature even though she had administered some medications. One person had paracetamol prescribed as two tablets, three times a day (soluble) maximum two at any one time to a maximum of eight in a day. The MAR chart showed the person had been written for it to be given four times a day although this had never happened as the person often refused paracetamol. There was inconsistent recording of the number of tablets when they were given as some staff had written 2 x 50 mg and others 1g. The acting manager said this would be discussed with staff and she would ensure staff recorded in a consistent way. Another person was prescribed one or two senna tablets but there was no information about when either dose should be given. The MAR chart showed that staff always administered two tablets and the nurse in charge was unable to say why, although they said that there was a bowel chart but not how this informed the administration of one or two tablets. The outcomes for people being administered the medications above was not compromised at this time, however the acting manager needs to ensure accurate
Care Homes for Older People Page 4 of 8 recording of medication administration in the audits being undertaken. Staff administering medication locked trolleys appropriately and gave other medication as required. Other MAR charts were seen and had been completed well. This meets the requirements and means the service has complied with the statutory notice. When staff are writing in care plans and daily notes they need to understand the difference between the use of him and her, which when used inappropriately can confuse what is being said and of whom. What the care home does well: 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 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 of 8 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 1 7 15 Care plans need to contain accurate and up to date information. This is to ensure the health and wellbeing of people living in the home. 26/02/2010 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 7 of 8 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. 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. Care Homes for Older People Page 8 of 8 - 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!
