Random inspection report
Care homes for older people
Name: Address: Hunningley Grange 327 Doncaster Road Stairfoot Barnsley South Yorkshire S70 3PJ zero star poor service 24/11/2009 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: Ivan Barker Date: 1 7 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Hunningley Grange 327 Doncaster Road Stairfoot Barnsley South Yorkshire S70 3PJ 01226287578 01226245348 none NONE Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Julie Scholey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Azad Choudhry care home 36 Number of places (if applicable): Under 65 Over 65 36 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 2 4 1 1 2 0 0 9 Hunningley Grange is a detached residence with a purpose built extension, registered to provide personal care for 36 residents. All accommodation and services are on the ground floor. The home is located in the centre of Stairfoot, approximately two miles from Barnsley Town centre and situated on a main bus route. The home is within walking distance of a full range of shops e.g. chemist, newsagent, hairdressers, dentist, supermarkets, post office, health centre, cafes and fast food outlets. There is car parking at the front and side of the home. Care Homes for Older People Page 2 of 9 Brief description of the care home The home provides information to people and their relatives prior to admission into the home. Service User Guides are available in all bedrooms or on request from the manager. The last published inspection report is available on request and a copy is available in entrance for visitors to read. Fees were £356.51 in 2009, further details can be obtained from the manager. Care Homes for Older People Page 3 of 9 What we found:
The random unannounced inspection was undertaken by Ivan Barker inspector and Shelagh Murphy inspector. The persons present at the inspection were: A Choudry owner. P Smith area manager. T England manager. The purpose of the inspection was to assess the compliance to the key inspection undertaken on the 24th November 2009. It was found that since the appointment of the new manager, many changes and improvements had been made. On examination of the care plans, from 3 people, it was established that a new style of care plans had been introduced. All 3 care plans were up-to-date and had been evaluated on a monthly basis. There were daily entries within the care plans, which reflected care and social needs. Also these entries recorded the care delivered and social interactions on a daily basis. Risk assessments had been introduced since December and included moving and handling, nutrition and skin integrity. We obtained comments from relatives and people living at the service: Its lovely here. The activities have improved. She likes music and staff make sure the radio is always on. We are happy that she is happy. They are caring for us okay. The general storage of the medication was discussed with the manager. she advised that she had started weekly monitoring of the Medication Administration Records and since she had commenced this the record-keeping had improved. It was explained to the manager that the requirements relating to medications were not fully assessed at this inspection and an unannounced random inspection by a pharmacy inspector would be occurring in the near future. On examination of the staff training matrix and individual staff files, it was established that staff had undertaken Safeguarding training. On discussing the training with 3 members of staff, all were confident that they were aware of what action to take regarding safeguarding and expressed confidence that any safeguarding incidents which were reported would be taken seriously. Care Homes for Older People Page 4 of 9 On examination of the sluice facilities, it was established that a new sluice machine had been purchased and was in place. However the maintenance man was yet to fit shelves. On discussing the operating of the machine with the staff, some knew how to operate the machine and others did not. The manager agreed to ensure that all staff were confident in operating the machine. On visiting the kitchen we were informed that the work identified by the Health and Safety and Environmental Health Officer was yet to be completed. A timescale of April 2010 had been given. We were advised that quotes had been obtained and it was expected that the kitchen work would be completed by the end of April. The laundry was in full operation. On examination of the 3 staff files, it was established that there had been considerable work done on the files. These contained all the necessary documentation. However the previous employment history on the application form was not recorded. The reason for this was that there was no section within the form to record this information. The manager identified that she would discuss this with the owner and a new application form would be created. On examination of the training matrix and staff training records, it was established that moving and handling, fire, health and safety, food handling, infection-control and first aid training had taken place. It was established that only 3 staff had first aid training. This was insufficient to cover all 3 shifts. The manager had since contacted us and informed us that more staff had undertaken first aid training, since the inspection. On discussing the service with the staff, they identified that things had improved since the appointment of the new manager and the morale and atmosphere was a lot better. They identified that they were spending more time with people, care plans were better and it was a happy home. We received comments from people living at the service and relatives: The staff are very good, some staff have left. The staff are very friendly and it is a nice atmosphere. They (staff) are always there when I want them. Issues raised within the last report had been acted upon except for the kitchen. However we are aware that they Health and Safety / Environment Health Officer had undertaken his inspection and made requirements which he will follow-up. Regulation 26 documents, which were a record of the registered persons monthly visits had been recorded since January 2010. The information on the form was very detailed and included peoples views of the service. A comment received from a relative was: Things have already improved with the new manager. She is always available and approachable.
Care Homes for Older People Page 5 of 9 We are aware that the manager had commenced the first process for the application of registered manager. 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 6 of 9 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 26 23 Suitable arrangements must 04/01/2010 be made to ensure good hygiene practices take place. This includes appropriate kitchen facilities, To control the risk of infection and maintain a clean, hygienic environment. (timescale 05/10/09 not met) 2 26 13 Suitable arrangements must 05/10/2009 be made to ensure good hygiene practises take place. This includes suitable ventilation in the kitchen. To control the risk of infection and maintaining a clean, hygienic environment. 3 38 18 Staff must receive refresher training in first aid. To ensure they have the required skills and competencies to meet the needs of people and keep them safe from harm. (timescale 02/11/09 not met) 04/01/2010 Care Homes for Older People Page 7 of 9 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 8 of 9 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 9 of 9 - 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!
