Inspection on 04/10/05 for Jonathan Grange Nursing Home

This inspection was carried out on 4th October 2005.

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

Jonathan Grange Nursing Home 18/04/07

Jonathan Grange Nursing Home 07/03/06

Jonathan Grange Nursing Home 09/03/05

Jonathan Grange Nursing Home 01/09/04

Jonathan Grange Nursing Home 01/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Jonathan Grange Nursing Home Micklehurst Road Mossley Tameside OL5 JL Lead Inspector Mrs Fiona Bryan Announced Inspection 4th October 2005 09:30 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 Jonathan Grange Nursing Home DS0000025437.V255094.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. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Jonathan Grange Nursing Home Address Micklehurst Road Mossley Tameside OL5 JL 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) 01457 837288 01457 837143 jonathongrange@highfield-care.com Southern Cross Care Homes Limited Lorraine Andrew Care Home 28 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (8), of places Physical disability (5), Physical disability over 65 years of age (20) Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No more than 24 places can be used for nursing care. No service user under the age of 55 years to be admitted into the establishment. A minimum of 1 first level registered nurse to be on duty throughout each 24 hour period. In addition between the hours of 8 am & 12 midday, Mon - Fri there shall be 1 additional registered nurse on duty. 20th September 2002 Date of last inspection Brief Description of the Service: Jonathan Grange is a purpose built home, situated on the outskirts of Mossley. The home provides nursing and personal care for up to 28 service users. The home is owned by Southern Cross Care Homes Limited, a private company, and is under the day-to-day control of a full-time manager who is also a registered nurse. Accommodation is provided over two floors and consists of 28 single rooms, none of which have en-suite facilities, although toilet and bathing facilities are situated close by. There are four communal areas that provide space for service users to dine and socialise together. A pleasant seating area outside allows service users to enjoy the small garden/patio in safety and comfort. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken by one inspector, who spent time talking to residents and staff. Two residents were looked at in detail, looking at their experience of the home from their admission to the present day. A selection of staff and residents’ records was examined including records of care, staff duty rotas and maintenance records. Information was also gathered from a questionnaire that the manager completed before the inspection. Prior to the inspection comments cards were sent to GP’s who visit residents in the home. Three responded positively stating that staff had a clear understanding of the care needs of residents. Comments cards for residents and visitors were left at the home but none had been returned at the time if writing this report. What the service does well: What has improved since the last inspection? Residents felt the arrangements for providing social events and leisure pursuits had improved since the last inspection. The home has now organised for one member of staff to work extra hours specifically to plan and carry out activities with the residents. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 6 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. Jonathan Grange Nursing Home DS0000025437.V255094.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 Jonathan Grange Nursing Home DS0000025437.V255094.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): 3 Residents are assessed before they move into the home. EVIDENCE: Prospective residents are always visited by the manager prior to their admission to the home. Detailed assessments are undertaken and great consideration is given as to whether the home will be able to meet the individual’s needs and what impact there may be on residents already residing at the home. The manager will only accept residents in to the home if the aims of their care are clear and achievable and she is confident that the home will be able to meet their needs. Staff stated that the manager would give them information prior to a new resident coming into the home. Changes to residents’ conditions or care needs are relayed to them at shift handovers. Staff were very aware of all the residents’ care needs and daily routines and had detailed knowledge of family contacts and friends. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 9 Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 10 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): 7, 8 and 10. A detailed plan of care is written for each resident which sets out all their health, personal and social care needs and is updated frequently. Residents’ health care needs are met. The dignity and privacy of residents is upheld. EVIDENCE: Two care files were examined which contained extremely detailed care plans identifying the needs of each resident from the information gained during the assessment process. All care plans were reviewed at least monthly and also updated as changes occurred. Reviews consisted of in depth comments on the effectiveness of the care or treatment being provided and it was apparent that real consideration had been given as to whether any changes needed to be implemented. Care plans related to health care, personal care and social care needs. Risk assessments were in place for moving and handling, falls, pressure areas and nutrition. Evidence of involvement of either the resident or their representative in the discussion and planning of care was available, as they Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 11 had signed their care plans in agreement. Reviews of care had been undertaken involving the advocacy service. Files recorded that residents had seen chiropodists, GP’s, dentists and opticians. One resident had been to hospital for an out patient appointment and said staff had escorted her. Two residents were very up to date with the treatment they were having and said staff explained everything to them. Staff were aware of the need to maintain residents’ independence and privacy and could demonstrate ways in which they did this. Residents said staff were kind and caring and they were treated with respect. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 12 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, 13, 14 and 15 The home satisfies residents’ social, cultural, religious and recreational needs. Residents are encouraged and assisted to maintain contact with family and friends. The home strives to maintain residents’ independence. Food provided at the home suits most residents’ tastes. EVIDENCE: The home employs one member of staff who works in the laundry until 2pm and then spends two hours each afternoon Monday – Friday undertaking social events and leisure pursuits with the residents. Activities include bingo, “Play Your Cards Right”, dominoes and board games. The residents are asked each day what they would like to do. An entertainer is invited into the home once a month to sing. Some residents receive communion and a service was taking place on the day of the inspection. The local church minister also visits some residents individually. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 13 Some residents attend a luncheon club and some like to sit in the garden area when the weather is suitable. A number of residents are quite mobile and go out of the home independently to the local shops or for a daily walk. Residents are encouraged to be as independent as possible and are seen as individuals. One resident said “lots of things went on” in the afternoons and she liked to chat to other residents. One resident said she treated the home as her own home and did what she wanted to do. She liked to knit and read and chat with other residents. One resident said he borrowed books from the mobile library. One resident had been able to bring her pet dog into the home with her and staff helped her to look after him. A record of the activities that residents have participated in was available. Residents said they were able to have visitors at any time and they were always made welcome by the staff. Information regarding the advocacy service was displayed in the reception area. Lunch was gammon or cheese omelette – both looked very nicely prepared and were accompanied by carrots, peas and potato croquettes. Residents were being assisted where necessary and aids such as plate guards and adapted cutlery were provided. The atmosphere in the dining room was calm and unrushed and the tables were attractively set with tablecloths and condiments. It was reported that the chef only commenced employment at the home two weeks before the inspection and was in the process of reviewing the menus. One resident said the food was very nice and another said she was satisfied with the food and that a choice was always provided. This resident was appreciative of staff bringing her a cup of tea in the morning before breakfast whilst she was getting up. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 14 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): 16 and 18 Residents are confident that any complaints would be dealt with properly. Further staff training is needed to ensure that residents are protected from abuse. EVIDENCE: The complaints procedure is displayed in the reception area – although it gives contact details for the CSCI it should state that complainants can contact the CSCI at any time. No complaints had been received by the home. Residents said they would be quite happy to bring any problem to the attention of the manager and felt it would be dealt with properly. The home has a policy in place regarding the management of challenging behaviour. Staff have received training in dealing with challenging behaviour. The manager is due to undertake training in the prevention and reporting of adult abuse in November 2005 and will then cascade this information to the staff. The home has a copy of Tameside Local Authority procedures. One carer had been given a leaflet on the prevention of abuse and said she would report any concerns to the nurse in charge. Another carer was aware of whistle blowing policy. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 15 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): 19 and 26 The home is clean, tidy and safe for residents’ use but needs some refurbishment and redecoration. EVIDENCE: At the time of the inspection the home was clean and tidy. However, although it was reported at the last inspection that the hallways were to be redecorated and new carpets were to be laid, this work has still not been carried out. Both the ground floor and first floor hallways look tired and worn with chipped paintwork and torn wallpaper. Several bathrooms were also in need of redecorating and one shower room on the first floor was not in use – it was reported that a disabled shower was due to be fitted in the near future. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 16 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): 27, 28 and 30 Staffing levels meet the needs of the residents. The percentage of care staff working at the home who have completed NVQ training is not satisfactory. Staff have received training in topics that are relevant to the care they provide to the residents. EVIDENCE: Examination of the staff duty rota indicated that the home is continuing to comply with staffing levels laid down by the previous registering authority and the conditions of registration, which states that there must be one registered nurse on duty over each 24 hour period, and an additional registered nurse on duty between the hours of 8am and 12 midday from Monday to Friday each week. On occasion the extra nurse is on duty for a different four-hour period to suit the demands of the home and the needs of the service users, which the inspector felt was acceptable. Residents and staff said there were usually enough staff on duty to meet residents’ needs and residents said if they needed help they were usually attended to promptly. None of the carers have achieved NVQ certificates, although six carers are registered for but had not yet started NVQ training. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 17 Staff had received annual updates in health and safety topics such as fire safety and moving and handling. Training had also been provided in food hygiene, emergency first aid, oral hygiene and catheter care. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 18 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, 38 The manager is well qualified and competent to safely manage the home. The health and safety of residents and staff was safeguarded by the policies and procedures in place. EVIDENCE: The manager works alongside the nursing and care staff and consequently is closely involved in all aspects of their treatment and care. Residents and staff stated that the manager was accessible and approachable and operated an open door policy whereby everyone felt comfortable to discuss concerns with her at any time. The manager is well qualified and has many years of experience in caring for older people but still needs to complete the Registered Managers Award in order to fully comply with this standard. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 19 The maintenance person undertakes weekly and monthly checks of the building and equipment in relation to health and safety and a record is kept. Staff were seen to be using safe working practices and had undertaken training in health and safety topics. One bathroom did not have a bath thermometer for staff to test the water temperature before residents used the bath. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 20 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 1 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x 3 Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 21 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. 1 Standard OP16 Regulation 22 Requirement The registered person must ensure that the complaints procedure states that the complainant can contact the CSCI at any time The registered person must ensure that all staff receive training in the prevention and reporting of abuse. The registered person must ensure that the hallways are redecorated and new carpets are laid. The registered person must supply an action plan of how and when this standard will be met. Timescale for action 30/11/05 2 OP18 13 31/03/06 3 OP19 23 31/12/05 4 OP28 18 30/11/05 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 OP31 Good Practice Recommendations The registered person should ensure that the manager completes the Registered Managers Award. DS0000025437.V255094.R01.S.doc Version 5.0 Page 22 Jonathan Grange Nursing Home 2 OP38 The registered person should ensure that bath thermometers are provided in all bathrooms for staff to check the water temperature prior to bathing residents. Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Jonathan Grange Nursing Home DS0000025437.V255094.R01.S.doc Version 5.0 Page 24 - 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!