Random inspection report
Care homes for older people
Name: Address: Oldbury Grange Nursing And Residential Home Oldbury Road Oldbury Bridgnorth Shropshire WV16 5HA two star good service 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: Pat Scott Date: 1 0 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Oldbury Grange Nursing And Residential Home Oldbury Road Oldbury Bridgnorth Shropshire WV16 5HA 01743768586 01746768741 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) : Shropshire Private Care Limited care home 55 Number of places (if applicable): Under 65 Over 65 0 55 dementia old age, not falling within any other category Conditions of registration: 55 0 The maximum number of service users who can be accommodated is: 55. The registered person may provide the following category of service only: Care Home with nursing, to service users of either gender, whose primary care needs on admission to the home are within the following categories: - Old age, not falling within any other category - Code OP. Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Oldbury Grange is situated on the outskirts of Bridgnorth close to local amenities but in a rural setting. There are large, well maintained gardens with good parking for visitors. The home is owned by Morris Care Ltd. Care Homes for Older People Page 3 of 8 What we found:
This random inspection was triggered by an adult protection process which had found that a person had been neglected whilst in the care of Oldbury Grange. Concerns had also been raised regarding the general welfare of people living in the home. In particular, there were concerns around people not receiving nourishment and fluids or adequate pressure area monitoring or being safe when bed rails are used. Concerns were also raised about the ability of the service to conduct an assessment of need and review and take action when care needs change. Issues had been raised around the lack of competence of the management in the home which allegedly resulted in confusion regarding staff responsibilities and reporting systems when problems are identified. People whom we talked to spoke highly of the food, that it was nice and always plenty of it. Special diets are catered for and a person we spoke with said their relative needed help to eat and had a pureed diet. The person spoke positively about staff and the help they gave. Risk assessments are carried out to identify anyone who may have or be at risk of developing nutritional problems. Care plans are in place for nutritional care giving staff a clear picture of what the issues are and how they are to assist the person given their preferences and wishes. Generally residents seen were all well presented and those who were mobile looked well nourished. We spoke to one lady with a visitor who said she was well looked after, the food was good and that staff are kind and helpful. Drinks were available and staff were observed to have good interaction with people they assisted to have a drink at coffee time. Risk assessments were in place to identify anyone who may have or be at risk of developing pressure ulcers. Care plans regarding how staff were to care for people with frail skin were in place. Pressure relieving equipment was seen to be in use. Following a visit by the Health and Safety Executive, the provider has improved aspects of assessment, training and maintenance of bed rails in use. The provider has also moved to replace all beds with new profiling beds with integrated bed rails. The acting manager stated that risk assessments will still be conducted when rails are used on these beds as part of the management of the persons care, for the use of such beds and rails. One person had a risk assessment regarding the falls they were having out of bed which identified using bed rails as a management solution. A reclining chair is used during the day. This person, being unable to make decisions for herself had a mental capacity assessment in place. We discussed with the acting manager the issues around the rationale for use of bed rails as a last resort, assessment and needing to look at the restraint aspects as well as safety interests given use of bed rails, recliner and possibly a lap strap. Records could be more detailed, person centred and show involvement of other people such as family, GP, advocates, health and social care professionals etc. In care plans reviewed there is a recorded assessment of need which is reviewed regularly and when needs change. A more formal 6 monthly review takes place where family and others involved in the care can share their views including the resident. When a new referral for admission is made then the assessment of need will direct whether the
Care Homes for Older People Page 4 of 8 person requires nursing or personal care only. Assessments from any placing authority were seen with the care plans which the manager stated is taken into account more thoroughly. A review of training records shows that staff have been updated with bed rail management and record keeping. There is now additional support for staff both in the way the home is managed and their culture of care, and in the training, awareness raising and supervision of staff. 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 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. © 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 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!
