Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Grange Galbraith Terrace Trimdon Grange TS29 6EG 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: Elsie Allnutt Date: 2 2 1 0 2 0 0 9 Information about the care home
Name of care home: Address: The Grange Galbraith Terrace Trimdon Grange TS29 6EG 01429882043 Telephone number: Fax number: Email address: Provider web address: thegrange-scne@btconnect.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sovereign Care North East Ltd care home 17 Number of places (if applicable): Under 65 Over 65 6 mental disorder, excluding learning disability or dementia Conditions of registration: Date of last inspection Brief description of the care home 17 The Grange is a care home providing personal care and accommodation for 17 adults with a mental disorder, which includes 5 adults over the age of 65.The home?s owners are Sovereign Care North East and Mr Steven Hunter is the Responsible Individual. The home is located on the edge of the small village of Trimdon Grange, close to shops, pubs and other amenities. There are local bus services which reach a number of larger towns in the area. There are thirteen single and two double bedrooms. There are no en-suite facilities but adequate bathing and toileting facilities are provided. There is a spacious lounge and a dining room, both of which overlook the front garden and main street, which are easily accessible. The weekly fee charged at the home is #364.50 Care Homes for Adults (18-65 years) Page 2 of 8 What we found:
As a result of carrying out this Random Inspection we found that the home has a competent and qualified staff complement that effectively meets the care needs of the service users. Furthermore there is a competent manager, who is currently developing good management systems within the home, that ensures the service is run in the best interests of the service users. Staff are employed in sufficient number. The manager, deputy manager, two care assistants, a cook, a domestic, a handyperson and two care assistants were on duty and the staff rota confirmed this as routine. Staff openly discussed the appointment of the new manager and the recent changes she has made in the home since she came three weeks ago and comments include, the staff in general are more confident and happy, there is far more energy in the home, I was going to leave but in just three weeks so much has changed, the future seems far more postive. Both the manager and the deputy manager work directly with staff when needed and feel that by doing this they learn about both the good aspects of the service and also where further development is needed. Furthermore the staff feel that they are guided and supervised well by the management team. A varied training programme has been developed for all staff that includes mandatory training and other courses related to their roles and a training matrix identifies when training needs to be updated. Staff practice and knowledge reflects effective training. All staff have attended training regarding the protection of vulnerable adults and a copy of the local authoritys safeguarding adults procedures is available in the office. However it was not certain that the staff were aware of the specific names of the people to contact in the local authority if they needed to report a safeguarding issue. This was discussed with the manager who agreed to address this with the local authority and feedback to the staff. The staff team has not received training regarding The Mental Capacity Act and the Depravation of Liberty and therefore are not up to date with current good practice and the legalities related to this. This was discussed with the manager and a contact name regarding accessing training was given. The manager saw this as a priority and aims to organise training as soon as possible. Good relationships with healthcare professionals have developed and staff are aware of their limitations and know for example when to contact a community phsychiatric nurse (CPN) for advice and support regarding the demonstration of particular behaviours. All staff receive training regarding challenging behaviour. The robust recruitment procedures carried out by the home ensures that the welfare and interests of the service users are protected. Fully completed application forms that give a clear education and work history, two references and a CRB (Criminal Record Bureau) check are in place.
Care Homes for Adults (18-65 years) Page 3 of 8 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 Adults (18-65 years) Page 4 of 8 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 37 9&10 An application must be 31/03/2008 submitted without delay to register the manager of the service with the Commission. Care Homes for Adults (18-65 years) Page 5 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 30 18 The registered person must 31/12/2009 ensure that staff receive training regarding the Mental Capacity Act and the Depravation of Liberty. So that they are aware of current legislation and so that service users are supported in a way that reflects this. 2 37 9 The manager must submit an 31/12/2009 application for registration with the CQC. This is a legal obligation to verify that she is a fit person to manage the home. 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 23 The manager should ensure that staff are aware of the people to contact in the local authority safeguarding adults team. This will ensure a quick response when abuse is observed or reported to them.
Page 6 of 8 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) 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!
