This inspection was carried out on 3rd September 2009.
It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
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.
Annual service review
Name of Service: The Grange Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Joseph Croft Date of this annual service review: 1 0 0 7 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 22 Grange Road New Haw Addlestone Surrey KT15 3RQ 01932344940 Telephone number: Fax number: Email address: Provider web address:
thegrange.nh@tiscali.co.uk Name of registered provider(s): Name of registered manager (if applicable): Mr D M Baily The registered provider is responsible for running the service Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: The maximum number of service users to be accommodated is 24 The registered person may provide the following category of service : Care home with nursing (N) to service users of the following gender; Either whose primary care needs on admission to the home are within the following category: Dementia (DE) Old age, not falling within any other category (OP) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Grange Nursing Home is located in a residential road in New Haw, Addlestone. It is close to the town centre and all local amenities. The home provides nursing care for
Annual Service Review Page 2 of 6 Number of places (if applicable): Under 65 Over 65 24 0 0 24 twenty four service users who are elderly. Accommodation is provided in single and shared bedrooms. There is an open plan lounge and dining area. The lounge overlooks a well maintained garden to the rear of the home. There is space at the front of the property for car parking. The weekly fees range from 500 to 550 pounds. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at the information that we have received since the last key inspection. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. Surveys were sent to service users, staff and health care professionals. Information we have about how the service manages complaints. The previous inspection and the results of any other visits that we have made to the service in the last twelve months. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The last key inspection for this service was undertaken on the 18th June 2007. This is the second Annual Service Review (ASR) undertaken for this service, the first ASR was undertaken on the 10th June 2008. The registered manager returned the Annual Quality Assurance Assessment (AQAA) to us when we asked for it. Again, this document requires further information in regard to how the home is achieving the outcomes for people who use the service. This was discussed with the manager during a telephone conversation on the 10th July 2009. We also sought clarification in regard to how many permanent care staff were currently working at the home as this was not clear in the AQAA. The manager told us that there are thirteen permanent care staff, of which nine hold the minimum of an NVQ level 2 and above. One member of staff is currently undertaking this training. The AQAA informs that thorough assessments are undertaken before a place is offered to a prospective resident wishing to reside at the home. Care plans are in place and are reviewed on a monthly basis. Residents have access to a GP and all National Health Services (NHS) as required. Medication is only administered by qualified staff. The home has a complaints procedure in place, and they have dealt with one complaint during the last twelve months. Staff receive training in regard to Safeguarding Adults. There has been one Safeguarding Adults investigation during the last twelve months. The environment is kept clean, tidy and free from malodour. There is a good skill mix of staff on duty, and there is a high ratio of staff to residents. The registered manager has been managing the home for nine years, and is a qualified Registered General Nurse (RGN), and holds the Registered managers Award (RMA). The AQAA has identified what the home could do better, and the plans for improvement during the next twelve months. We received completed surveys from four residents and five members of staff. All residents surveys were complimentary about the care home. Comments included, Annual Service Review Page 4 of 6 They look after my every need, The staff and Matron are very caring and respectful. Staff surveys informed that they receive all the training they require, that the home is well run and meets all the personal care needs of residents. One issue was raised in regard to staff numbers during the night time. This was discussed with the manager during our telephone conversation on the 10th July 2009. The manager told us that she was aware of this and is currently reviewing the staffing arrangements for the late evening and night time. The Care Quality Commission have not received any concerns, complaints or allegations in regard to the care home during the last twelve months. The home continues to us know about things that have happened during the last twelve months. What are we going to do as a result of this annual service review? We will conduct a key inspection before the end of July 2010. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of people using the service. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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