This inspection was carried out on 12th November 2009.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: The Grange Rest Home 37 Watershaugh Road Warkworth Morpeth Northumberland NE65 0TX two star good service 16/02/2009 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: Anne UrwinBrown Date: 1 2 1 1 2 0 0 9 Information about the care home
Name of care home: Address: The Grange Rest Home 37 Watershaugh Road Warkworth Morpeth Northumberland NE65 0TX 01665711152 01665513091 val@nortoncare.co.uk 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) : Norton Care Limited care home 23 Number of places (if applicable): Under 65 Over 65 11 3 9 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 1 6 0 2 2 0 0 9 The Grange is situated on the outskirts of the village of Warkworth. Converted from a house to create a home that is registered to provide care for 23 older people, of which 11 may have dementia and 3 may have other mental health needs. The home is on two floors with passenger lift to all levels, there are a variety of aids and adaptation to allow residents to move freely around the home although in common with many residential homes located within converted buildings, the design and layout
Care Homes for Older People Page 2 of 8 Brief description of the care home presents some limitations for residents with physical disabilities. All of the bedrooms are currently single occupancy and there are no ensuite facilities. There are sufficient communal lounges and dining areas. There is public car parking at the rear of the building. The home does not provide nursing care. The fees are 450.00 per week. The statement of purpose, service user guide and last inspection report are available at the entrance. Care Homes for Older People Page 3 of 8 What we found:
This inspection lasted three hours and the purpose of it was to look at issues identified in information received before the Annual Service Review was completed. The areas looked at include the care and health provision, adequacy of staffing, the heating and medication administration. The inspection involved inspection of individual records and systems for administering medicines, a tour of the building, talking to residents, the manager and staff. Good care planning systems are in place and there was evidence from individual records that peoples care needs are identified and met. Assessment tools are used to identify changing needs and it was possible to confirm that information from these is used in the care plans. There are regular reviews of care plans to ensure that staff are clear about peoples changing needs. Peoples health care needs are identified and recorded within individual plans. Any health care professionals interventions are recorded in detail. The local general practitioner visits the home weekly and the manager says at other times as necessary. There was evidence from one persons records that this is happening. Risk assessments are in place to show how risks are minimised. Medication records were generally in good order, although there were occasional gaps in recording the administration of medicines. These were brought to the managers attention. Hand written entries in the medicine administration records were not signed by two members of staff. A new central heating boiler has been installed within the last few months. The manager said that problems had been experienced with setting the temperature of the boiler when it was first fitted. Staff had turned the temperature down, but forgot to put it up again afterwards. This matter has been resolved and staff are clear that the heating is maintained at an appropriate temperature. All areas of the home were warm and comfortable during this inspection. During the inspection there were sufficient staff on duty to meet the needs of the people living in the home. There was a hand over session held during the inspection and all staff attended this, but were available if a resident needed support. The manager was also available. Staff were available in the public areas of the home during the visit and residents said that there were enough staff to help them when they needed it. The rota showed that sufficient levels of staff are available on each shift. Before this inspection a concern was raised that the manager was related to other members of staff and that this may impact on the service delivered. During the inspection this was discussed with residents and staff and there was no evidence that the managers relationship with one member of staff was impacting on the quality of care. Staff said that they felt well supported and that they had no problems raising any issues with the manager. Residents said that the manager and the staff were approachable and that they felt able to talk to them if they had any concerns. There was no evidence to suggest that the relationship between the manager and one member of staff caused any problems. What the care home does well:
Care Homes for Older People Page 4 of 8 Good care planning systems are in place for recording peoples needs. Assessment tools are in use to identify peoples changing needs and records are adjusted accordingly and support from health care professionals sought where necessary. Systems are in place for management reviews of the care plans to ensure that good records are in place. The home is warm, comfortable and homely providing good accommodation for the people living there. The standard of decor and furnishings is very good. The heating system is working well and provides sufficient heating and hot water to meet peoples needs. Staffing levels are adequate to meet the needs of the people living in the home. 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 1 9 13 This will ensure that people living in the home are protected. 31/12/2009 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. 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 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!
