Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Winsford Grange Care Home Station Road Bypass Winsford Cheshire CW7 3NG The quality rating for this care home is: The rating was made on: one star adequate 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Wendy Smith Date: 2 7 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Winsford Grange Care Home Station Road Bypass Winsford Cheshire CW7 3NG 01606861771 01606861705 winsfordgrange@c-i-c.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Community Integrated Care care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability physical disability 3 0 3 2 Over 65 30 30 0 0 Conditions of registration: This home is registered for a maximum of 60 service users to include: * Up to 30 service users in the category of OP (old age not falling within any other category * Up to 30 service users in the category of DE(E) (dementia over the age of 65) * Up to 3 service users age 60 years upwards in the categories of PD or DE * 2 named service users under the age of 65 in the category of PD Date of last inspection Brief description of the care home Winsford Grange is a purpose built care home providing nursing care for elderly frail residents and people with dementia. There are four separate residential units; Dickens and Austen units are for elderly frail residents, and Bronte and Chaucer units are for Care Homes for Older People Page 2 of 8 people with dementia. The home is single storey with good access for wheelchairs. There are 60 single bedrooms. The home has private enclosed gardens. It has good car parking facilities, is on a local bus route, and is close to rail services. Information about fees can be obtained from the home manager. Care Homes for Older People Page 3 of 8 What we found:
We looked at a sample of care plans of people living in Dickens unit and in general these had been completed to a better standard than those looked at during our previous main (key) inspection. However, risk assessments had not all been completed for a person who had come to live at Winsford Grange two weeks before our visit. The bedrail risk assessment had not been filled in although bedrails were being used on this persons bed. This meant there was no guidance for staff to make sure that the bedrails were being used safely for this person. The manager told us that he carried out an audit of all bedrails following our last inspection and instructed staff about the safe fitting of bedrails. There are now more adjustable nursing beds with bedrails built in, and these are generally less hazardous than where bedrails have had to be fitted separately. A number of residents who were being cared for in bed had bedrails in use and these were all fitted correctly and were well protected with padded covers. We looked at how the medicines were being managed in Dickens and Chaucer units and we found that recording was much improved. Handwritten entries in the medicine administration record (MAR) sheets had been fully completed and signed. There was a minimal amount of medicines prescribed as required. The manager told us that he has spoken with staff at the pharmacy that supplies their medicines, and with GPs, and has clarified that the home is not able to accept medicines prescribed as directed. Where medicines are prescribed as required then guidelines for administration must be explicit. We found that the homes training records were complicated and quite difficult to interpret. (Unfortunately the nurse who takes lead responsibility for training was on holiday.) However we were satisfied that the training needs of staff were adequately identified and met. There was evidence to show that a significant amount of staff training had been taking place over the course of the year and this included regular up dates of training to ensure that staff work safely. The training records also showed that regular fire drills have been held since the last inspection so that staff have up to date information on what to do if a fire breaks out at the home. Since our last inspection the manager has taken action to ensure that people are given the opportunity to express their views about the home. A suggestions box has been introduced and relatives meetings have been held bi-monthly. The minutes of these meeting were available for us to read. There have also been meetings for residents and for staff. A full staff meeting is to be held in November. We also saw evidence that more effective auditing of medicines and care plans has been taking place and has identified where staff require additional support and/or training. What the care home does well: What they could do better: Care Homes for Older People Page 4 of 8 More work needs to be done to continue to monitor the quality of the care provided and bring all care plans up to the very high standard achieved in some parts of the home. 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
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, Care Homes 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 CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI 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!
