Care Home: Acorn Grange

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What the care home does well We found that significant progress has been made with regard to assessment and care planning. The care plan seen gave staff clear directions of how to look after people on an individual basis. Staff spoken with were able to demonstrate that they were aware of people`s likes and dislikes. We spoke with some of the people who live in the home and their relatives. They confirmed that they are consulted about their care plans, have agreed with the content and are happy with the care they receive. There was one requirement made about nutrition which was not included in the warning letter. This requirement was that the home must keep appropriate records so that the decision could be made about whether people were receiving a nutritious, well-balanced diet. We saw that those records are now being kept. What the care home could do better: The home should continue to build on the good work already done with regard to care planning and work towards complying with the requirements made about staff training, to be achieved by 30 June 2010. Random inspection report Care homes for older people Name: Address: Acorn Grange Vicarage Road West Cornforth Durham DL17 9JW zero star poor service 26/01/2010 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: Susan Lowther Date: 2 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Acorn Grange Vicarage Road West Cornforth Durham DL17 9JW 01740656976 01740656667 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sharon Mary Louise Sperring Type of registration: Number of places registered: Conditions of registration: Category(ies) : Robert Pattinson t/a Manor Care Home Group care home 48 Number of places (if applicable): Under 65 Over 65 0 19 dementia old age, not falling within any other category Conditions of registration: 29 0 The maximum number of service users who may be accommodated is 48. The registered person may provide the following category of care: Care home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. No more than 19 places. Dementia - Code DE. No more than 29 places. Date of last inspection 2 6 0 1 2 0 1 0 Care Homes for Older People Page 2 of 8 Brief description of the care home Acorn Grange is registered to provide residential accommodation for forty-eight older people including nineteen people with dementia who are over the age of sixty-five. Acorn Grange is not registered to provide nursing care. The home is situated in its own grounds. The grounds include parking spaces and colourful borders to the front and side of the building and large lawned areas to the back of the building. Inside the home provides single bedroom accommodation over three floors. A passenger lift enables access to the upper floors. Two bedrooms have en-suite facilities. The home also has two conservatories, two dining rooms and several lounge areas. Acorn Grange is situated off a main street in West Cornforth, providing good access to local shops and social facilities. The weekly fees for living at this home are £382 - £402.50 The costs of newspapers, hairdressing, private chiropody and toiletries are not included in the fees. Additional costs include hairdressing, private chiropody, toiletries and personal items including clothing, newspapers and magazines and door guards. Actual fees paid depend on individual circimstances further details can be found in the homes Service User Guide. Care Homes for Older People Page 3 of 8 What we found: This inspection was carried out on 21 May 20 by two inspectors. The purpose of this inspection was to assess the progress that had been made in meeting with some of the statutory requirements made at the previous key inspection of the home. Due to the serious nature of some of the requirements, a warning letter was issued telling the provider what the home must do. This warning letter describes failure to undertake appropriate assessments to reflect the changing needs of the people who live in the home. We found that one person who had been in hospital had not been reassessed prior to returning to the home, despite their needs having changed. We also found poor care planning which failed to clearly identify how service user needs would be met in terms of health and welfare. In addition care plans were not kept under review and revised to reflect service users changing health and welfare needs. We looked in detail at the care records of people and spoke with staff. With regard to care records, those seen at the key inspection in January 2010 were reviewed and re examined. An additional random sample was reviewed at this visit. The warning letter asked the home to review and revise assessments at any time when it is necessary to do so having regard to any change in circumstances. Also care plan evaluations must refer to any deterioration or improvement and reflect any changes to individual health and personal care needs. In addition where appropriate and, unless it is impracticable the service users or their representatives should be consulted about the plan, any revisions and notified of the changes. We identified that staff had not received the required training in adult protection, moving and handling and first aid. However the date for compliance with regard to staff training is 30 June 2010 and therefore a further visit will be made after that date. 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 Care Homes for Older People Page 4 of 8 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 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 18 13 All staff must receive training 30/06/2010 in Adult Protection so that they are aware of the agencies to contact should they suspect abuse has taken place. This will safeguard people from abuse. 2 30 18 Persons employed by the registered person to work at the care home must receive training appropriate to the work they perform. This will ensure that staff have the required skills and knowledge, are kept up to date and service users are not put at risk through ignorance or poor practice. 14/05/2010 3 38 18 Staff must receive practical training in moving and handling and first aid. This is to make sure that staff are appropriately trained to the work they perform and that people are safe. 30/06/2010 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. 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