Care Home: Ashlea Grange Residential Home

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What the care home does well The inspector look at three outcome areas including health and personal care, protection and management. The residents are supported to engage in well planned and meaningful recreational and therapeutic activities. The activities coordinator described her program of activities for the residents. There are photographs in the home showing some of the social and recreational activities that have been organised for the residents. The inspector observed residents taking part in art and craft work with the activities coordinator and the care staff. The care plans that were inspected, generally had good assessments carried out with good description of problems that the resident presents. For example, in one case the resident`s mental assessment described vividly the challenging behavour presented by the resident. However, there was no care plan to direct staff on how best to manage and support the resident with his challenging behavour. Care plans that relate to physical care needs such as bathing, mobility and assisting with eating are generally of good standard. There was one care plan about managing one resident`s sudden drop in blood pressure. This was well written and provided staff with information on how to manage and support the resident whenever the he experiences low blood pressure. Staff seem knowledgeable and have good knowledge of the needs of the residents. What the care home could do better: The inspector observed that the social activities and entertainment organised by the staff were concentrated on the residents in the main lounge where most of the residential residents sat. The inspector noticed that three EMI residents who were sitting in the small lounge beside the dinning room on the ground floor were not engaged by the staff during the inspection visit. The three EMI residents sat alone with little or no interaction from the staff. The inspector brought this to the attention of the manager and ask her to address this with the activities coordinator and the care staff. Where assessments clearly identify a need, care must must be formulated to assist staff in supporting the residents to ensure that those identified needs are being addressed in aplanned and consistent manner. For example, the care plan for managing one resident who constantly walks around said, "if staff see X is tired, staff should encourage X to sit down and rest". This care plan is unhelpful in directing staff to support the residents more appropriately. Another assessment said, "at times Y will not settle at meal time, up and down not finishing her meal", but there was no care plan to support her with her meal when she is at her restless state. The inspector observed that two staff who were assisting residents with eating stood over them instead of sitting beside then to help them with their food. The inspector also observed that staff who were assisting residents with their food were wearing plastic gloves while assisting (feeding) the residents. This is not good practice as it undermines the dignity of the residents concerned. The current manager has been in post for some considerable time now, but she has still not made an application to the Commission to be registered. This was bought to the attention of the provider who visited the home during the time of the inspection visit. this was also commented on in that last key inspection report. Random inspection report Care homes for older people Name: Address: Ashlea Grange Residential Home Philadelphia Lane Newbottle Houghton-le-spring Tyne And Wear DH4 4ES one star adequate 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: Sam Doku Date: 1 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Ashlea Grange Residential Home Philadelphia Lane Newbottle Houghton-le-spring Tyne And Wear DH4 4ES 01915848159 01915120089 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Joseph Patterson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Winnie Care Limited care home 40 Number of places (if applicable): Under 65 Over 65 12 1 40 8 3 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment Conditions of registration: 0 0 0 0 0 The service may from time to time admit person(s) who are under the age of 65, but who fall within the currently registered service user categories. The SI(E) and MD(E) service user categories relate to current service users only. Care Homes for Older People Page 2 of 8 Date of last inspection Brief description of the care home Ashlea Grange is a large modern, purpose built care home that provides 40 places for older people some of whom may have dementia care needs, physical or sensory disabilities. The accommodation is within 40 single rooms, all with en-suite facilities. There is a good range of sitting areas and sufficient bathrooms, some with specialist lifting equipment, to meet the needs of the people who live here. There is level access into the home, and wide corridors allow easy access by people who use a wheelchair. The accommodation is over 2 floors, which are served by a passenger lift. The home has good links with the local community. It is close to local amenities such as shops, pubs and churches and is on a direct bus route to Sunderland. The Provider, Winnie Care Limited, operates a number of other homes for older people in Sunderland and the North East region. The fees charged at the home range from GBP 433.87 to GBP 461.12 per week. Care Homes for Older People Page 3 of 8 What we found: The inspector look at two outcome areas including health and personal care (Standards 7-11) and protection (16-18). The inspector concentrated on the activities of the EMI unit to see how their needs are being met. The staff training log shows that not all staff have received training in Safeguarding of Vulnerable Adults training, first aid, dementia awareness training and challenging behavour. The manager assured the inspector that these training would be offered to staff within the next few weeks. The inspection requested that the manager sends details of the training with timescales to the Commission as soon as possible. What the care home does well: What they could do better: The inspector observed that the social activities and entertainment organised by the staff were concentrated on the residents in the main lounge where most of the residential residents sat. The inspector noticed that three EMI residents who were sitting in the small lounge beside the dinning room on the ground floor were not engaged by the staff during the inspection visit. The three EMI residents sat alone with little or no interaction from the staff. The inspector brought this to the attention of the manager and ask her to address this with the activities coordinator and the care staff. Where assessments clearly identify a need, care must must be formulated to assist staff in supporting the residents to ensure that those identified needs are being addressed in a Care Homes for Older People Page 4 of 8 planned and consistent manner. For example, the care plan for managing one resident who constantly walks around said, if staff see X is tired, staff should encourage X to sit down and rest. This care plan is unhelpful in directing staff to support the residents more appropriately. Another assessment said, at times Y will not settle at meal time, up and down not finishing her meal, but there was no care plan to support her with her meal when she is at her restless state. The inspector observed that two staff who were assisting residents with eating stood over them instead of sitting beside then to help them with their food. The inspector also observed that staff who were assisting residents with their food were wearing plastic gloves while assisting (feeding) the residents. This is not good practice as it undermines the dignity of the residents concerned. The current manager has been in post for some considerable time now, but she has still not made an application to the Commission to be registered. This was bought to the attention of the provider who visited the home during the time of the inspection visit. this was also commented on in that last key inspection report. 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 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 7 15 Each resident must have a 31/01/2010 written plan of care that clearly sets out in detail how their assessed needs are to be met. The registered owner must confirm in writing to the commission the current management arrangements that are in place. 30/11/2009 2 38 39 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 7 18 Care plans must be put in place that clearly sets out how specific care needs are to be provided by the staff. A number of care needs have been identified in the assessment documents but there are no care plans on how to address those issues or needs. 30/06/2010 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 12 The practice of standing over residents when assisting them with meals, and also the wearing of plastic gloves whilst assisting with meals should be cease as this does not afford dignity to the residents concerned. The manager should apply to the Commission to be registered. 2 31 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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