Care Home: Ashton Grange Residential Home

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What the care home does well There were records in place which showed the care needs of people living at the home. The care plans were mostly person centred and reflected the needs of the people living at the home. Complaints and safeguarding issues were properly recorded. These had been reported to the appropriate authorities,including CQC. 5 recent complaints had been investigated,1 was still on going. 1 safeguarding referral had been received and investigated. The provider`s representative has carried out a series of monitoring visits within the home. The provider is required under regulation 26 to produce a report of these monitoring visits. Staffing levels were just sufficient to meet the current needs of people living in the home. What the care home could do better: Risk assessments should be put in place for people who choose not to get dressed or choose to stay in bed to balance their choice with their dignity. Staffing levels should be kept under review and increased as the occupancy of the home increases or the needs of people change as they become more dependent. Staff should receive training about behaviour that is difficult to work with. Staff on the first floor should have a more appropriate area to write records about people in their care. More storage areas should be provided for the storage of equipment in the home. Up to date and accessible menus should be available daily to inform people in the home what choice of food and snacks are available each day. More consultation should take place with people living at the home about their daily needs and about the running of the home.The activities person should continue compiling life history books with people living at the home and their relatives to ensure personalized care is given to people living at the home. A manager must become registered with the regulatory authority for the day to day running of the home. There was not a good standard of hygiene. All areas of the home were not clean and tidy.There were several people with chest infections. Random inspection report Care homes for older people Name: Address: Ashton Grange Residential Home St Lukes Road Pallion Sunderland SR4 6QU two star good service 22/12/2008 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: Karena Reed Date: 2 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: Ashton Grange Residential Home St Lukes Road Pallion Sunderland SR4 6QU 01915674003 01915674690 ashtongrange@schealthcare.co.uk www.schealthcare.co.uk 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) : Southern Cross Care Homes No 3 Limited care home 40 Number of places (if applicable): Under 65 Over 65 0 0 40 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 22 9 0 13 The maximum number of service users who can be accommodated is: 40 The registered person may provide the following category of service only: 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 - maximum number of places 40 Physical Disability, Code PD, maximum number of places 13 Mental Disorder, excluding learning Care Homes for Older People Page 2 of 9 disability or dementia, Code MD maximum number of places 9 Dementia Code DE, maximum number of places 22 Date of last inspection Brief description of the care home Ashton Grange provides care to 40 older people over the age of 65 years who may have dementia or mental health needs. It provides personal care only and any health needs are dealt with by the Community Nursing Services. It is also registered to provide care for a maximum of 10 people with a physical disability. The home is purpose built and is located in the Pallion area of Sunderland. The building has two storeys, with accommodation provided on both floors. It has its own drive with parking area and a fully enclosed garden. All areas are accessible to people who use a wheelchair. It is adjacent to the local church and community centre and it is only a short walk to a busy shopping parade, which has a range of facilities. It is on a bus route offering easy access to the city centre as well as the surrounding areas. 2 2 1 2 2 0 0 8 Care Homes for Older People Page 3 of 9 What we found: The last key inspection of the home judged it was operating at a good level. This unannounced inspection on May 27th was carried out to see if the home was still operating at a good level. Before the visit we looked at information we received since the last visit to the home. This includes how the service dealt with any complaints and changes to how the home is run. During the visit we talked with people who use the service,some staff and the acting manager. Following the inspection feedback was given to the person in charge. What the care home does well: What they could do better: Risk assessments should be put in place for people who choose not to get dressed or choose to stay in bed to balance their choice with their dignity. Staffing levels should be kept under review and increased as the occupancy of the home increases or the needs of people change as they become more dependent. Staff should receive training about behaviour that is difficult to work with. Staff on the first floor should have a more appropriate area to write records about people in their care. More storage areas should be provided for the storage of equipment in the home. Up to date and accessible menus should be available daily to inform people in the home what choice of food and snacks are available each day. More consultation should take place with people living at the home about their daily needs and about the running of the home. Care Homes for Older People Page 4 of 9 The activities person should continue compiling life history books with people living at the home and their relatives to ensure personalized care is given to people living at the home. A manager must become registered with the regulatory authority for the day to day running of the home. There was not a good standard of hygiene. All areas of the home were not clean and tidy.There were several people with chest infections. 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 9 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 9 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 26 13 Measures must be put in place including the employment of sufficient domestic staff to reduce the spread of infection in the home and improve the standards of hygiene and cleanliness. This is to reduce the spread of infection within the home. 18/06/2010 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 7 Life history books should be devised for all people living at the home to help ensure all of their needs including social needs can be met in a personalized way. Risk assessments should be carried out to ensure the choice of people is balanced with their dignity e.g regarding personal care or choosing to stay in bed. Systems should be put in place to help people living at the home exercise more choice and control in their lives. Menus should be available in a format that can be more easily understood by people other than the written word Page 7 of 9 2 10 3 4 14 15 Care Homes for Older People 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 showing the choice of food and snacks available daily. 5 18 Staff should receive up dated training about behaviour that is difficult to work with in order to understand the different needs of people and to help prevent abuse. Staffing levels should be kept under review and increased as the homes occupancy levels increase or people living at the home become more dependent. A manager responsible for the day to day running of the home should become registered with the regulatory authority. 6 27 7 31 Care Homes for Older People Page 8 of 9 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. 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