Care Home: Aspen Grange Care Home

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What the care home does well Prospective residents have their needs assessed and recorded before being offered a placement at the home, to make sure that these needs can be met. Once a person is admitted to the home, further in-depth risk and other assessments are carried out, from which care plans are developed. Care plans reflected the needs of residents and how these were to be supported by the staff team. We found that medication was being administered safely by trained members of staff and that there were suitable storage facilities for medicines brought into the home. The home provides a clean and well-decorated environment for the residents with furniture and fittings in good repair. We saw that since the last inspection, redecoration of communal areas had taken place and that carpets in these areas were to be replaced in June. The reception area has been made more welcoming and a sluice room is now provided. New members of staff are recruited in line with the Regulations and supported through induction and other training. We found the home to be well managed. What the care home could do better: The uncovered radiators in bedrooms must be covered to eliminate the risk of residents receiving burns from hot surfaces. Random inspection report Care homes for older people Name: Address: Aspen Grange Care Home 18 Wharncliffe Road Boscombe Bournemouth Dorset BH5 1AH 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: Martin Bayne Date: 2 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: Aspen Grange Care Home 18 Wharncliffe Road Boscombe Bournemouth Dorset BH5 1AH 01202395435 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Gemma Natalie Ridout Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr David Leedham,Mr Kevin Gunputh care home 43 Number of places (if applicable): Under 65 Over 65 43 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 43. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old Age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Aspen Grange is a large, detached house, situated in the Boscombe area of Bournemouth. It is registered to accommodate up to 43 older people who are in need Care Homes for Older People Page 2 of 8 Brief description of the care home of personal care. The property has limited on-site parking for visitors. Street parking is also available in the vicinity of the home. The home has a small, sheltered garden with lawn area and a courtyard garden with summerhouse. Aspen Grange is situated within level walking distance of the amenities of Boscombe, including shops, restaurants, cafes, places of worship, library etc. The sea front and Boscombe Gardens are also within walking distance sloping in part. There is a bus service to the centre of Bournemouth and other areas of the town from the nearby Christchurch Road. Aids and equipment are available for people with disabilities, including ramps to aid access to and from the home, portable ramp used for two doors and assisted bathing facilities. Accommodation is provided over two floors in 39 single and 2 double rooms. The home is centrally heated throughout and 28 bedrooms have en-suite facilities. Access between floors is by means of two passenger lifts or stairs. The home has lounges and two dining rooms. Care Homes for Older People Page 3 of 8 What we found: At this random inspection we reviewed the records and had a discussion with the last two people admitted to the home. As part of this review we also looked at how their medication was administered and managed in the home. We reviewed the recruitment records and had a discussion with the last two members of staff to be appointed to work at the home. We also carried out a tour of the premises and reviewed accidents and notices sent to the Commission. We were assisted thoroughout the inspection by the homes Registered Manager and we also met with both Registered Providers. At the time of this inspection there were 36 residents accommodated at the home. Throughout this inspection we tracked the personal care records for the last two residents admitted to the home, to look at how their admission had been arranged and the actions taken to address their care needs. We also spoke with both these residents about their experience of living at the home. We found for both residents we tracked, they had had their needs assessed before a decision was made to admit them to the home. These preadmission assessments had been recorded on a template that covered all of the topics within the National Minimum Standards. On admission, we saw that further assessments were carried out with the residents that were then used to develop a care plan for each person. A summary, person centred care plan, All About Me is also produced, as a quick reference for new members of staff. Staff have access to both these documents. We found that the care plans reflected the assessed needs and how staff should support the person concerned. We found that the home was still developing better ways of meeting residents social needs by gaining information about their life histories. We spoke with both residents, who told us that they had been made welcome at the home and that their needs were being met. We looked at the medication records for both residents tracked through the inspection. We found that the records had been completed in full with no gaps within the recording. There was good practice of any known allergies being recorded at the top of their records and that where hand entries had had to be made to the administration records, these had been checked and signed by a second member of staff for accuracy. We also saw that the home had complied with a requirement and a recommendation made at the last key inspection of the home in July 2009 concerning PRN (as required medication). We also saw that the home had suitable storage facilities for the storing of medications broguht into the home. At the time of this inspection there were no residents prescribed controlled drugs. We saw though, that the home had storage facilities for controlled drugs, a register and that the staff who administered medication were trained in safe medication administration. The fridge for storing medications requiring refrigeration had been moved to the office from the dining room, as recommended at the last inspection. We looked at the recruitment records for the last two members of staff who had been employed to work at the home. We found that both the staff have been recruited in accordance with the Care Homes Regulations 2001. The staff had submitted an application form, been subject to interview, appropriate references taken up and a Criminal Record Bureau check and a check against the register of adults deemed unsuitable to work with vulnerable adults had been taken up before being employed at Care Homes for Older People Page 4 of 8 the home. The home had therefore complied with a requirement from the last key inspection. We spoke with one of the newly recruited staff members who told us that they had received induction training, that staffing levels met the needs of the residents and that they felt well-supported by the mangement. As part of the inspection we carried out a tour of the premises. We found the home to be clean, free of any unpleasant odours and in reasonable decorative order. At the last inspection we recommended that all radiators that were not covered should be risk assessed as to their potential for being a hazard to residents. Since that time the Commission has had clarification from the Health and Safety Executive that all radiators in bedrooms and bathrooms should be covered. We found that all radiators in bathrooms have been covered but radiators in five of the bedrooms remain uncovered. It is required that these are now covered to protect residents from the risk of receiving burns. We looked at the accident book, where a we found accidents had been recorded appropriately and also that notifications of incidents and accidents had been sent to the Commission as required. We also saw that there is periodic review and auditing of accidents that occur in the home. 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 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 1 19 13 Uncovered radiators in bedrooms must be covered. To eliminate the risk of residents getting burnt. 01/08/2010 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. 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