Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd February 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Astley Grange Nursing Home.
Annual service review
Name of Service: Astley Grange Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service 2 1 0 2 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elaine Stoddart Date of this annual service review: 0 4 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service
Address of service: 288 Blackburn Road Bolton Lancashire BL1 8DU 01204365435 01204392687 astley.grange@ashbourne.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability terminally ill Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 0 3 3 7 30 0 0 The home is registered for a maximum of 30 service users, to include: up to 30 service users in the category of Older People (OP), up to 7 service users in the category of Dementia over 65 years (DE(E)), up to 3 service users in the category of Terminal Illness under 65 years (TI) and up to 3 service users in the category of Physical Disabilities under 65 years of age (PD) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 2 1 0 2 2 0 0 8 Annual Service Review Page 2 of 8 Astley Grange is a two-storey property, situated on a main road on the outskirts of Bolton Town Centre. It is within easy reach of bus routes, shops, and other community facilities and is not too far from the motorway network. The home has 24 single bedrooms and 4 doubles. There is a lounge on each floor, a dining room on the ground floor, and bathrooms and toilets on both floors. The home is fitted with adaptations and equipment suited to the needs of the resident group. Equipment includes a passenger lift and ramped access. Outside, there is a small parking area at the front of the home, and an enclosed garden at the side. It is registered to care for people with mainly nursing needs and because of this 24 hour qualified nurse cover is provided. The fees within the home range from 373.80 to 636.30 pounds per week. Additional charges are made for private chiropody, hairdressing and newspapers. A copy of the most recent inspection report is displayed in the entrance hall. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The annual service review for Astley Grange included the following: An annual quality assurance assessment (AQAA) was sent by us to the service. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers and it is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the manager has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations and what other people have told us about the service. What has this told us about the service? The provider sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service and that they know what further improvements they need to make. Surveys were received from four residents, four relatives and three staff. In the main their comments where very positive regarding the service. Their comments include: Residents: The home does everything well They need more staff when very busy The home is clean and friendly They take good care of all the residents They do everything well Good food, friendly staff, nice atmosphere. Caring help with washing and dressing Meets all expectations and exceeds with many Relatives: There is a good rapport and trust between residents and staff The needs of the residents are always taken care of and they are treated as individuals I cant see how Annual Service Review Page 4 of 8 they could do better Staff always create a pleasant, friendly environment It provides all the relevant care/nursing requirements my wife needs. All the staff are pleasant, efficient and welcoming. Perhaps more staff required Staff: Astley Grange provides a lovely environment. It is well run and Meets the needs of the individuals Other comments where received regarding the staffing levels and the need for this to be improved to meet residents care needs. The manager was contacted by us to discuss the comments received. We were informed that a recent re structure had taken place, which has made improvements to the staffing levels provided. The AQAA reported that the service obtains the views of the residents and other interested parties through resident and relative questionnaires. This information is analised and changes made to identified needs. Bi-monthly meetings ensure that residents and relatives are encouraged to express their opinions and contribute to the service provided. The AQAA stated that the service robustly monitors and review all complaints within stated time frames. This enables them to build on positive comments and strive for continual improvement. Community meetings and care reviews are also held to obtain feedback. The AQAA reported the service has attained a Gold Standard Framework accreditation to promote good end of life care. The service has regained the Investor in People Award this year for the third time. The AQAA reported that equality and diversity is promoted through person centred care of the residents a mixed workforce from a variety of backgrounds and age groups. All residents are given access to services, which include dentists, chiropody and opticians. All residents have a registered vote. The AQAA reported that the home provides a warm, welcoming, friendly, homely environment. The Manager/Care Manager attend all pre admission assessments to ensure the residents needs can be met. Prospective residents are encouraged to visit the home and spend an afternoon sampling the food, company and the activities. All residents have a contract specifying the terms and conditions of their placement. Person centred care plans are drawn up with the involvement of the residents. This enables the home to provide the care they need. Care plans and risk assessments are reviewed monthly or before should the residents needs change. There is a varied activities programme that is planned on a monthly basis. Theses are planned around requests from the residents and their interests and hobbies. Activities are flexible with regards with the residents daily wishes. Activities are arranged for residents and include reading, music, one to one discussions, gentle exercise or massage. There are visiting entertainers and more recently a magician and a harpist have entertained the residents. The conservatory is now in used to provide a quiet, bright area for residents to enjoy activities of their choice. Menus are placed on each residents dining table in restaurant format showing choices available. Meals offered are nutritionally balanced but take into account individuals preferences. The AQAA reported that the service responds promptly to complaints and they carry
Annual Service Review Page 5 of 8 out a full investigation, responding back to the complainant within a specified time frame in line with policy and procedure. The complaints procedure is advertised in the reception area and also in the service user guide. The home has received one complaint , which was investigated to the satisfaction of all parties. The AQAA reported that no safeguarding referrals have been made since the last inspection. All staff are trained in this area to protect the people they care for. The home has an ongoing maintenance programme and since the last inspection the AQAA reported that improvements have been made in the following. Some carpets in bedrooms have been replaced and furniture updated. A new energy efficient boiler has been installed and new beds purchased. The AQAA reported that all certificates for services, such as gas are up to date. Thus providing a safe place for the residents to live. The AQAA reported that over 50 of staff now hold both levels 2 and 3 in National Vocational Qualifications (NVQ). Thus providing the staff with the skills to carry out their roles to meet the needs of the residents. Training is provided in areas such as moving and handling and new subjects such as deprivation of liberty and mental capacity. Discussion with the manager confirmed that a recent Deprivation of Liberty application had been made. These are made to help people who may lack the capacity to make certain decisions. The manager confirmed that the application provided a positive outcome for the resident. Supervision and annual appraisals are carried out with all levels of staff to support them in their roles. All staff are given a thirteen week induction period to introduce them to their jobs. They have robust recruitment procedures in place to protect the people they care for. This includes two references and a criminal record bureau check (CRB). Agency staff are rarely used and some staff have worked at the home for over a decade. Thus providing continuity of care. Monthly accident and incident monitoring takes place and highlights action areas which may cause concern. This allows the manager to put systems in place to help prevent further incidents. The manager, Mrs Oakes is registered with the Commission. She has 19 years experience as a nurse and 6 years experience as a manager. She is qualified in NVQ Level 4 in management. The service continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. We can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using it. Annual Service Review Page 6 of 8 Annual Service Review Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Annual Service Review 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!
