Latest Inspection
This is the latest available inspection report for this service, carried out on 1st March 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 Good.
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 Chatsworth Grange Nursing Home.
Annual service review
Name of Service: Chatsworth Grange Nursing Home The quality rating for this care home is: The rating was made on: two star good service 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: Sue Turner Date of this annual service review: 2 7 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Hollybank Road Intake Sheffield South Yorkshire S12 2BX 01142358000 01142358009 chatsworthgrange@schealthcare.co.uk www.schealthcare.co.uk Southern Cross (LSC) Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mr Josian Henry Cateaux Conditions of registration: Category(ies) : dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 66 One specific service user under the age of 65 named on variation dated 6th September 2006 may reside at the home. Have there been any changes in the ownership, management or the Yes 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 Chatsworth Grange is a purpose built nursing home registered for people with dementia. The home is close to public transport, shops, public houses and churches. Chatsworth Grange provides 66 single rooms, all of which have en-suite facilities. The home is divided into four units, which have their own lounge, dining, toilet and bathing facilities. The grounds are well maintained and a car park is provided. The home also provides an activities room, a hairdressing salon and a multi sensory room. The home has a Statement of Purpose and a Service User Guide which
Annual Service Review Page 2 of 7 No was displayed in the home and available to people and their relatives. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The range of fees can be obtained by contacting the manager at the home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection, on the 3rd December 2007 and the random inspection on 10th January 2009. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 6 surveys returned to us from relatives and carers. 2 surveys returned from professionals and 1 survey returned by a member of staff. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service. 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. As well as the above we completed a risk assessment of the service to ensure we had enough information about the service to determine the quality rating has not changed in the past 12 months What has this told us about the service? The agency 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 agency is still providing a good service and that they know what further improvements they need to make. In the past year the service has had a rolling recruitment programme so that there are sufficient staff to meet the needs of the clients. Investing in a strong training programme helps to ensure staff have the skills and knowledge to carry out their work and consulting with clients regularly about their care helps to ensure people are satisfied with the service they receive. The AQAA states: Investigatory meetings with staff due to sickness and absenteeism have improved the monthly sickness hours. We have very strict employment policies where any potential member of staff must have good references and have to have a clear ISA (Independent Safeguarding Authority) check before they are allowed to start work. The service has made improvements over the last twelve months. The AQAA states: Annual Service Review Page 4 of 7 We are always available to listen to the views of residents and relatives. There is an out of hours Managers Surgery, which is available for anyone wishing to speak to the manager out of the normal working hours. More relatives visit the home and are taking part in some of the activities and entertainment at the home, and they are attending their relatives reviews, which are organised by the home and local authorities. The nutmeg system in now in place, there is a good varied choice of menu on offer. All dining rooms have now been decorated. The dementia strategy is now completed on Littondale, which has proved popular with people and visitors. The unit has a street theme with bedroom doors painted in bright primary colours with letter box features. The unit also has two rest areas one in the theme of bus stop, the other as a garden area which is surrounded by tranquil music playing. Surveys that were returned to us were positive. Relatives said: As far as I am concerned the service does everything well. I go to the home 3 times each week and have always found the staff very informed about my relatives care needs. Staff are very friendly and polite. I was very sceptical about care homes, but Chatsworth Grange has changed my mind about that. I am highly satisfied with the staff, who respond to my requests and are always helpful. I am always made to feel really welcome at the home. Care professionals surveys said, I always find the staff to be caring, respectful and well informed. The staff respect dignity. They seem to genuinely care for people. They work collaboratively with us and communicate family concerns well. Staff who returned surveys said, The staff really care about people. The home is clean and there is good food every day. The level of nursing care is high. Its a friendly place to work , with a good atmosphere. The service did not state the number of complaints they have received in the last 12 months. However they said that all complaints received by them were now resolved. The AQAA states: Any complaints and their outcomes are filed in our complaints folder, we deal with all complaints professionally and efficiently with the utmost of urgency. Our training matrix provides evidence that our staff are receiving training in Protection of Vulnerable Adults. Annual Service Review Page 5 of 7 We have not received any complaints about the service. The service themselves referred four incidents to the local authority as safeguarding alerts. They worked with the different professionals to investigate the incidents and make changes to prevent them happening again. These incidents are now resolved. Sheffield contracts and commissioning department told us: There is an Incident Reporting Form currently under investigation regarding, level of care, not following a care plan and inappropriate management of continence. 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? It is our Statutory responsibility to inspect all care service at least once every 3 years The completion of the Risk Assessment and Annual Service Review has not changed our view of the quality rating of this service therefore we are not planning to inspect this service before 2nd December 2010. However 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 the service. Annual Service Review Page 6 of 7 Reader Information
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