Latest Inspection
This is the latest available inspection report for this service, carried out on 27th July 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Elwick Grange.
What the care home does well Staff have had more training to help them provide the right support for people who live here. What the care home could do better: Care plans must be revised and updated when there is a change in a person`s needs, for example if they need two staff to help them with their mobility. There must be a new care plan whenever people have a new care need or goal, eg if they develop skin problems, so that all staff know how to provide the right care in the same way. This is outstanding from the last two inspections. It would be better if daily records showed what action staff take when someone complains of pain or feeling unwell. The manager must apply for registration as manager of Elwick Grange. Random inspection report
Care homes for older people
Name: Address: Elwick Grange Elwick Road Hartlepool TS26 9LX one star adequate service 24/11/2009 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: Andrea Goodall Date: 2 7 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Elwick Grange Elwick Road Hartlepool TS26 9LX 01429278000 01914877865 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross OPCO Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 60 Number of places (if applicable): Under 65 Over 65 16 44 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 60 The registerd 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 44 Dementia, over 65 years of age - Code DE(E) maximum number of places 16 Date of last inspection Brief description of the care home Elwick Grange is a purpose built residential care home that provides accommodation for 60 people. All 60 bedrooms are spacious and have en-suite facilities. People living
Care Homes for Older People Page 2 of 8 0 5 0 5 2 0 1 0 Brief description of the care home at the home have access to 8 communal lounge areas and 3 dining rooms. A passenger lift is available for people to access the first floor. Outside the home there are a number of car parking spaces and the home is surrounded by garden and patio areas. The home is located near to the centre of Hartlepool and is easily accessible to people using cars or public transport. There are a number of shops nearby and a well-kept public park area is opposite the home. The weekly fees depend on the type of care and whether funded by a local authority. There are additional charges for items such as hairdressing, clothing, reading materials, toiletries and other personal items. Please check current fees and additional charges with the manager. Care Homes for Older People Page 3 of 8 What we found:
An unannounced visit was carried out by two Compliance Inspectors over 5 hours on 27th July 2010. The reason for this visit was to check whether the provider had complied with the timescales for two repeated requirements made at the last random inspection on 5th May 2010. After that inspection we sent a Warning Letter to the provider on 10th May 2010 about its failure to meet the regulations that apply to care records and staff training. There has been a suspension of placements to the home by Hartlepool Borough Council since March 2010 following safeguarding adults concerns. The home is working to an action plan produced by the Commissioned Services department of Hartlepool Borough Council. During this visit we spoke with the manager about the two repeated requirements about staff training and care plans. Care plans are records that are used by all care services to show how each person needs support with their individual needs, for example mobility, personal hygiene, and nutrition. We looked at the care files for six people who live here. We saw that there have been some improvements to the detail in care plans and that monthly evaluations are being recorded. However we found that care plans do not include all the identified needs of some of the people who live here. For example, one person has recently been moved within the home into the dementia care unit due their increased confusion. However there is no care plan about their dementia care needs and how to support them with this. There are Challenging Behaviour Reports to record when this person has shown aggressive or agitated behaviour. However there is no care plan about this persons challenging behaviour and how to support them with this, or how to safeguard other people. (There is reference to their aggressive behaviour in a care plan about Sleeping). We saw from daily records that a person had developed a problem with their skin. The daily records states, Nurse checked (residents) bottom, left gauze to put on with cavilon cream. Bottom to be washed 3 or more time a day. Later daily records show that this continues to be a problem for this person. However there is no care plan in place about this need, or how staff are supporting the person. We found that care plans are not revised when there is a change in care needs. For example we looked at the care plan for a person who had recently been discharged back to the home from hospital. The Return from Hospital Record states that the person must transfer with the assistance of 2 carers. A daily record entry also states that an Occupational Therapist then visited the home and that the person is to transfer with 2 staff at all times. However the care plan for Mobility Manual Handling still states At this present time (the resident) is transferred with 1 carer. In this way the care plan for Mobility Manual Handling has not been revised to show the change in need, so staff are not guided to carry out the correct support. We saw from daily records that people may need immediate support with some care needs, but there is no record of how they were supported. For example, it was reported
Care Homes for Older People Page 4 of 8 that a person had complained of a bad back but there is no indication of what staff did to support them. Another persons daily record stated that the person had appeared clammy and unwell on a few consecutive days but there was no record of what action staff took about this. We looked at staff training records. There has been a significant improvement to staff training since the last inspection. The manager is a trained-trainer and has provided much of the updated training for staff over the past few months. It is good practice that around 96 of staff, including housekeeping and catering staff, have now had in-house training in Dementia Awareness and Challenging Behaviour. Also all care staff have had recent in-house training in pressure area care, care planning and customer care. There are 10 staff who have current first aid training, but many of these staff are part-time day staff. In this way it is not clear whether there is a first aider on duty 24 hours every day, so the manager is to check this. We looked at the management arrangements in the home. Elwick Grange has not had a registered manager in place for about two years. Over this period the home has been managed by two unregistered managers and relief managers. In March 2010 the current manager was appointed. We are waiting for an application for registration from the manager. 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 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 Where a new care need is 11/07/2010 identified there must be a care plan developed that includes the action being taken by staff and any health professional input, to support and improve their health. This is to ensure that people receive the right support with any changing health needs. 2 31 8 The Provider must ensure that there is a registered manager in place. This is to ensure that the daily running of the home is managed by a person who has demonstrated they understand their legal responsibilities under the Care Standards Act 2000 and associated regulations. 01/02/2010 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 15 Where a new care need is 30/09/2010 identified there must be a care plan developed that includes the action being taken by staff and any health professional input, to support and improve their health. This is to ensure that people receive the right support with any changing health needs. 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 Daily reports should also include details of what action staff took when people complain of pain or are unwell. 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. Care Homes for Older People 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!
