Care Home: Grangefield Residential Home

What the care home does well The service has demonstrated that they have been able to meet the identified needs of the person they had admitted with mental health needs. What the care home could do better: A management review has been undertaken and the documentary evidence has been reviewed by senior managers within the Care Quality Commission. A decision has been made that in this situation the social needs of the person outweigh their other needs. The Care Quality Commission is therefore not going to take further action in pursuing the offence along the enforcement pathway. The provider needs to be mindful that the home is not registered for admissions of people with mental health care needs. The provider needs to ensure that the assessment process is more robust and information is gained from Healthcare professionals to identify illnesses that may prohibitadmission under the present registration category at the home. Staff need to have training in meeting the needs of the person with mental health needs to manage ongoing support in the future. Random inspection report Care homes for older people Name: Address: Grangefield Residential Home 60 Northampton Road Earls Barton Northampton NN6 0HE two star good service 05/03/2009 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: Judith Roan Date: 2 3 0 7 2 0 0 9 Information about the care home Name of care home: Address: Grangefield Residential Home 60 Northampton Road Earls Barton Northampton NN6 0HE 01604812580 01604812580 grangefieldrch@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Nikul Odedra care home 20 Number of places (if applicable): Under 65 Over 65 20 old age, not falling within any other category Conditions of registration: 0 No one falling within the category of OP may be admitted to the home where there are 20 persons of category OP already accommodated in the home Date of last inspection Brief description of the care home Grangefield is a privately owned care home providing personal care for up to twenty men and ladies over the age of 65 years. Nursing care is not provided in this home. Grangefield stands in its own extensive grounds and offers ample car parking to the front of the house. It is a large detached building that has been significantly extended to the rear of the building on the ground floor. The extension provides a further eight bedrooms, two bathrooms and a hairdressing/chiropody/treatment room. The home is located on the outskirts of Earls Barton set back from the main road, and is on the main bus route. 0 5 0 3 2 0 0 9 Care Homes for Older People Page 2 of 8 What we found: The purpose of this inspection was to investigate whether the Registered Provider and Registered Manager had admitted a person into the home for a category for which they are not registered. As part of the inspection we issued a code B notice and seized documents as evidence as to whether an offence had been committed under The Care Standards Act 2000 Part II section 24. We reviewed the admission process for one person admitted into the home. The assessment states that the person did have a depression. There was no evidence in the initial assessment of a community psychiatric nurse involvement or the extent of the illness. A care plan was in place with support risk assessments for mobility, falls and pressure area care which were all low risk. The assessment identified that the individual was being supported by family until due to illness they could not provide the support and for this reason the admission was seen by the provider as being for social reasons. It was evident that the person was low in mood and was anxious about taking part in social activities. On admission there was a need for night medication due to sleeping issues caused by the depression. The file provided evidence that the person had settled in well and was now integrating well with others at the home. Night time medication is now only taken if required. On reviewing the medication administration records we found that the person had not required this for many weeks. Staff stated that they were fully aware of the persons needs but felt confident in meeting them in the long term. Staff at the home have not received training in working with people with mental health care needs. Training records also support this fact. Records of a meeting completed by the manager indicates that the Community Psychiatric Nurse had found considerable improvement of the persons mental health since they had seen them last and being in the home. They considered that the support they were receiving was positive and beneficial. What the care home does well: What they could do better: A management review has been undertaken and the documentary evidence has been reviewed by senior managers within the Care Quality Commission. A decision has been made that in this situation the social needs of the person outweigh their other needs. The Care Quality Commission is therefore not going to take further action in pursuing the offence along the enforcement pathway. The provider needs to be mindful that the home is not registered for admissions of people with mental health care needs. The provider needs to ensure that the assessment process is more robust and information is gained from Healthcare professionals to identify illnesses that may prohibit Care Homes for Older People Page 3 of 8 admission under the present registration category at the home. Staff need to have training in meeting the needs of the person with mental health needs to manage ongoing support in the future. 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 4 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 5 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 3 14 Full information needs to be 28/08/2009 gathered on individual making an application to move into the home, as part of the assessment process. This is to ensure that all healthcare details are known so that a decesion can be made about whether the home has the registration category and staff skills to meet their ongoing needs. 2 30 18 The staff team must receive training in working with people who have mental health needs. To ensure that staff are equipped with the skills to meet the ongoing needs of the person admitted. 25/09/2009 Care Homes for Older People Page 6 of 8 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. If you would like a summary 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. 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!