Latest Inspection
This is the latest available inspection report for this service, carried out on 20th May 2010. CQC found this care home to be providing an Good service.
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 Heaton Grange.
What the care home does well People told us in the surveys and at the time of the visit to the home: What the home does well, "cleaning, cooking, the home does everything well to my satisfaction". " Staff work hard generally they do very well". " They listen to me about what I want to eat". " They care for me very well". " Staff sit and talk to us all the time, staff always ask could they do anything more for us". Staff said: " I think what the home does well is caring for each individual needs." " I enjoy working at the home it is a very relaxed atmosphere". " We deliver person centred care to our residents". "Help and support is always at hand for both people and staff". " Offer training, good communication with manager and staff". " The home meets my need by providing me with training, which help me to meet the needs of the people who I look after". What the care home could do better: One person and two staff felt that what the home could do better is more activities in house and in the community. Random inspection report
Care homes for older people
Name: Address: Heaton Grange 425(a) Toller Lane Heaton Bradford West Yorkshire BD9 4NN two star good 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: Valerie Francis Date: 2 0 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Heaton Grange 425(a) Toller Lane Heaton Bradford West Yorkshire BD9 4NN 01274494439 Telephone number: Fax number: Email address: Provider web address: sue.miller.hg@googlemail.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Miller Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Deepak Patel care home 20 Number of places (if applicable): Under 65 Over 65 2 15 3 dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 Heaton Grange is a single storey detached residence situated in the Heaton area of Bradford approximately 3 miles from the city centre. There are car-parking facilities to the front and the home is on a public transport route. A local shop is within walking distance. A patio and garden area has seating for the service users.
Care Homes for Older People Page 2 of 10 Brief description of the care home The living accommodation consists of an open plan lounge and dining area with a conservatory to the front of the home. Bedrooms provide single and double occupancy with bathrooms and toilets all based on one level. Disabled access is via a ramp to the front door. Information regarding the fees can be obtained from the home. Care Homes for Older People Page 3 of 10 What we found:
We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. 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. 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, 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. What other people have told us about the service. We sent surveys to the home for people using the service and staff. In total 8 surveys were returned, 6 from service users and 2 from staff. Some of the people who use the service surveys had been completed by relatives on their behalf. One inspector made an unannounced visit to the home. During the visit we talked to people living in the home about their experiences of living there, we spoke to staff and management, looked around the home and observed staff as they carried out their duties. The last key inspection was carried out on 23rd August 2007, four requirements and five recommendations were made following that visit. The home sent us a action plan telling us how they were going to resolve the issues. We have carried out an Annual Service review every year for the service. These reviews confirmed that the home was continuing to provide good and excellent outcomes to people using the service. The home 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. In their AQAA the home told us they: Provide a homely, welcoming comfortable environment for all service users and staff. Prospective service users are given enough info on the home to make sure they can make informed decisions. Service users are assessed prior to admission. The care plan details what the resident hopes to achieve, setting out realistic goals and
Care Homes for Older People Page 4 of 10 how we can assist them in achieving them. Pre admission assessments are carried out by the manger. Revised Service User Guide. People are given contracts/terms and conditions, which tells them what they can expect from the home and what the home expect from them. The home also told us in the AQAA: People who use the service are well looked after. They exercise choice in their daily lives and personal care. Care plans record their likes and dislikes. Each person has a nutritional assessment carried out and they are weighed monthly. Trained and experience staff administer medication. All people are treated with dignity and their privacy is always respected. New staff have a full induction in which privacy and dignity are covered. Each shared room has screening to promote privacy for individuals. During our visit we looked at one persons care file and we found that, each person has two files, one had confidential information which is shared with staff on a need to know basis the other is the care plan which outlines the persons assessed care and support needs. Care plans provide staff with good information about the persons needs and what action staff must take to meet peoples needs. There is also record of contact with health and social care professionals, body maps which record any marks or skin damage on the persons body. We saw that nutritional and falls risk assessments are carried out with care plans in place to support them. There was evidence that monthly evaluation of peoples care plans is carried out, the information was clear and gave a good account of any change in the persons needs during the month. If there are any changes a new care plan is put in place, outlining the care to be given. Medication and bed safety rail agreements are in place, which are signed by the person and or their representative. The home told us that they have a clear complaints policy and all complaints are responded to in a timely manner as per the procedure. The home also said they follow the Adult Protection procedure and inform all relevant parties when any suspicion or evidence arises regarding abuse or neglect. The home said in the last twelve months they have improved their complaints policy and
Care Homes for Older People Page 5 of 10 in each room there is an easy to read format that explains the complaints policy and procedure and how to make a complaint. Staff have received updated training on Adult Protection. The manager said staff are more aware of protection issues through information sharing and training. Staff are made aware of all update of policies and procedures. During our visit two relatives visited the home, with a view to moving their relatives into the home for a short time. We saw that people in the home are able to talk to people wanting to use the service and or their representative, to tell them about the home and their experiences of living in the home. We looked around the building and we found that the home was clean and free from odour. We saw that some people had taken the opportunity to personalised their room with memorabilia from their home. Although there are three bathing facilities only the shower is used, the manager said this is peoples choice. During our walk around the building we saw that the easy chairs in the communal sitting area were showing signs of wear and tear. The paint work was flaking from the wall and floor of the laundry room and needed cleaning and sealing. The wooden frame work of the outside link to the laundry room was rotting and foliage was growing around the wood work, the wood was broken and the plastic roof needed cleaning, the manager told us that the provider was aware of this and was in the process of looking at having this replaced. One bedroom which has a window that looks into the smoking room could compromise peoples privacy. This is an outstanding issue from previous inspections. We were told that a skylight window was to be fitted. The manager said the occupant at that time had some concern about the skylight being fitted. The manager said the registered provider was looking into a way of resolving the issue. We looked at one staff file and found that all the required checks are carried out such as CRB( Criminal Record Bureau) and POVA ( Protection Of vulnerable Adult) first checks. Two references are also taken up before any new staff start employment. The home uses local colleges in the locality for courses. The manager said the district nurses also provide them with training that is in line with peoples care needs. Staff have an annual appraisal and one to one supervision which we were told was ad hoc. The manager said she is available all the time and as the home is small staff have access to her at all times. Staffing levels of three during the day and two during the evening and two at night was said to be appropriate for the number of people at the present time.
Care Homes for Older People Page 6 of 10 We were told that the home is well managed and is run in the best interest of the people who live there. We were told that routine health and safety checks are carried out in the home and externally. Staff are given the training and information that they require to enable them to carry out their duties in a safe manner. 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 7 of 10 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 8 of 10 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 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 19 The registered provider should ensure that the issue of privacy relating the bedroom adjoining the smoking area is resolved. Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!