Care Home: Jonathan Grange Nursing Home

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well Jonathan Grange is a small home that provides a homely and friendly atmosphere. Staff turnover is low and this helps to ensure that there is a consistency in the care and support provided to people who live in the home. The environment was clean and tidy throughout and people living in the home told us they had been encouraged and supported to personalise their personal space. There was good information in place about individual care needs, and this helped staff to provide care and support in a way that suited individual lifestyle preferences. There was a lot of evidence throughout this visit of staff listening to people living in the home and responding positively about how they wished to live their lives on a day to day basis. People in the home and their relatives told us that they felt fully involved in developing their care plans and any reviews which looked at changes in care needs. This is a service that meets needs and values people as individuals. Comments from people living in the home and their relatives were positive and included: "Our admission was well managed, they had time to spend with us". "The staff here are very involved with the residents, they really know the residents needs and how they tick". "I think it`s brilliant here. They are really good with residents, they really know how to provide the right support". "The people here always seem relaxed and settled and staff can`t do enough for people living here". What has improved since the last inspection? The information in the Annual Quality Assurance assessment shows that this is a service that is committed to reviewing the quality of the service and developing action plans to address any shortfalls that are identified. There was evidence during this visit that improvements had been made to the environment and areas in the home had been redecorated and refurbished. The service had recently been working with the charity, `Action for Elder Abuse` in launching a new helpline. This enables people to use this free independent helpline to report any allegations of abuse. This means people in the home can bee confident that any concerns they have will be treated seriously and reported to the appropriate authorities. What the care home could do better: The manager was aware that the activity programme needed to be improved so that people in the home can access a wide range of activities that meets with their expectations and personal preferences.There have been no requirements made as a result of this inspection visit. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Jonathan Grange Nursing Home Micklehurst Road Mossley Tameside OL5 9JL     The quality rating for this care home is:   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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ann Connolly     Date: 1 5 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Jonathan Grange Nursing Home Micklehurst Road Mossley Tameside OL5 9JL 01457837288 01457837143 jonathangrange@schealthcare.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) : Southern Cross Care Homes Limited care home 28 Number of places (if applicable): Under 65 Over 65 10 8 20 dementia old age, not falling within any other category physical disability Additional conditions: 0 0 5 A minimum of 1 first level registered nurse to be on duty throughout each 24 hour period. In addition between the hours of 8 am & 12 midday, Mon - Fri there shall be 1 additional registered nurse on duty. No more than 24 places can be used for nursing care. No service user under the age of 55 years to be admitted into the establishment. Date of last inspection Brief description of the care home Jonathan Grange is a purpose built home, situated on the outskirts of Mossley. The home provides nursing and personal care for up to 28 service users. The home is owned by Southern Cross Care Homes Limited, a private company, and is under the day-to-day control of a full-time manager who is also a registered nurse. Care Homes for Older People Page 4 of 27 Brief description of the care home Accommodation is provided over two floors and consists of 28 single rooms, none of which have en-suite facilities, although toilet and bathing facilities are situated close by. There are four communal areas that provide space for service users to dine and socialise together. A pleasant seating area outside allows service users to enjoy the small garden/patio in safety and comfort. At the time of this report the fees ranged from Three hundres and fifty eight pound and eleven pence to six hundred and eight five pounds per week. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection that included a site visit to the home. The manager was not told beforehand that we were coming to inspect, this is called an unannounced inspection. This inspection looked at all the key standards and included a review of all available information received by the Commission about the service provided at the home since the last inspection. During the visit to the home a selection of records, care plans, policies and procedures were looked at. Discussions took place with the manager, staff working in the home, and some relatives. Discussion took place with them to find out what they thought about the home and what they felt about how the staff supported them. A tour of the building took place and residents were asked for their comments and views about the environment. Care Homes for Older People Page 6 of 27 Before the inspection, we also asked the manager of the service to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways that we get information from the manager of the service about how they are meeting outcomes for people using the service. The information provided on this occasion was detailed and comprehensive and showed us that this was an organisation committed to the ongoing development of the service and staff team so that residents in the home benefit from support which helps them to live a lifestyle that suits their individual preferences. Surveys were given to some residents and staff and there was a good response which gave us more information about this service. Since the last inspection visit which took place on 18th April 2007, the Commission have not received any recent complaints about the service. There was evidence during this visit that the manger was handling complaints well and followed correct polices and procedures for manging complaints and safeguarding issues. What the care home does well: What has improved since the last inspection? What they could do better: The manager was aware that the activity programme needed to be improved so that people in the home can access a wide range of activities that meets with their expectations and personal preferences. Care Homes for Older People Page 8 of 27 There have been no requirements made as a result of this inspection visit. 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place to assess and monitor individual needs, ensuring that an appropriate service is provided based on personal needs and preferences. Evidence: Three care plans were looked at during this visit. All of them contained a care needs assessment which was undertaken by the manager or senior staff member. The manager told us that the information obtained from the assessment and information provided by the placing authority was used to develop an informative care plan. Information in the Annual Quality Assurance Assessment (AQAA) stated that prospective applicants were encouraged to visit and spend time at the home so that they could experience for themselves life in the home and raise any queries. One visitor told us that the admission process for his relative was managed well. He confirmed that the manager was able to spend time to answer any queries and to Care Homes for Older People Page 11 of 27 Evidence: arrange a tour of the home. Following the assessment, all prospective applicants are provided with a letter confirming whether or not the service is able to offer a place and meet assessed needs. This means that before moving into the home people can be sure that their needs have been assessed and that the home has considered their individual needs. People making enquiries to the service are provided with a service user guide. This provides people with information about the staff team, their qualifications, management support and the facilities available. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on individual needs. The principles of respect, dignity and privacy are put into practice so that people living in the home can be confident that they will be well cared for. Evidence: Three care plans were looked at. The files included a comprehensive assessment and a detailed written care plan which was based on an individual assessment of needs. The care plans included risk assessments and information on moving and handling, pressure sores, nutritional assessments and dependency levels. Each individual care need was linked to a monthly evaluation of the planned care and support. Care plans focused on what people could do and the type of support they need to help maintain independence. Reviews were seen on the care plans and showed that where possible individuals and their families were included in the process. The review format included a list of the Care Homes for Older People Page 13 of 27 Evidence: people involved and identified any significant changes in assessed needs. The manager had used a creative approach in carrying out reviews, and on occasions had made telephone contact with relatives. This ensured that their views and feedback could be included in the review and meant that those relatives finding it hard to attend a formal review were still involved in the process if this was what the individual wanted. People in the home spoke positively about the care and support they received from staff. Comments included: Im well looked after and I feel safe. Staff are caring and they treat you right. In the last few months there been a real effort to see things from our point of view and asking us what we want. Staff are very good, they know what theyre doing. They are all good and the manager is brilliant, you can tell her anything. Relatives spoken to told us they felt involved and that the staff kept them informed. People spoken to expressed confidence that appropriate medical support would be obtained if necessary. There was written evidence in care plans to show that when appropriate people had access to medical practitioners and other healthcare services. During the visit, staff were seen engaging in meaningful conversation with people in the home and it was evident that they enjoyed a good relationship where individual wishes and preferences were respected. Medication was looked at and all medication was appropriately stored and procedures were in place for the safe administration of medication. Care Homes for Older People Page 14 of 27 Evidence: Care Homes for Older People Page 15 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the support they needed to live their chosen lifestyle. Evidence: The post of social activities co-ordinator was vacant, and the manager told us that they were currently recruiting to fill this post. In the meantime one of the care staff was temporarily responsible for co-ordinating activities. Photographic evidence was displayed around the home showing the recent activities that had taken place. Activities included, outside entertainers, bingo, games and quizzes. One member of staff was responsible for arranging monthly tea dances. Each care plan file included information on individual lifestyle preferences and listed the activities that individuals had chosen to participate in. This showed that people were being consulted about how they would like to spend their leisure and social time. The information also provided staff with information on how much support and help people needed in order to fully participate in these activities or outings. There were mixed feeling from people living in the home and their relatives about the Care Homes for Older People Page 16 of 27 Evidence: amount of activities available, but the manager is aware of this shortfalls and has shown us her action plans to address this to ensure that people are supported to enjoy a a lifestyle that is preferable to them. People in the home told us that they felt they were encouraged to maintain their independence and that staff helped them to take control over their daily lives. Comments from people about their experience of living in the home included: I find it alright living here. Staff are good, but I like to do as much as I can, I like it that way. Theres been a real effort from staff to see our point of view. One visitor said, Staff are really involved with residents, they really know their needs and how they tick. The meal was sampled during this visit. This was pleasantly presented and tasty. people told us that they were offered choices and all the people we spoke to were complimentary about the meals served in the home. Care Homes for Older People Page 17 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good safeguarding procedures so people who live in the home are able to express their concerns and be listenend to. Their rights are protected and they are protected from abuse. Evidence: Jonathan Grange has a written complaints procedure which is prominently displayed in the reception area of the home. The procedure is also available in the service user guide. The service maintains a complaints register that provides details of the complaint and the response to the complainant following any investigation. The information in the AQAA states that there have been no recent complaints and that there have been two adult safeguarding referrals to social services. Documentation shows that these incidents were managed appropriately and policies and procedures were followed. The Commission has not received any recent complaints about this service. People spoken to expressed confident in raising any issue of concern with a member of staff or the manager. there was a positive approach to listening to the views of people living in the home and responding in a way that resulted in a positive outcome for the individual. Care Homes for Older People Page 18 of 27 Evidence: Staff who were spoken to had a good understanding of safeguarding procedures and know what to do in the event of an allegation of abuse. training in safeguarding was given in the induction period and followed up with formal training. The service had recently been working with the charity, Action for Elder Abuse in launching a new helpline. This enables people to use this free independent helpline to report any allegations of abuse. This means people in the home can bee confident that any concerns they have will be treated seriously and reported to the appropriate authorities. Care Homes for Older People Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A clean, pleasant and comfortable environment in pleasant surroundings is provided for people living in the home. Evidence: During the visit to Jonathan Grange a tour of the building took place and this included looking at a selection of bedrooms. The bedrooms seen were furnished to a good standard and had been personalised to reflect individual tastes. All the rooms looked at were clean and tidy and there was a fresh smell throughout the building. There was evidence of a rolling programme of redecoration and refurbishment. Information in the AQAA stated that a number of bedrooms had been redecorated and the ground floor and first floor corridor and dining room had been decorated and there was evidence of this improvement work seen during this visit. Polcies to ensure the health and safety of people living and working in the home were in place, and the fire records showed that training , drills and checks were up to date. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing arrangements, recruitment and training ensure that people are cared for and supported safely. Evidence: During this visit there were sufficient staff on duty to meet the needs of people in the home. One relative told us that there always seemed to be enough staff on duty and that they were always around to provide help and assistance. The manager told us that she divides her time and spends approximately half of her hours working with staff, and the other half is committed to managerial duties. She feels this visible presence has enabled her to get to know residents and relatives and provides opportunity to monitor day to day care practice in the home. During this visit there were four care staff on duty. The manager is supported by a deputy manager. Staff who were spoken to told us that they had plenty of training and development opportunities. At the time of this visit there were a total of 10 care staff, the manager told us that three of them had NVQ Level 2 or above and a further three staff had been enrolled on NVQ Level 2. A selection of staff files were looked at and the required documentation and checks were evident of files. This means that people in the home can be confident that staff Care Homes for Older People Page 21 of 27 Evidence: have gone through a robust recruitment process and have the right checks and skills required for their roles as carers. People in the home and their relatives were very positive about the support provided by the staff. comments included: The staff and management here are good and I feel they are meeting needs well. Staff are very good, they know what they are doing. Staff are very involved with the residents, they really know them. I think its really good here , they ( the staff) are really good with residents they really know how to support them. It was evident from talking to staff that they had a good understanding of safeguarding procedures, and knew what to do in the event of an allegation of abuse. Induction covered an introduction to safeguarding procedures and the training programme covered formal training in safeguarding procedures. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interest of the people living there,a are policies and procedures are in place to ensure their health, safety and well being. Evidence: The manager of the home has the experience and qualifications required to carry out her role in the home and she holds the Registered Managers Award. She works alongside nursing and care staff and is involved in all aspects of care provided to the people living in the home. The manager was able to demonstrate that good procedures were in place to monitor care and nursing practices in the home. She is responsible for auditing all aspects of care including medication audits, health and safety and care plans. This means that people can be confident that the home is being managed in a way that ensures their best interests at all times. Care Homes for Older People Page 23 of 27 Evidence: Service user and relative feedback forms were seen. The manager told us that these were sent out regularly so that the views and opinions of those using and involved with the service could be used when planning and developing the service. There was evidence that staff received regular formal supervision, and staff told us that they felt they could approach the manager at any time with issues of concern. The manager holds regular meeting where people in the home and relatives can approach her to discuss any issues. One relative said, The manager is very open about any concerns, I feel the senior management here is very good. Policies and procedures were in place to ensure the health and safety of all people living and working in the home. Documentary evidence in the AQAA showed us that these were regularly updated and reviewed. Care Homes for Older People Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 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, Care Homes 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 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!