Care Home: The Grange Nursing Home

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What the care home does well All staff watch safeguarding DVD and have been made aware of signs of abuse and to look out for them. Staff are aware of pathway to use if they suspect or witnessed abuse in the Home. All staff are aware of legal requirement to report and document as appropriate their concerns or worries of abuse in its many forms. All complaints and safeguarding issues are taken very seriously at the highest level of management. What the care home could do better: The home could be more proactive in evaluation of training needs for adult protection on a regular basis. Implementation of any training need identified. Regular staff meetings to discuss any issues relating to safeguarding adults. Highlight publications of interest to raise awareness of all staff to the potential dangers or risks of abuse in all its forms. Random inspection report Care homes for older people Name: Address: The Grange Nursing Home 22 Grange Road New Haw Addlestone Surrey KT15 3RQ three star excellent 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: Mavis Clahar Date: 2 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: The Grange Nursing Home 22 Grange Road New Haw Addlestone Surrey KT15 3RQ 01932344940 Telephone number: Fax number: Email address: Provider web address: thegrange.nh@tiscali.co.uk Name of registered provider(s): Name of registered manager (if applicable): Mr D M Baily The registered provider is responsible for running the service care home 24 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 0 24 dementia old age, not falling within any other category Conditions of registration: 24 0 The maximum number of service users to be accommodated is 24 The registered person may provide the following category of service : Care home with nursing (N) to service users of the following gender; Either whose primary care needs on admission to the home are within the following category: Dementia (DE) Old age, not falling within any other category (OP) Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home The Grange Nursing Home is located in a residential road in New Haw, Addlestone. It is close to the town centre and all local amenities. The home provides nursing care for twenty four service users who are elderly. Accommodation is provided in single and shared bedrooms. There is an open plan lounge and dining area. The lounge overlooks a well maintained garden to the rear of the home. There is space at the front of the property for car parking. The weekly fees range from 500 to 550 pounds. Care Homes for Older People Page 3 of 8 What we found: This unannounced site visit, which forms part a random inspection to be undertaken by the Care Quality Commission, (CQC) was undertaken by Mrs. Mavis Clahar on the 28th May 2010 and lasted for five hours; commencing at 09:35 hours and concluding at 14:35 hours. The registered manager of the home assisted on this inspection. The CQC Inspecting for Better Lives (IBL) involves an Annual Quality Assurance Assessment (AQAA) to be completed by the service, which includes information from a variety of sources. This initially helps us to prioritise the order of the inspection and identify areas that require more attention during the inspection process. This document was received by CQC (us) and is referred to throughout the report. The comments received via the pre inspection questionnaires sent to service users and members of staff are also included in this report. The information contained in this report was gathered mainly from observation by the inspector, speaking with a limited number of service users, with the manager and with care staff. Further information was gathered from records kept at the home. The manager and staff are aware of the Laws regarding equality and diversity and this was reflected in the staff mix. Service users in this home are mainly British Caucasians service users with some Caucasians from other ethnic minority groups and reflect the population of the area in which the home is situated. We observed a calm and relaxed atmosphere within the home, with service users free to move around the home. The last key inspection of The Grange Nursing Home was carried out on 16th June 2007 when a star rating of Excellent was awarded. On this visit we looked in-depth at one outcome area. Complaints and Protection. Information instructing visitors to the home regarding how to obtain the Complaints policies and procedures was visible on the notice board in the lobby of the home. However during review of these documents it was found they were not fully up to date to include all the recent changes to the new regulatory bodys (CQC) office and telephone numbers. This was rectified instantly. During discussion with the registered manager and in review of the documents it was found that the complaints policy was not suitable robust to give the complainant a clear guideline of how the home would handle their complaints. The manager was able to discuss and explain the procedure she uses but this was not adequately documented and we agreed she would re-do this document after the visit Training records along with answers given by staff when asked about safeguarding adults practise in the home demonstrated staff are being trained in Safeguarding adults and that staff knew whom to contact if they saw or suspected any form of abuse to service users in the home. The AQAA informs the home has not received any complaints in the last year. In discussion with the manager, she explained that comments made by service users are acted upon immediately, so that the need to complain is reduced. However, the home has, since the submission of the AQAA received one complaint which is currently Care Homes for Older People Page 4 of 8 being investigated. We were told all members of staff are CRB and POVA first checked prior to being offered employment and this was supported by records reviewed on the day of the visit. Random sample of care workers training record demonstrated that care workers are being trained to undertake the duties of meeting the service users assessed needs, thereby protecting them from abuse. Service users spoken to said they have no need to complain, as they are able to discuss everything with the manager. The care workers were aware of the homes policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use the whistle blowing procedure they would be supported. It was observed that the homes guest information notice board situated in the main entrance of the home directed visitors to the managers office where copies of the complaints procedure and policy, whistle blowing policy, statement of purpose and a recent copy of the last Regulatory body (CSCI) inspection report could be had. 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 £ 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 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 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. © 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. 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