Care Home: The Grange Nursing Home

Similar services:

• Flint House
• St Vincents
• The Cotswold Home
• Fairways
• Winton House
• Treloar College
• Rush Court

What the care home does well We find that the statuary requirement notice is met What the care home could do better: In order to demonstrate your ongoing and continuing compliance in this matter you must ensure that the systems that have been put into practice in The Grange Nursing Home are embedded into the daily practice of all staff who handle medicines. Random inspection report Care homes for older people Name: Address: The Grange Nursing Home 72 Upper Northam Road Hedge End Southampton Hampshire SO30 4EB one star adequate 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: Geraldine Yates Date: 0 7 0 7 2 0 1 0 Information about the care home Name of care home: Address: The Grange Nursing Home 72 Upper Northam Road Hedge End Southampton Hampshire SO30 4EB 01489790177 Telephone number: Fax number: Email address: Provider web address: carolynr@tgnh.co.uk Name of registered provider(s): Mr Roy Clive Northover,Mrs Heather Northover,Mrs Angela Louise Northover Name of registered manager (if applicable) Mrs Carolyn Sarah Ryves Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Conditions of registration: The maximum number of service users to be accommodated is 63. The registered person may provide the following category/ies of service only: Care home only - (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 (OP) Physical disability (PD) Dementia (DE) Date of last inspection Care Homes for Older People Page 2 of 8 care home 63 Over 65 0 63 0 0 0 0 Brief description of the care home The Grange is a care home providing personal care and nursing care for up to 63 people over the age of 65 years and who may also have a physical disability or have a terminal illness. The Grange is owned by three partners and is a family business. It is located in Hedge End a large village close to the edge of the city of Southampton and there is easy access to motorway links. The home is close to shops and other community amenities. The establishment was purpose built and opened in 1991. It is a three storey building that has a large open communal lounge dining room on the ground floor and another two lounge diner areas on the first floor and lower ground floor. There are 2 passenger lifts that provide access to the first floor. There is a large well maintained garden with a patio area that is accessible to people living in the home. The home has a website and people interested in living there or staying for a short respite stay are provided with a brochure containing information about the service that it provides and are encouraged to visit. Care Homes for Older People Page 3 of 8 What we found: The reason for this inspection was to assess compliance with the requirements made in the two Statutory Requirement Notices, both dated 7 June 2010. A Statutory Requirement Notice is a legal notice, which is served on the provider when there has been a breach of regulations. The notice describes which regulations have been broken and what the provider must do to put right the breach; it also gives the date by which this must be done. We then follow up the notice by visiting the service to make sure that actions have been taken to meet the requirements and regulations. The requirements in these notices were made to make sure that residents health was not at risk from poor medication practices. The service was required by 20 June 2010 to: 1. Put in place a system to ensure service users receive their medicines as prescribed by their general practitioner. 2. Put in place a system to ensure all medicines administered in the home are correctly recorded with instances of non administration or service users refusal adequately recorded on the service users MAR chart. 3. Put in place a system to ensure sufficient stocks of service users medicines are maintained in the home at all times to ensure service users receive the medicines as prescribed by their general partitioner. During this inspection we talked to the manager about the systems that had been put in place, looked for documentary evidence that the systems described were in fact in place and looked at the service users medication administration records (MAR) and their medicine supplies to see that the required outcomes were being achieved. The manager told us that in June they had put in place a medication incident and audit system. Standard operating procedures have been written for handling specific incidents so that they will be dealt with consistently, whoever investigates them. Any issues identified are being classified as low, moderate or high and by whether they related to prescribing, dispensing or administration. We looked the the audits and saw evidence of the actions that had been taken when an issue had been identified. The whole service is audited on a monthly basis, plus there are additional stock counts at a minimum of weekly. From what we saw whilst in the service these stock counts were taking place more regularly at present. Policies relating to the safe handling of medicines have been reviewed and are undergoing further review since changing pharmacy supplier. The records of medicines given to people and medicine supplies were looked at in detail for 11 people over all three floors. Clear records were kept to show when people had their medicines. If people were not given a medicine or they refused a dose this was clearly recorded with the reason why the medicine had not been given. Additional records were kept of medicines received into the home, the balances of any stocks brought forward from one cycle to the next and of any medicines destroyed. We counted some medicines to see that the expected amount was in stock against the records in the home of Care Homes for Older People Page 4 of 8 medicines received and given to people. In all cases these showed that people were being given the correct amount of the medicines. In addition, any checks we made correlated with the checks that they home had made. This gives us confidence that if the home continues to operate the systems they have instigated they will sustain the improvements that they have made. From this visit it is clear that action has been taken to meet the requirement of the statutory requirement notice. 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 3 14 Pre admission assessments must be carried out on all prospective residents by a suitably trained person. Residents will be confident that their assessed needs are known and that they can be met if they live at the service. 31/12/2009 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. 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!