Care Home: The Grange Rest Home

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Annual service review Name of Service: The Grange Rest Home The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elizabeth Dudley Date of this annual service review: 3 0 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 11 Sackville Gardens Hove East Sussex BN3 4GJ 01273298746 Telephone number: Fax number: Email address: Provider web address:   suzanne.leahy@ntlbusiness.com Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The Grange Rest Home Limited Number of places (if applicable): Under 65 Over 65 0 26 The maximum number of service users to be accommodated is 26 The registered person may provide the following category 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 category : Old age, not falling within any other category (OP) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Grange Rest home is situated in a residential road close to Hove seafront. It is registered for twenty six residents who are older people aged over sixty-five years. Since 1989 the home has been privately owned. The building is Victorian and has been extended. There is a small garden at the rear that has a conservatory and paved area for residents and their visitors to use. Internally the building is spread over three floors with a passenger lift servicing each Annual Service Review Page 2 of 7 level. The first floor is split levelled with a few steps linking the residents accommodation. There are twenty -five single bedrooms, eleven of which have full en suite facilities. On the ground floor is a shared dining room close to the kitchen, and two sitting rooms. The front of the home is paved to enable visitors to park, however there is on-street parking and meter parking on the seafront. The pavements are suitable for residents who require a wheelchair. The home is close to the shopping area of Hove and all amenities including Hove Museum that has a teashop, the local library and Sussex County Cricket Ground. Information about the service, including the recently updated Statement of Purpose, Service Users Guide and CQC reports, is made available to prospective residents or their relatives, on request, as part of the admission process. The current range of fees at The Grange, as of 30th September 2009 range from £394 to £460 per week. The current fees do not include extra services such as chiropody or hairdressing and details of these are available from the manager. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? 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. Surveys returned to us by people using the service and from other people with an interest in 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. The last key inspection for this service took place on the 4th October 2007 and the last Annual Service Review took place on the 1st October 2008. What has this told us about the service? The home sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it, this was comprehensive and gave us sufficient information about the service. Following receipt of the AQAA, we spoke with the manager to confirm some details that may have changed during the two months since we received the AQAA, these details included current fees and number of staff who have attained the National Vocational Qualification. Prior to this Annual Service Review we sent out ten surveys to residents and ten to staff, of these five were returned from residents and four from staff. Comments from residents were positive: I fell in love with the home as soon as I saw it and I have always been treated well here. I am very happy here and they care for us well. Surveys from staff said that The atmosphere in the home is good for both residents and staff. We have both ongoing training and induction training and do our best to look after the residents well. There were two statutory requirements made at the last inspection and the manager confirmed that these had been complied with. The last inspection report told us that the home provides sufficient information for Annual Service Review Page 4 of 7 prospective residents and the AQAA told us that people are invited to come and spend time at the home before they decide whether they wish to live there. However, two of the surveys received from residents told us that they had not received sufficient information about the home before they came in. This was discussed with the manager who has confirmed that she will ensure prospective residents have information such as the Service user Guide when she assesses them prior to admission. The manager does an assessment prior to people coming to live at the home to ensure that the home can meet their needs. She has also given assurances that she will send written confirmation to prospective residents about whether the home can meet their needs, and therefore able to be admitted to the home. All residents have a plan of care which is commenced on their admission to the home. This is reviewed on a regular basis and formation and review take place with the individual resident or their representative. Surveys showed that residents were pleased with the care that they receive in the home and that the home brings in relevant health care professionals such as district nurses and general practitioners as required. The home operates a Key worker system, which means that a specific member of staff is designated to each resident. The home has a complaints policy, it has received no complaints in the past year, only minor concerns which have been addressed. Responses from the residents surveys showed that two people were unaware of how to make a formal complaint or of whom to talk to if they wanted to make an informal complaint. This was discussed with the manager who has said that she will ensure that all residents are aware of this. There have been no Adult Safeguarding Alerts in the past year, the majority of staff have received Adult Safeguarding training and training in this is planned for other members of staff. No members of staff have received training in the Mental Capacity Act or the Deprivation of Liberty Safeguarding and the manager tells us that she is in the process of arranging this. Evidence from surveys shows us that the standard of catering remains good, with residents saying they usually liked the meals at the home and that they have a choice of meals. Some leisure activities take place, and the manager said that residents preferences regarding their interests and types of activities they require are recorded. Residents are asked on a regular basis what type of things they would like to do. Due to some staff having left over the summer, outings for residents have been reduced. One survey said I think its a shame that people who get no visitors are not taken out in a wheelchair for a short walk. The AQAA told us that following requests from residents, more outside entertainers such as musicians are being brought in to the home. The last inspection report and the AQAA assure us that there are robust recruitment systems in place to ensure that residents are safeguarded. Staff receive the homes own induction programme but should staff who are new to employment in care be recruited the home would use the recognised induction course Skills for Care. Ongoing Annual Service Review Page 5 of 7 training is provided and 9 out of the 13 care staff employed have the National Vocational Qualification in Care at level 2,3 or 4. All staff receive mandatory health and safety training including fire training on a regular basis. The manager has not yet completed any form of management training and has given assurances that she will address this. Several of the staff have received infection control training and the manager is currently undertaking the infection control course with the Health Protection Agency to become the Infection Control Champion for the home ( this is a person who ensures that infection control practices in the home are in line with recent guidelines and research, and liaises with the Health Protection Agency). All staff have regular formal supervision and records are kept of this. The provider makes monthly visits to the home as required by regulation ( Reg 26 visits) and makes reports on these visits. The Care Quality Commission has not received notifications of deaths or events adversely affecting residents, as required by regulation (Reg 37), during the past year and the manager must ensure that these are sent in within 24 hours of occurrence. All the records available provide enough evidence to suggest that the home is continuing to look at ways to improve the delivery of care and how this can be better accomplished. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. The Commission is reasonably confident that this service is continuing to provide good standards of care, and will continue to monitor it through ongoing processes. A key inspection will be carried out by 30th September 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. 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