Latest Inspection
This is the latest available inspection report for this service, carried out on 16th April 2010. CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Woodfield Grange Nursing Home.
What the care home does well The manager and the staff team have worked hard to make the improvements we said were needed. They have also maintained the good standards in delivering care and support that we saw developing at our last visit. What the care home could do better: Woodfield Grange has improved as a result of the leadership and management of the home. The re-furbishment has made it a more comfortable environment for people and responses to requests for information are prompt. The planned refurbishment of the home should continue to make it more comfortable for the people who live there. They must make sure that all recruitment is properly managed in the future to make sure people who live at the home are properly protected. There must be an appropriate number of nursing staff available to meet the needs of the people who use the service. This will make sure people`s needs are properly met by staff who have not been subject to the effects of working excessive hours. The manager must inform us, in writing, when the new nursing staff start work at the home. This means we will know if there are enough nursing staff available to meet people`s needs properly. The hours that the nursing staff are working must be monitored. This will make sure people are cared for by staff who are not over tired. Further use of agency staff should be considered until permanent nursing staff are fully recruited. Random inspection report
Care homes for older people
Name: Address: Woodfield Grange Nursing Home Saddleworth Road Greetland Halifax West Yorkshire HX4 8NZ 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: Dawn Navesey Date: 1 6 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Woodfield Grange Nursing Home Saddleworth Road Greetland Halifax West Yorkshire HX4 8NZ 01422377239 01422311863 manager.woodfield@aermid.com www.aermid.com 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) : Aermid Health Care (UK) Limited care home 36 Number of places (if applicable): Under 65 Over 65 36 old age, not falling within any other category Conditions of registration: 0 Can provide accommodation and care for one named service user under 65 years of age. Date of last inspection Brief description of the care home Woodfield Grange is a care home with nursing, providing accommodation and care for 36 older people. The home is situated on Saddleworth Road and is approximately half a mile from the local shops and facilities in West Vale. There is a patio area to the front of the building where people can sit out in good weather. There are car-parking facilities to the side of the building; the car park is on a very steep slope. Accommodation at the home is arranged over three floors. There is one very large lounge on the ground floor that is divided into two sections by the arrangement of the chairs. The dining room adjoins the lounge on the ground floor. Each floor can be
Care Homes for Older People Page 2 of 11 Brief description of the care home accessed by passenger lift. There are 34 single bedrooms and one double bedroom. None of the bedrooms have en suite facilities. The current fee levels are available by contacting the manager of the home. Care Homes for Older People Page 3 of 11 What we found:
On 9th December 2009, we carried out a key inspection so we could look at all of the outcome areas and reassess our quality rating of the home. At this inspection we gave the home a rating of 1 star and said they were providing people with an adequate service. We also made three requirements and asked the home to provide us with a plan of how they were going to meet these. On the 16th April 2010 we returned to Woodfield Grange and carried out a random inspection to check on progress with the requirements we made. People who use the service spoke highly of the home. These are some of the things they said: I like it very much here Quite satisfied thank you Very nice place. People looked well cared for clean, tidy and well groomed. One person said, We are all looked after very well, ask for anything and we get it. Another said, This is a really caring place. Staff were patient, gentle and kind when interacting with people. They were discreet and respectful of peoples dignity when attending to any personal care needs. They seemed to have plenty of time for people. On the day of our visit people were enjoying a variety of activities. These included art work, jig saws, board games, sitting in the garden and generally interacting with staff. One person said, I love to get out in that nice garden. At our last inspection we said, that the provider must inform us of outcomes of safeguarding investigations if we ask for this information. This has now been done and they are aware of any future responsibilities they have. At our last visit to the home we also said that the plans to refurbish the home must continue to make it more comfortable for the people who live there. We took a tour of the home and saw that the planned second stage of the refurbishment was almost completed. The ground floor and downstairs bathrooms have been decorated in contemporary colours making them look welcoming, warm and less clinical. They also have new flooring. The homes central heating has been partially renewed, with many rooms having new radiators. The dining room has new modern, non-slip flooring and new curtains are ordered. This room looks attractive and bright with nicely laid tables. The manager said she had bought new cutlery, crockery and table decorations too. Most of the bedrooms in the home have had new carpets and a large number have had a complete refurbishment. This has included new furnishings and good quality colour coordinated bedding, curtains and armchairs. Some of the bedrooms have also got high low
Care Homes for Older People Page 4 of 11 beds and special mattresses to relieve pressure for those that need them. The manager is now planning for the third and fourth stage of the refurbishment. This will include the refurbishment of all the remaining bedrooms. Bathrooms and toilets on the top floor to be redecorated and the hall, stairs and landings to be redecorated and carpetted. She is also in the process of developing what they call the Garden Room. A quiet area, off the main lounge where people will be able to relax and enjoy the views of the garden. It is important that this refurbishment continues for the comfort of the people who live there. People who use the service were very positive about the staff. Their comments included: The staff are very nice They always get extra staff if we need them Very nice and plenty of them about. At our last visit, we said, there must be an appropriate number of nursing staff available to meet the needs of the people who use the service. We said that this would make sure peoples needs are properly met by staff who have not been subject to the effects of working excessive hours. The manager said they had worked hard to recruit nurses since that time. She has now recruited two more nursing staff. However, due to circumstances beyond her control, they have not yet commenced work at the home. She has also used several agencies to try and fill some of the nursing hours. She said some of these staff had proved unreliable and not of the calibre needed for the home. This has resulted in the manager and the nursing staff continuing to work excessive hours, up to 50 or 60 each week. We discussed this with nursing staff who said they were not forced to work in this way but wanted to in the short term so that the people who live at the home receive consistent care. They said they felt capable of this and were aware that two new staff had been recruited. One said, I feel the manager is doing everything that can be done, we want the right people, we cant just have anybody. They also said that they felt well supported by the manager and area manager and knew if the workload was not manageable they could speak out. The manager said that the organisation was supportive of the staff in working these hours at the moment. She also said she was expecting one of the new nursing staff to start work within the next two weeks and then staff would not be working the excessive hours. The manager must inform us, in writing, when the new nursing staff start work at the home. This means we will know if there are enough nursing staff available to meet peoples needs properly. A meeting has taken place about the new rota which will be worked when the new nurses start. They will be changing to shorter shifts with more staff on at peak times in the morning to meet the needs better of people who use the service, especially those who are early risers. Other staff who work in the home said that nurses work long hours but never seem over
Care Homes for Older People Page 5 of 11 tired. One said, No-one ever complains and there is no suggestion of standards slipping or anything. Other comments included: They always seem fresh and alert and are always there for us They never show if they are tired and it doesnt reflect on their work There is enough of us to make sure we give them good support We help them well because there is plenty of us They practice what they preach, have good standards and expect that of us. The home is not fully occupied at the moment. On the day of our visit there were 17 people living at the home. Staff and the nursing staff said this was also a factor that meant the workload was reduced. The manager said she assesses and monitors staffs cababilities regarding the hours they and herself are working. She assurred us that noone is being placed at risk, that regular breaks and days off are taken and that some annual leave had also been taken or was planned to be taken. We have now extended our timescale on the requirement we made at our last visit as we saw evidence of the efforts made to recruit more nursing staff. The hours that the nursing staff are working need to be monitored though, by the manager and the organisation to make sure people are cared for by staff who are not over tired. Further use of agency staff should be considered until permanent nursing staff are fully recruited. Since our last visit we received information that the home had employed nursing staff without the full recruitment check of the CRB (Criminal Records Bureau). This practice does not protect people properly and could leave them vulnerable if unsuitable people are employed. We discussed this with the manager. She said it had been an oversight on her behalf. We checked the recruitment records of some people recently recruited. We could see that this is now managed properly. However, we noticed that one person had not given their last employer as a referree. The manager explained the reasons for this. It would be good practice to record information like this to demonstrate how recruitment is carried out thoroughly. The manager of the home is now registered with us which means someone is accountable for the day to day running of the home. Staff spoke highly of the manager. Their comments included: Jenny has done really well for the home and the residents She supports us well and you can talk to her easily She has made the atmosphere here fantastic, I really like coming to work. The manager said she gets good support and regular visits from her area manager. What the care home does well:
Care Homes for Older People Page 6 of 11 The manager and the staff team have worked hard to make the improvements we said were needed. They have also maintained the good standards in delivering care and support that we saw developing at our last visit. 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 11 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 11 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 1 27 18 There must be an 30/06/2010 appropriate number of nursing staff available to meet the needs of the people who use the service. This will make sure peoples needs are properly met by staff who have not been subject to the effects of working excessive hours. 2 27 18 The manager must inform us, in writing, when the new nursing staff start work at the home. This means we will know if there are enough nursing staff available to meet peoples needs properly. 30/06/2010 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 planned refurbishment of the home should continue to make it more comfortable for the people who live there.
Page 9 of 11 Care Homes for Older People 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 2 27 Further use of agency staff should be considered until permanent nursing staff are fully recruited. Care Homes for Older People Page 10 of 11 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 11 of 11 - 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!
