The Care Quality Commission

Archived: Autumn Grange Residential Home

19-29 Herbert Road, Sherwood Rise, Nottingham, Nottinghamshire, NG5 1BS (0115) 841 7470

Provided and run by:
Sherwood Rise Limited

Important:

In August 2016 we carried out of an internal review looking at our inspections of Autumn Grange Residential Home in 2012 and the regulatory action we took.

All Inspections

2 November 2012

During an inspection in response to concerns

We spoke with seven people who used the service; two visitors and seven staff. The visitors were mainly positive about the quality of care provided. We asked, "Do you think the staff meet people's needs?" They replied, "Yes I think so," and "From what I've seen the staff are lovely."

We were told by one person who used the service that things had changed at the home and this had affected their enjoyment of living there. We were told, "I liked it at first, but not now." Another person told us, "Staff hardly come to me," and "They don't normally pay attention to me."

The staff we spoke with were not confident about people's care needs and we were not confident about the arrangements in place to meet these needs. Staff did not fully understand people's needs around their pressure area care and their nutrition and hydration. This meant that people did not always have their needs met and this affected their health and wellbeing.

We were very concerned about the culture of recording and reporting safeguarding issues and significant improvements were needed to keep people safe from harm or abuse.

We also identified concerns about standards of cleanliness and infection control, the provision of suitable equipment to meet people's needs and how concerns about the quality of care and other services were handled.

The provider had not picked up on these issues and as such had failed to identify, assess and manage risks to people living at the service.

13 September 2012

During a routine inspection

We spoke to four people and two relatives during our visit. We observed care being delivered and care workers were available to supply care and support.

People we spoke with told us they were happy at the home and there was nothing wrong with it. One person said, 'The management were all right and they got on with everyone, they worked hard.'

People were complimentary towards the staff. They told us most of the staff were OK and treated them well.

The person in charge told us they had been recruiting new staff to the home and as part of this process they had invited a person who used the service to be involved with the interviewing of potential new staff. This would help to ensure staff was able to meet and understand the people's needs.

The home was undergoing a refurbishment at the time of our visit. The person in charge told us they had moved all the people out of one of the units before they started the refurbishment. We were told this had been discussed with the people who used the service and their families. Family members we spoke with confirmed they had been consulted.

Each person had their own bedroom with privacy locks so they could lock their door if they wished. Each room had the persons name on the front of the door to identify whose room it belonged to.

18, 19 April 2012

During an inspection looking at part of the service

Due to previous breaches of regulations we visited to review improvements in cleanliness, maintenance and records.

We found improvements had been made with all areas being clean with the exception of some commode seats and frames which had not been thoroughly cleaned. People using the service had not noticed these themselves and care staff told us that generally cleanliness of the home had improved over the last few months. Following our inspection visit a new system, of having the commodes steam cleaned once a week and replaced daily when needed, had been put in place to provide hygienic and clean equipment for people to use.

We did not ask people that lived there about maintenance of the premises, but we saw for ourselves that work had been carried out to make some improvements for people. We had concerns that not all action had been taken as a result of identified risks from a fire risk assessment as this meant that people using the service, their relatives and staff could be at risk in the event of a fire.

We observed staff writing care records and saw a sample of up to date records about people living there. Other records relating to maintenance and staffing were incomplete or missing.

13 March 2012

During an inspection looking at part of the service

We issued a warning notice to the providers of this service in this outcome area following our last inspection of the service. This was because for the second time standards of cleanliness and hygiene were not being maintained in all areas of the home. On this occasion we found evidence of some significant improvements, but also of some continuing breaches of this regulation.

There was significant improvement in the cleanliness of facilities for people living there.

However, we found a shower chair that had not been cleaned and some personal items and prescribed creams had been left in bathrooms. There was also some soiled clothing on one bathroom floor.

For one person, equipment we previously found soiled was now clean and instructions were in the care plan about ensuring cleanliness. This person had also moved to a different room and was satisfied with the new surroundings. In another person's room we saw a commode that had been emptied, but the frame and seat remained soiled.

Relatives reported an improvement in cleanliness generally.

1 February 2012

During an inspection looking at part of the service

People told us that staff helped them with their personal care and that they were happy with the care being provided. All the people we saw were wearing clean clothes.

One person told us, 'All the staff are lovely here.' Another person said,' I've not been here long, but all is good so far.'

With regard to food and nutrition, one person told us, 'They ask me what I want for dinner and they always bring what I like'. Another person said 'The food is very good.'

We observed care workers were available to provide assistance and support to people during the meal time.

We asked people who used the service if they felt safe. One person immediately answered 'Yes, they look after us here'. Other people agreed.

Each person had their own bedroom, but we found people were living in accommodation and using equipment which had the potential to spread infection.

People told us that the staff were 'very helpful,' and knew how to care for them.

We looked at the care files for five people and found that some lacked detail, but all were held confidentially and stored in an office, accessible only by staff.

8 March and 7 April 2011

During an inspection in response to concerns

We observed people using the service sitting quietly in the lounges. There was very little interaction between people using the service and some mostly slept through the day or watched the television. One person said that they would really like to have meetings with other people and said 'I go out with my family but don't go on trips with the staff.' Another said, 'There is not a lot of stimulation here.'

In one unit we were told that lunch would be served at the usual time of 12noon to 12.30pm. We saw that some people using the service were taken into the dining room at 12.30pm, but that they did not receive their lunch or a drink until 1.20pm, as the trolley was being used in the other unit. During this time some people using the service were asleep at the table and two people using the service became agitated with each other. People did not have any specialist plates or cutlery to help them eat their meals more easily.

People told us they liked their bedrooms and they were kept clean by staff. We looked at the bedrooms of three people using the service and we found that they were personalised, clean and homely. There was a photograph of the relevant key worker on each bedroom door so that people and their relatives would know which staff to speak to.

People told us they did not have any complaints about the staff and one said, 'The staff work very hard, they are brilliant.' Another said, 'I don't ask for much but when I do ask staff then they do it for me.'