You are here

Sussex Grange Residential Care Home Good

All reports

Inspection report

Date of Inspection: 13 August 2013
Date of Publication: 26 September 2013
Inspection Report published 26 September 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 13 August 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

People expressed their views and were involved in making decisions about their care and treatment. People we spoke with told us that they retained control and choice. They said staff always asked them how they wanted things done and responded to requests whenever possible. One person said, "We can ask for anything we like and they try their best. Obviously, they have to make sure that everyone else is happy to but as far as possible they let us do what we want."

When we went around the home we saw that staff spoke courteously and respectfully to people. We noticed that staff used touch as a means of communicating warmth and affection. Some people's doors were open but we were assured this was from personal choice. One person said they felt isolated with the door shut all the time. We saw that staff knocked on doors and waited for a response before entering, even if the door was already open.

We saw the minutes of several residents meetings. One meeting was held in May with 10 people plus staff, including the manager and the provider attending. One of the issues raised concerned the doors and windows from people's bedrooms to the gardens. We saw that the provder had responded to this and changed the doorframes.

People living at the home had been supported and encouraged to discuss their wishes, should their condition deteriorate. We saw that people had discussed advanced care planning with staff from the home, so that their wishes regarding the level of intervention they wanted as they approached the end of their life was recorded. Some people had made it clear that they wished to remain at the home, being cared for by staff who they knew with the support of their GP and the community nursing service. It was clear from the records that we saw that these decisions were supported but did not prevent the staff from seeking hospital care for an unexpected but treatable condition. The relatives of one person who had died at the home wrote afterwards and said, "She loved her room and everyone treated her with kindness, dignity, respect and a warm understanding."

People were supported in promoting their independence and community involvement. We saw one person's care record had recorded that they had been accompanied to a hospital appointment by a staff member. This enabled the person to be fully involved in the decisions regarding their treatment but also meant that the member of staff could explain things again, if necessary.

People told us about how they were encouraged to continue to be involved in their local community. One person said. " I still get out to church on Sundays; that is really important for me as I have always been a practising Christian." Another person mentioned outings they had enjoyed to the theatre or for a pub meal. We were also told about a 'Boys night out' that had been arranged as the men were very much in the minority and wanted to do something that was traditionally a male activity. A trip to a suitable show and the pub was arranged with the provider being the male member of staff that took them.

When we looked at one record of staff supervision we saw that the manager had reminded the staff member to make sure they offered people a choice of drinks, even though they usually had the same drink every day. The staff member was told never to assume what people want but to ask them. We saw from later records that the manager had checked to see this was being done and made a positive comment to the staff member about the change in their practice.

Staff were provided with training in equality and diversity and the Mental Capacity Act 2005. Some staff had completed a course called 'Positive about you' which encouraged them to look at people in care homes as individuals.