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Sussex Grange Residential Care Home Good

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Inspection report

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

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

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

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. We looked at the care records of six people. We also spoke with people living in the home, four relatives and a community nurse. People told us that they received good care and that their needs were met. One person's relative said, "Mum thinks the staff and other people here are her family now. She is really happy and really well cared for." They went on to explain that the home was some distance from where they lived but they would rather drive an hour each way to ensure their mother was being well cared for.

Each person had a folder in their room that contained a record of the care they had received and any assistance they had been offered. The files were comprehensive and showed us that when staff assisted people to wash and dress each morning that they also made sure that people were wearing their glasses and hearing aids, if necessary. The records provided evidence that people were offered assistance to bath or shower regularly. As we went around the home, we saw that people were well groomed and dressed appropriately for the weather. Some women were wearing make-up and jewellery whilst others carried handbags. People had neatly styled hair and the men were shaven.

The care records showed us that staff had considered and assessed the extent to which each person was at risk of falling. Where the risk assessment showed someone was at increased risk of falling, a care plan was created to reduce the risk. We noticed that there were also more general steps taken to reduce the number of falls in the home. People were all wearing well fitted shoes or sturdy slippers. We saw that people who required assistance when moving around the home were reminded to ring their bells for assistance before attempting to stand. The records also indicated that staff had noticed the rubber ferrules on the base of one person's walking frame were worn and that they had arranged for these to be replaced. We also looked at the minutes of a staff meeting where staff were reminded to make sure people had their walking aids to hand and to encourage people to use them. We looked at the accident and incident records for the home. We saw that one person had fallen several times and that this had triggered the staff to consider why this might be. The GP was asked to review the person's medication as it was felt that this might have made them more unsteady on their feet.

We sat in the lounge and observed how care was being provided and the relationship between staff and people living at the home. Initially, a group of people were taking part in a quiz session. The staff member leading the session had motivated most of the people present to join in and provided prompts to people who were struggling to recall the answers. Another two staff members were circulating around the room offering additional drinks and reminding people to drink more as it was such a hot day. As they carried out their work staff chatted with people, picked up dropped items and rearranged cushions to make sure people were comfortable. As the quiz ended, the manager brought a tray of glasses and a bottle of sparkling wine into the lounge. People were asked whether they would like a glass of wine for 'the toast'. Orange juice was offered as a non alcoholic alternative but most people chose the wine. One person explained that the practice of having a weekly toast had started as a celebration of the recent birth of HRH Prince George but now they found something to toast each week. We were told that this week's toast was to celebrate the safe return and good health of the home's eldest resident, who had been in hospital. The toast was followed by a very enthusiastic, impromptu, singing session.

We spoke to people who remained in their own room and were told that this was their preference. One person said that they found it difficult to hear the television properly if othe