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Autumn Grange Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 August 2019

About the service

Autumn Grange Nursing Home is a care home providing personal and nursing care to older and younger adults and people living with dementia. The service is provided in one adapted building, over two floors. There were to 53 people using the service at the time of the inspection; this included two people who were staying at the service for respite care. The service can accommodate up to 54 people.

People’s experience of using this service and what we found

The meal time experience for some people, did not ensure their individual needs were met in a timely way, to ensure they had a positive meal time experience. This related to the numbers of staff available to support people at meal times, adaptive cutlery being available to support people to remain independent when eating, and the amount of time people had to wait for their meal.

The previous management of the home had not been effective in identifying where improvements were needed. The provider’s governance and oversight of the service identified over a two-month period that improvements were needed. The provider implemented an action plan to address this and has implemented a greater oversight of their governance systems to monitor the management of the home more closely . At the time of the inspection a new manager was in post, who was working to address many of the areas that required improvement.

Accidents and incidents were analysed by senior management to look for any patterns or trends. However, the manager advised us that this information was not fed back to them. This meant the manager did not have this information to support them in minimising the risk of future incidents. Identified risks were assessed, but there was insufficient evidence that they were managed well, to promote people’s safety. We made a recommendation to the provider about the management of falls.

Overall the environment met the needs of the people using the service, but some bathrooms were used for storage; making them inaccessible to people that may wish to use them. We also identified that people living with dementia on the first floor; were not able to freely access the secure garden area. They also did not get a choice of where to eat; as everyone was supported into the dining room for their lunch time meal. This meant that some people were not fully supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.

People were safeguarded as staff received training and understood their role in reporting any concerns to protect people from harm. People were supported to take their medicines as prescribed. Recruitment checks looked at the suitability of staff to protect people that used the service. Staff received training and support to enable them to undertake their job and support people safely. Infection control procedures were followed to minimise the risk of people acquiring an infection.

People told us, and we saw that meal choices were available to them and people’s preferences and dietary requirements were met. Drinks were available to people throughout the day and where needed people were prompted to drink, to ensure they remained hydrated.

When people were unable to make specific decisions about their care; assessments were completed with the relevant people, to ensure decisions were made in their best interests. People and their representatives were involved in their care to enable them to receive support in their preferred way; this included support with decisions regarding end of life care. Healthcare services were available to people and they received coordinated support, to ensure their preferences and needs were met regarding their healthcare needs.

People were provided with opportunities to take part in social activities, to enhance their well-being. Information was a

Inspection areas

Safe

Requires improvement

Updated 6 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 6 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 6 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 6 August 2019

The service was not always well-led.

Details are in our well-Led findings below.