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Archived: Cuerden Developments Limited - Cuerden Grange Residential Home Good

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Reports


Inspection carried out on 27 November 2017

During a routine inspection

Cuerden Grange Residential Home provides accommodation and personal care for up to 67 older people. Accommodation is provided on two floors. A passenger lift provides access to both floors. At the time of the inspection there were 57 people accommodated in the home. This unannounced inspection took place on 27 November 2017, and the service was rated ‘Good’ in all areas: "Good" overall.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection in April 2015, the service was judged to be in breach of the Regulations for infection control and recruitment. The home had made improvements since our inspection in April 2015. We had previously identified concerns which posed a risk of infection, for instance the kitchen on the first floor was in a poor state of repair and people were sharing hoist slings. These issues had been addressed. New kitchen surfaces had been provided or thoroughly cleaned, people no longer shared slings. This meant the risk of cross infection was reduced.

We also found that improvements had been made in relation to safe staff recruitment practices. The policies and procedures were now up to date, and recent recruitment had been undertaken in accordance with the Regulations.

Staff received supervision and appraisals were on-going, providing them with appropriate support to carry out their roles. Training records showed that staff had received training in a range of areas that reflected their job roles. The provider operated safe and effective recruitment procedures. Medicines were stored and administered safely.

The provider had systems in place to respond and manage safeguarding matters and make sure that safeguarding alerts were raised with other agencies. People said that they felt safe in the home and if they had any concerns they were confident these would be quickly addressed by the staff or manager.

Assessments were in place to identify risks that may be involved when meeting people’s needs. Staff were aware of people’s individual risks and were knowledgeable about strategies in place to keep people safe. There were sufficient numbers of qualified, skilled and experienced staff deployed to meet people’s needs. Staff were not hurried or rushed and when people requested care or support this was delivered quickly.

Where people lacked the mental capacity to make decisions the home was guided by the principles of the Mental Capacity Act 2005 to ensure any decisions were made in the person’s best interests.

People and where appropriate their relatives were involved in their care planning, Staff supported people with health care appointments and visits from health care professionals. Care plans were amended to show any changes, and care plans were routinely reviewed to check they were up to date.

People were treated with kindness. Staff were patient and encouraged people to do what they could for themselves, whilst allowing people time for the support they needed.

People knew who to talk to if they had a complaint. Complaints were passed on to the registered manager and recorded to make sure prompt action was taken and lessons were learned which led to improvement in the service.

The registered manager was supported by the service provider who was regularly in the service and who carried out a programme of quality assurance audits to identify areas of risk, and areas to maintain performance and drive improvement. The service had an open culture where people had confidence to ask questions about their care and was encouraged to participate in conversations with staff. Staff interacted with people positively, displaying understanding, kindness and sensitivity.

Inspection carried out on 26 and 27 February 2015

During a routine inspection

We carried out an inspection of Cuerden Developments Ltd – Cuerden Grange Residential Home on 26 and 27 February 2015. The first day was unannounced. We last inspected Cuerden Grange Residential Home on 23 May 2013 and found the service was meeting the current regulations. However, during this inspection we found the provider was required to make improvements to recruitment of new staff and the environment and equipment to reduce the risk of infection. We were assured during the inspection immediate action would be taken to address all issues.

Cuerden Grange Residential Home provides accommodation and personal care for up to 67 older people. Accommodation is provided on two floors in 61 en-suite single bedrooms and 3 double en-suite bedrooms. A passenger lift provides access to both floors. At the time of the inspection there were 56 people accommodated in the home plus an additional two people in hospital.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe and were well cared for in the home. Staff knew about safeguarding vulnerable adults and we saw concerns had been dealt with appropriately, which helped to keep people safe. However, we noted some aspects of the environment and equipment had the potential to expose people to the risk of infection. For instance we found the kitchen surface on the first floor was crumbling away and six people were sharing hoist slings.

As Cuerden Grange Residential Home is registered as a care home, CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) and to report on what we find. We found appropriate policies and procedures were in place and the registered manager was familiar with the processes involved in the application for a DoLS. At the time of the inspection no one living in the home was subject to a deprivation of liberty safeguard.

We found the arrangements for managing people’s medicines were safe. We found records and appropriate processes were in place for the storage, receipt, administration and disposal of medicines.

Staff had completed relevant training for their role and they were well supported by the management team. However, we found the recruitment and selection policies and procedures did not fully reflect the current regulations and a full employment history check had not been completed for a staff member. 

Staff were aware of people’s nutritional needs and made sure they supported people to have a healthy diet, with choices of a good variety of food and drink.

People had opportunities to participate in a variety of activities and we observed staff actively interacting with people throughout our visit. All people spoken with told us the staff were caring, compassionate and kind. We saw that staff were respectful and made sure people’s privacy and dignity were maintained.

Staff understood the needs of people and we saw that care was provided with kindness and compassion. People and their relatives spoke positively about the home and the care they or their relatives received.

Wherever possible, people and / or their families had been involved with the development and review of their care plan. We found the plans were detailed and covered people’s needs, any areas of risk and personal preferences. The plans had been reviewed and updated at regular intervals. This meant people were able to influence the delivery of their care and staff had up to date information about people’s needs and wishes.

All people, their relatives and staff spoken with had confidence in the registered manager and felt the home had clear leadership. We found there were effective systems to assess and monitor the quality of the service, which included feedback from people living in the home.

Our findings demonstrated two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.

Inspection carried out on 24 May 2013

During a routine inspection

During our inspection we were able to speak with eight people living at the home, who in general provided us with positive comments. They told us that they felt safe living at Cuerden Grange, with their needs being met by a kind and caring staff team. They said independence was promoted and they were able to make decisions and choices about what they wanted to do, whilst living at the home.

We found staff to be well supported and appropriately trained and those living at Cuerden Grange looked comfortable in their presence. We also spoke with two relatives who were very complimentary about the staff team and the managers of the home.

Methods for monitoring the quality of service provided had been established and systems had been developed in order to protect the health and safety of those living at the home.

Comments from those living at the home and some relatives included:

"My wife is being looked after very well. I am quite happy with the care she is getting."

"There could be a bit more going on."

"The staff are very good on the whole."

During our inspection we assessed standards relating to care and welfare and how people were supported to be involved in the planning of their own care. We also looked at the management of medications. Standards relating to staffing levels, staff training and monitoring the quality of service provision were also inspected. We did not identify any concerns in any of the outcome areas we assessed.

Inspection carried out on 4 April 2012

During a routine inspection

We spoke with a variety of people whilst we were at the home, including those using the service and their relatives. In general we received positive feedback about what life was like at Cuerden Grange and the facilities available.

Comments from people living at the home included:

"The staff are marvellous. I fell out of my chair once at night and the night staff were fantastic. They really looked after me well."

"I enjoy living here. It is such a friendly and pleasant atmosphere."

"My room is so comfortable and cosy. It is kept clean and tidy."

Comments from relatives included:

"My mum receives better care here than we could give her at home."

"It is a wonderful place. It is like home from home. We are always made to feel welcome when we visit."