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Scarsdale Grange Nursing Home Good

All reports

Inspection report

Date of Inspection: 31 July and 1 August 2013
Date of Publication: 2 October 2013
Inspection Report published 02 October 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 31 July 2013 and 1 August 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff and talked with other authorities.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

People using the service and their relatives told us that care and treatment was planned and delivered in a way that ensured people’s safety and welfare and they were involved in their care. Some comments included “The staff always tell me what’s going on and ask me what I want to do. They do a good job.” and “I’ve been involved with my care.”

We observed staff giving care and assistance to people throughout the inspection and they treated people in a friendly and supportive way. We saw that the service promoted people’s wellbeing by taking account of their needs including daytime activities. People told us about the different activities which included singing and listening to music, arts and crafts and painting nails. We also looked at the list of activities the home was planning to hold which included a visit from a holistic therapist, a hairdresser, a weekly church service, movement to music, sing-alongs, trips to the local pub and a summer party.

We looked at four people’s care records. They contained a range of information that covered all aspects of health and personal care. People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Care planning was in place including initial assessment and the on-going monitoring of care, both physical and psychological. Risk assessments were in place where required and care and support had been recorded and updated within the care plan on an on-going basis. We saw evidence that care plans were being reviewed and updated on an on-going basis with the involvement of people using the service and their relatives. Care plans were also being audited to ensure they had been completed on a monthly basis by the clinical lead.

The provider may find it useful to note that the care staff that we spoke with told us that they did not write directly into care plans as this was the job of the qualified nurses. Carer’s told us that they did not access the care plans and had their own separate documentation to complete which consisted of charts to show when personal care had been given, turning charts and food and drink charts. We asked carers how they kept up to date with changes in people’s care plans and we were told that this was done in daily handover. This system left carers at risk of missing important updates in care plan documentation.

Staff told us that an area of high risk in the home was around people’s nutrition and ensuring that people were supported to maintain a healthy diet and weight in the home. We were able to see in people’s care plans that appropriate risk assessments were being carried out around nutrition where required. We were shown a list of people’s weight which was recorded on a monthly basis. Where people had been identified as losing weight, we saw that this was documented within their care plans and that increased monitoring of their weight and food intake to a weekly basis had taken place. During the inspection we saw people being offered a choice of drinks whilst sitting in the downstairs lounge area. There was however a lack of jugs available in people’s rooms for people to get their own drinks. We spoke with the manager about this who informed us that jugs would be ordered for each person so they could access their own drinks.

The home had identified that many people were at high risk of falling. Risk assessments had been undertaken to try to reduce the likelihood of people having falls in the home. Staff told us that all falls were recorded on incident forms and this was documented in the daily notes. We observed that these were in place at the time of our visit. People had up to date falls risk assessments in their care plans where required. There were padded rails in place to prevent people falling out of bed.

The majority of people that we spoke with told us that they did not have to wait for a long time when they pressed the call bell in their rooms. One person using the service told u