We carried out a review of the data available to us about Treeton Grange Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Treeton Grange Nursing Home, you can give feedback on this service.
Treeton Grange is a care home providing personal and nursing care to older and younger adults. The service can support up to up 50 people. At the time of our inspection there were 46 people using the service.
People’s experience of using this service and what we found
Systems were in place to protect people from abuse and the risk of harm. Staff understood their roles and how to raise safeguarding concerns. Risks to people were assessed and regularly reviewed. However, hoist slings were found to have worn labels and did not detail which person the slings belonged to. Following the inspection, the provider immediately implemented an audit of all slings and replaced labels where required. Care plans were detailed and provided staff with guidance to safely support people. People, relatives and staff told us that people were safe in the service.
Some staff and relatives told us staff were rushed and more staff were required. During our inspection we observed enough staff to meet people's needs and the service was providing the correct amount of staff based on people's assessed needs. Staff were recruited safely and pre employment checks were in place. People and their relatives told us staff were kind and caring.
Medicines were safely managed. Medicines were stored and disposed of appropriately and people received their medicines as prescribed. Infection, prevention and control audits were in place and the home was generally clean and tidy. Systems were in place to monitor accidents and incidents, including themes and trends, with lessons learned to reduce risks to people.
The registered manager understood their roles and responsibilities. Leadership was visible in the service and relatives told us the manager was approachable and available. Systems were in place to monitor quality and safety to drive improvements in the service. People and relatives had opportunities to provide feedback. This was analysed and actions were taken to meet people's needs and wishes. Staff were supported in their roles and staff told us they could report concerns to the registered manager. Regular staff meetings took place and staff were actively involved in these. Staff worked in partnership with community healthcare teams to ensure people received support, care and treatment in line with their individual needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
The last rating for this service was good (published 7 April 2020).
Why we inspected
The inspection was prompted in part due to concerns received about moving and handling practices. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Treeton Grange on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We found the following examples of good practice.
The home was clean and hygienic. Cleaning schedules were in place and audited regularly by the housekeeper and registered manager. New floor coverings, soft furnishings and washing machines had been purchased by the provider which helped to maintain the high standard of hygiene throughout the home.
Personal protective equipment (PPE) stations were fully stocked at the entrance hall and around the home.
Staff were trained in the correct use of PPE. The provider had ensured enough stocks of PPE were available and our observations confirmed this.
Contact between people and their relatives and friends had been maintained. Visits outside and inside the home were made available and regularly reviewed to avoid people being social isolated.
The provider, management and staff supported people and their relatives to understand the new and revised COVID-19 policies and procedures and how these would help to keep people safe.
People living in the home and staff were tested regularly for COVID-19. All staff employed were fully vaccinated and had been supported by the registered manager to access their vaccinations.
We found the following examples of good practice.
The home had a system in place to support relatives to visit their family members by using the garden area and outside space. This area had been developed to ensure families met in a pleasant place. On arrival to the home, visitors were asked to sign in and leave contact details and were asked to sanitiser their hands, put on a facemask and have their temperature checked prior to moving from the reception area. This assisted in identifying visitors who may be at a higher risk of transmitting an infection to people living in the home.
The provider had updated policies and procedures to ensure they included COVID-19 issues. Staff we spoke with were knowledgeable about the updates and were working in line with them. We saw staff change PPE when appropriate, wash and sanitise their hands. The provider had invested in an antibacterial hand sanitiser which was effective up to 24 hours after use, even after further washing. Staff uniforms were laundered and stored on site and changing facilities had been provided. This minimised the risk and spread of infection.
Tests for COVID-19 were carried out weekly for staff and monthly for people living at the service. If a test result was positive, the person was required to isolate in line with government guidance. If staff have a positive test, they are taken off shift and given full salary for 14 days. No staff or service users have been identified with Covid-19.
The home was clean and there were no malodours. Staff had access to cleaning products and the cleaning of high touch areas such as door handles and hand rails, were cleaned regularly. The laundry, sluice room and bathrooms throughout the service were clean and tidy.
Staff had completed training in infection control, COVID-19 and donning and doffing PPE. Staff were frequently briefed about changes in government advise that impacted on their role.
Further information is in the detailed findings below.
Treeton Grange is a care home providing personal and nursing care to 48 people aged 65 and over at the time of the inspection. The service can support up to 50 people.
People’s experience of using this service and what we found
People were safeguarded from the risks of abuse, staff received training in this area and knew how to recognise and report abuse. Risks associated with people's care were identified and risk assessments were in place to minimise the risk. Accidents and incidents were monitored and trends and patterns identified. Lessons were learned when things went wrong. People received their medicines as prescribed. The provider had a robust recruitment procedure which ensured new starters were recruited safely.
People's needs were assessed and care was provided in line with their needs and preferences. Staff told us they received training and support to do their job well. We observed lunch being served and found people received enough food and drink to maintain a healthy and balanced diet. People received support from healthcare professionals when required.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We observed staff interacting with people and found they were kind, caring and supportive. People spoke highly of the care and support they received. Staff we spoke with were passionate about preserving people's dignity and respect and enabled people to maintain their independence.
A great emphasis was placed on people being at the centre of their care. Activities were person centred and people's views were taken in to consideration and acted on. Care documents were person centred and incorporated their needs and preferences. The provider worked with other agencies to ensure people were supported at the end of their lives. Staff received training in this area to assist them in supporting people and their relatives during this time. The provider had a complaints procedure in place and responded appropriately to any concerns raised.
The management team supported staff to deliver person centred care to people. The provider engaged people in the service and listened to their comments. A range of audits took place to ensure the service was monitored and the quality maintained.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 5 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
At the last inspection on the March 2015 the service was rated Good.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Treeton Grange Nursing Home on our website at www.cqc.org.uk’
At this unannounced inspection on the 27 July 2017 we found the service remained Good. The service met all relevant fundamental standards.
The service has 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. However the registered manager was working their notice and a new manager had been appointed and was working alongside them to enable a full hand over. The new manager had commenced the registration process with CQC.
Staff were knowledgeable about how to recognise signs of potential abuse and aware of the reporting procedures. Assessments identified risks to people and management plans to reduce the risks were in place. People we spoke with told us they felt safe and were extremely positive about the care they received.
Risks had been identified and management systems were in place to monitor risk and reduce incidents ensuring peoples safety. There were also detailed assessments to follow in case of an emergency.
At the time of the inspection there were sufficient staff on duty to meet people’s needs. People and their relatives we spoke with told us they thought there were sufficient staff on duty. Robust recruitments procedures ensured the right staff were employed to meet people’s needs safely.
Systems were in place to ensure management of medicines was safe. Staff received training and competency assessments to administer medications safely. The provider completed regular audits of the system to ensure standards were maintained.
We observed staff and found they took account of people’s individual needs and preferences while supporting them. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible.
Staff were aware of peoples nutritional needs and people were supported to maintain a balanced diet. People we spoke with told us the food was good. People were also supported to maintain good health and had access to health care services.
People were treated with respect. People and their relatives told us staff were kind and very caring. Staff we spoke with able to tell us how they respected people’s preferences and ensured their privacy and dignity was maintained.
People received personalised care that was responsive to their needs. People told us they could take part in activities of their own choice and that there were also organised group activities. People told us they enjoyed the activities.
There was a system in place to tell people how to raise concerns and how these would be managed. People told us they would feel comfortable raising any concerns with the management team.
People and their relatives who we spoke with were very happy with how the service was run. There were systems in place to monitor and improve the quality of the service provided. Areas for improvements had been identified and action plans were in place these were followed by staff. The provider also had a quality team who monitored the service to ensure continued improvements.
Staff were clear about their roles and responsibilities and had access to policies and procedures to inform and guide them.
Further information is in the detailed findings below.
This was an unannounced inspection carried out on 2 and 3 March 2015. We last inspected the service in August 2013 and found they were meeting the Regulations we looked at.
Treeton Grange Nursing Home is situated in the village of Treeton which is approximately six miles from the town of Rotherham. The home stands in large open grounds and provides care for 50 older people. Bedroom facilities are provided on the ground and first floor level; access to the first floor is by a lift. There are several communal areas including lounges dining areas and a separate activity room. At the time of this inspection there were 47 people who used the service living at the home.
The service has a registered manager who has been registered with the Care Quality Commission since July 2014. 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 living in Treeton Grange. Everyone we spoke with told us they were confident that they could tell the staff whatever they needed to if they were worried about anything. There were procedures to follow if staff had any concerns about the safety of people they supported.
The requirements of the Mental Capacity Act 2005 were in place to protect people who may not have the capacity to make decisions for themselves. The Mental Capacity Act 2005 (MCA) sets out what must be done to make sure that the human rights of people who may lack mental capacity to make decisions are protected, including balancing autonomy and protection in relation to consent or refusal of care or treatment.
People’s physical health was monitored as required. This included the monitoring of people’s health conditions and symptoms so appropriate referrals to health professionals could be made. We also spoke to a visiting GP who said, “The staff act in a timely manner to seek medical advice.” The GP told us a weekly surgery at the home was working very well, and people could also contact the surgery if required at other times during the week.
There were sufficient staff with the right skills and competencies to meet the assessed needs of people living in the home. 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 we spoke with told us they enjoyed the meals and there was always something on the menu they liked.
People were able to access activities. The activity coordinator had developed a weekly plan of activities. People could also access religious services which were held periodically at the home.
We found the home had a friendly relaxed atmosphere which felt homely. Staff approached people in a kind and caring way which encouraged people to express how and when they needed support. Everyone we spoke with told us that they felt that the staff knew them and their likes and dislikes. A person said, “They understand perfectly what my requirements are.”
Staff told us they felt supported and they could raise any concerns with the registered manager and felt that they were listened to. People told us they were aware of the complaints procedure and said staff would assist them if they needed to use it. We noted from the records that no formal complaints had been received in the last 12 months.
There were effective systems in place to monitor and improve the quality of the service provided. We saw copies of reports produced by the registered manager and the provider. The reports included any actions required and these were checked each month to determine progress.
People experienced care, treatment and support that met their needs and protected their rights. People’s relatives said they were happy with the care people received. One relative told us their parent had lived at the home for over two years and they were very satisfied with the care.
We saw that staff treated people with dignity and kindness. We observed that a friendly and positive approach was used, to ensure that the wishes and needs of people using the service were respected.
There were effective systems in place to reduce the risk and spread of infection. This included staff receiving training in this subject and the provision of protective clothing. Relatives we spoke with told us they always found the home to be clean and fresh.
People received care and treatment from suitably qualified, skilled and experienced staff. Appropriate checks had been undertaken before staff began work.
People who lived in the home were kept safe because the provider had taken steps to maintain the building and we saw that regular health and safety checks had been carried out.
People were protected from the risks of unsafe or inappropriate care and treatment because their records had been reviewed and updated regularly.
At this visit we saw appropriate arrangements were in place in relation to obtaining, storing, administering, recording and disposing of medicines. The system had been reviewed and new procedures introduced to make sure people received their medication on time and any unwanted medication was disposed of safely.
On this occasion we did not speak to people who used the service. However their experiences were captured through checking records. We also spoke with two members of staff and the provider.
People we spoke with told us that staff were kind and always treated them with respect. One person said 'Staff help me to get dressed and I stay in my room and staff bring me my meals.' Another person told us they chose not to be involved in the activities at the home. People were encouraged to maintain their independence. One person told us they liked to go for a walk in the grounds.
Relatives we spoke with told us that they were happy with the care provided, although one relative told us they had raised a number of concerns which had been looked into by the manager.
We found medication was administered safely to people. However, arrangements for the safe disposal of unused medication required improvement.
Staff received appropriate support and training to ensure they were able to meet the needs of people living at the home. Complaints were investigated and responded to in a timely manner.