Archived: Wood Hill Grange Care Home

Updated 21 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 18 September 2018 and was unannounced. The inspection was carried out by three adult social care inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.

Prior to the inspection visit we gathered information from a number of sources. We also looked at the information received about the service from notifications sent to the Care Quality Commission by the manager. We did not ask the registered provider to submit a provider information return [PIR] for this inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also spoke with other professionals supporting people at the service, to gain further information about the service.

We spoke with 15 people who used the service and 7 relatives of people living at the home. We spent time observing staff interacting with people.

We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with 17 staff including care workers, senior care workers, nurses, catering staff, activity co-ordinator, the manager, and other members of the senior management team. We looked at documentation relating to people who used the service, staff and the management of the service. We looked at people's care and support records, including the plans of their care. We saw the systems used to manage people's medication, including the storage and records kept. We also looked at the quality assurance systems to check if they were robust and identified areas for improvement.

Updated 21 November 2018

The inspection took place on 18 September 2018 and was unannounced. The last inspection took place in November 2015, when the service was rated overall Good. You can read the report from our last inspections, by selecting the 'all reports' link for ‘Wood Hill Grange Care Home’ on our website at www.cqc.org.uk.

Wood Hill Grange Care Home is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Wood Hill Grange Care Home provides accommodation for up to 75 people. The home consists of four separate units, one providing accommodation and personal care and the other three providing nursing care. Some people receiving support at the home were living with dementia. The home is in Sheffield. At the time of our inspection there were 54 people using the service. This included some people who were staying at the home following a hospital stay but were not well enough to return home.

At the time of our inspection there was no registered manager employed at the home. 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. The registered provider had appointed a manager who was in the process of registering with the Care Quality Commission and was employed at the home.

The registered provider had systems in place to ensure people were protected from the risks of abuse. One incident was reported to the head of care during our inspection and appropriate actions were taken when the head of care had been alerted.

Risks associated with people’s care were identified. However, some risks were not always managed in a safe way.

We completed a tour of the home with the manager and found that some areas of the service were not maintained in a clean state. We brought these concerns to the attention of the manager who acted on the day of our inspection to address the issues raised.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. However, information regarding people’s best interest decisions had not always been documented.

People received a healthy, balanced diet which met their needs and took in to consideration their preferences.

Staff received training and support to carry out their role. Staff we spoke with told us they received regular training. However, they told us that supervision sessions were not taking place regularly, but they felt supported by the management team.

We observed staff interacting with people who used the service and saw they were kind and caring. We observed staff maintaining people’s privacy and dignity.

The registered provider had a system in place to monitor the service. A range of audits were in place and most of them identified areas of improvement and these were addressed in a timely manner. However, we found the audits in relation to medicine management and infection control were not effective as they had not identified the concerns we raised during our inspection.

People, their relatives and staff were asked for their view regarding the service. We spoke with the manager who informed us that feedback from questionnaires was not displayed in the home. The manager told us they would look at ways they could make this more accessible to people who used the service and their relatives.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were in relation to Regulation 12 safe care and treatment and Regulation 17 good governance. You can see what action we told the provider to take at the back of the full version of the report.

Further information is in the detailed findings below.