Archived: Rastrick Grange

Updated 3 March 2016

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.

This inspection took place on 3 February 2016 and was unannounced.

The inspection team consisted of two inspectors.

Before the inspection we reviewed the information we held about the service. This included notifications from the provider and speaking with the local authority contracts and safeguarding teams. We also received a completed a Provider Information Return (PIR). 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 spent time observing care in the lounges and dining rooms and used the Short Observational Framework for Inspections (SOFI), which is a way of observing care to help us understand the experience of people using the service who could not express their views to us. We looked around some areas of the building including bedrooms, bathrooms and communal areas. We also spent time looking at records, which included ten people’s care records, six staff recruitment records and records relating to the management of the service.

On the day of our inspection we spoke with eight people who lived at Rastrick Grange, five relatives, five care workers working the day shift, three night care workers, the deputy manager, the registered manager, care manager, deputy manager and two social workers.

Updated 3 March 2016

We inspected Rastrick Grange 3 February 2016 and the visit was unannounced. Our last inspection took place on 16 January 2014 and, at that time, we found the regulations we looked at were being met.

Rastrick Grange is a purpose built home. It offers residential care for 39 people living with dementia. The accommodation is arranged over three floors. All of the bedrooms are single and have en-suite toilets and showers. There are lounges and dining rooms on each floor. There is a garden area at the side of the building that can be used in fine weather and a car park to the front of the building.

At the time of this inspection there were 37 people using the service.

There was a registered manager in place. 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.

There were not always enough staff on duty to care for people safely or to make sure their needs were met in a timely way. People told us they liked the staff and found them kind and caring. We witnessed some warm and good humoured relationships between people using the service and staff.

People told us they felt safe in the home. Staff had a good understanding of how to control risks to people’s health, safety and welfare.

Staff told us they felt the quality and variety of meals could be improved. We found people’s choice of meal was very limited, as people living with dementia were being expected to choose their meals a day in advance rather than being able to see the meals to make an informed choice. The mealtime experience for people varied depending on which floor or which staff were assisting them.

We found people had access to healthcare services and these were accessed in a timely way to make sure people’s healthcare needs were met. Safe systems were in place to manage medicines; however, people did not always receive their medicines at the correct times.

We found the service was meeting the legal requirements relating to the Deprivation of Liberty Safeguards (DoLS).

Visitors told us they were made to feel welcome and if they had any concerns they would speak to the registered manager or another member of staff.

We found some of the audits which were in place were effective. However, there was a lack of environmental audits or use of a tool to calculate staffing levels. This meant the service was not monitoring its quality in these areas and responding where improvements were needed. Relatives told us they did not always feel their views were being listened to.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and you can see what action we told the provider to take at the back of the full version of the report.