Archived: Norwood Grange Care Home

Updated 19 April 2019

The inspection:

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

Inspection team:

The inspection was carried out by two inspectors.

Service and service type:

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

The current registered manager was in the process of registering as manager to another of the providers homes. They were currently supporting the new manager at Norwood Grange one day a week as well as providing support as and when required. The new manager was in the process of applying to register with CQC. Both managers were present on the day of inspection.

Notice of inspection:

This inspection was unannounced.

What we did:

Before this inspection we reviewed information, we held about the service. The registered manager had completed a Provider Information Return (PIR). The PIR 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 contacted social care commissioners who help arrange and monitor the care of people living at Norwood Grange. We also contacted Healthwatch Sheffield. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the feedback we received from these organisations to plan our inspection.

During this inspection we spoke with five people living at Norwood Grange and three of their relatives and friends. We spoke with 11 members of staff which included the registered manager, the manager, deputy manager, senior care assistant, two care assistants, the cook /catering manager, ancillary staff and the activities coordinator.

We looked at three people's care records. We checked four medication administration records and six staff files, which included recruitment checks, supervisions and appraisals. We also looked at other records relating to the management of the service, such as quality assurance audits.

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 spent time observing the daily life in the service and we looked around the building to check the home was safe and clean.

Updated 19 April 2019

About the service:

Norwood Grange Care Home is owned and managed by Country Court Care Homes Limited. It is purpose built to provide accommodation and care for up to 35 people. The home provides care for people living with dementia and mental health needs. At the time of the inspection 31 were using the service.

People’s experience of using this service:

People told us they felt safe at Norwood Grange and they were consistently treated with kindness, dignity and respect.

People’s care records contained guidance for staff about how to support people safely and minimise risks to people. Staff were trained in their responsibilities for safeguarding adults and knew what action to take if they witnessed or suspected any abuse.

Some improvements were required in recruitment processes to provide further assurances staff were suitable to work in the care service.

The service had systems in place to ensure people received their medicines as prescribed. Staff supported people to maintain their health by making appropriate referrals to community health professionals and acting on any advice they were given.

There were enough staff on shift to keep people safe and we observed staff respond to people in a timely manner throughout the day. Staff told us they thought there were enough staff to meet people’s needs.

People received personalised support from staff who knew them well. People’s likes, dislikes and social histories were recorded in their care records. This helped staff care for them in a personalised way.

Staff were competent, knowledgeable and skilled. They received regular training, supervisions and appraisals which supported them to conduct their roles effectively.

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.

People were happy with the food provided at Norwood Grange. The service catered for people's special dietary requirements and staff monitored food and fluid intake levels of people who were assessed to be at risk.

A range of activities were provided for people living at Norwood Grange which considered people’s interests and wishes.

The provider had an effective complaints procedure in place. Information about how to complain was displayed in the entrance to the home. People and their relatives knew how to complain if they needed to.

The provider and registered manager understood the regulatory requirements and monitored the quality and safety of the service on a regular basis. Some improvement was needed to ensure CQC were informed of all notifications required under legislation.

Staff told us they enjoyed their jobs and they worked very well together.

Rating at last inspection:

At the last inspection the service was rated Good (report published 7 October 2016)

Why we inspected:

This was a planned comprehensive inspection based on the rating awarded at the last inspection.

Follow up:

We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. We plan to complete a further inspection in line with our re-inspection schedule for those services rated good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk