Archived: Yardley Grange Nursing Home

Updated 21 May 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:

One adult social care inspector, an assistant inspector and an expert by experience undertook this inspection on 15 April 2019. An expert by experience is a person who has personal experience of using services or who cares for older people.

Service and service type:

Yardley Grange Nursing Home is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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

Notice of inspection:

This inspection was unannounced.

What we did:

Before our inspection we reviewed the information we held about the home. This included correspondence we had received and notifications submitted by the home. A notification must be sent to the Care Quality Commission every time a significant incident has taken place. Prior to the inspection, the provider completed a Provider Information Return (PIR). This form asks the provider to give some key information about the home including what the home does well, and any improvements they plan to make in the future.

This information was reviewed and used to assist with our inspection.

Many of the people living at Yardley Grange Nursing Home were being cared for in their bedrooms due to their very poor health, and as such weren’t able to share their views with us. We spent time with people observing their support in the communal areas and monitored the care provided to two people who were being cared for in their bedrooms.

During the inspection we spoke with:

• Six people

• Six relatives

• The registered manager and the deputy manager

• One nurse

• Five members of care staff

• The activity co-ordinator

• Administrative, housekeeping and catering staff

• A GP

• A community nurse

We looked at:

• Four people's care records

• Training records for all staff

• Three personnel records

• Records of complaints

• Quality assurance audits

• People’s and relatives’ feedback records

• We observed lunch and people receiving their medicines.

After the inspection we received emails from a relative and a friend who gave us positive feedback about the home.

Updated 21 May 2019

About the service: Yardley Grange Nursing Home is a care home that is registered to provide personal and nursing care for up to a maximum of 45 people aged 65 and over and who may have a physical disability.

People’s experience of using this service:

• Without exception all the people and relatives we spoke with praised the home. People felt safe and well cared for. One person said, “I’m very happy here” and a relative said, "I can't speak more highly, very good care. It feels like one big family now. They care for mum as if she was their mother."

• People’s preferences were respected and staff were sensitive and attentive to people’s needs.

• Staff were seen to be kind, caring and friendly and it was clear staff knew people and their relatives well.

• The home was described as well managed, with one relative saying, “This place is very well run with good organisational skills.”

• There were sufficient numbers of nurses and staff employed to ensure people’s needs were met.

• Recruitment practices were safe and staff received the training they required for their role.

• Risks to people’s health, safety and well-being were assessed and management plans were in place to ensure risks were reduced as much as possible. Staff were aware of their responsibilities to safeguard people.

• People’s care plans contained personalised information detailing how people wanted their care to be delivered. People and their relatives were involved in making decisions about their care.

• People’s healthcare needs were met: the GP service visited the home twice a week. People received sensitive and compassionate care at the end of their lives.

• People received their medicines safely and as prescribed. Medicine management practices were safe.

• Consideration was given to providing a variety of leisure and social activities for people to enjoy.

• The home was spacious and well furnished. The environment was safe and equipment regularly serviced to ensure it remained in safe working order.

• Comprehensive quality assurance systems were in place to assess, monitor and improve the quality and safety of the service provided.

Rating at last inspection: At the last inspection in October 2016, the home was rated ‘Good’, (the report published in November 2016).

At this inspection we found the home continued to meet the characteristics for ‘good’ in all key questions, and the rating for the service remains ‘Good’.

Why we inspected: This inspection was scheduled based on the previous rating of the home.

Follow up: We will continue to monitor intelligence we receive about the home until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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