- Care home
Hunningley Grange Residential Home
Report from 24 September 2024 assessment
Contents
On this page
- Overview
- Kindness, compassion and dignity
- Treating people as individuals
- Independence, choice and control
- Responding to people’s immediate needs
- Workforce wellbeing and enablement
Caring
We received mixed feedback from people about the service providing kind and compassionate care. We observed some staff treating people with respect and dignity, however we saw people appearing unkempt in appearance. Whilst improvements had been made about how people made choices with day to day care, their was a lack of stimulation or community engagement for people.
This service scored 50 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Kindness, compassion and dignity
We received mixed feedback from people regarding staff kindness and compassion. One person said, “I wish I could talk to staff, they are not kind.” Whilst another person said, “Staff are kind, there isn’t a bad one amongst them.” A relative said, “The staff are marvelous.”
Staff did not raise any concerns in relation to people being treated with kindness and dignity. One staff member said, “People are well cared for.” However, our observations throughout the day showed staff to be task orientated.
We received negative feedback from partners about the service and how staff treated people. One professional told us, “People aren’t given choices. A person was left when they had been incontinent.”
Whilst we observed staff treating people with kindness, improvements were required in regards to staff engagement with people. We observed staff offering little engagement or conservation with people. We did observe some staff treating people with dignity whilst offering support to people. For example, we saw staff assisting people to clean their face at mealtimes and staff taking people to private spaces to give personal care. However, we also observed a staff member asking one person loudly in a communal lounge if they needed the toilet, which did not promote their privacy or dignity.
Treating people as individuals
Staff had recently introduced different coloured plates, which can be beneficial for people living with dementia during mealtimes. Some improvements were required about how staff communicated choices to people. This is covered in the responsive section.
Staff knew people well and told us how they support people’s individual needs. For example, staff told us how one person was assisted to mobilise. However, some staff told us they often struggled to get day to day tasks completed for people. One staff member said, “We have different tasks to do for each person, there is not enough staff and we have lots of missed tasks.”
We observed staff during our inspection to offer little engagement with people and to be task focused. We did observe kind interactions taking place when staff completed tasks, for example, we observed staff offering reassurance to a person during a moving and handling task.
A resident of the day document had recently been implemented, this covered a well-being check and a review of their care and support, including any concerns or requests.
Independence, choice and control
People told us staff offered choices. One person said, “I can have a bath or shower when I want.” Further improvements were required to ensure people were offered meaningful things to do each day and involved in the changes being made in the home.
Staff told us how they supported people to make choices. A staff said, “The dining experience for people is more organised. People have choices and people have what they want.” Another staff said, “Resident’s are happy and more relaxed, it is less stressful now.”
Improvements had recently been made about how people chose their meals, including show plates and we saw people being offered choices of drinks and snacks. We also saw people accessing the garden areas and smoking shelter.
Some improvements were required to ensure systems were in place for people to be involved in their care planning and the changes within the service.
Responding to people’s immediate needs
We could not be assured people had their day to day personal needs met due to gaps in records. We also found gaps in a person's records relating to their oral healthcare support.
Staff recorded people’s day to day care on a digital care planning system. However, these were not always completed and some staff told us they required training about how to use the digital records. Staff told us there was not always enough time to meet people’s daily needs.
We saw staff responding to people’s requests. However, we observed some people appeared unkempt. For example, some people were wearing stained clothing, and some people required a shave and nail care. A relative said, “Sometimes we have noticed [Name] needs a shower."
Workforce wellbeing and enablement
Improvements were required to ensure staff had appropriate support and continued their professional development. This was due to a lack of training and supervisions. The manager had recognised training and supervisions were required and had began the process of implementing these, however several supervisions and training was overdue at the time of our inspection. One staff said, “I have had a supervision with the new manager, I feel they have listened to me and taken action.” Whilst other staff told us they had not received any supervisions and had a lack of training.
Whilst feedback was sought from staff, this was done under previous leadership in the home, which would not give a true reflection of current staff morale and well-being. The manager had recognised this and planned to gain staff feedback in the upcoming weeks.