Hunningley Grange Residential Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Whilst care records contained detail about people’s preferences, cultures and history, some improvements were required to ensure all care plans contained robust information about people’s needs. People had consented to some elements of their care and support. However, some people had not consented to CCTV usage in the home or for staff to manage their medicines and finances. Where people lacked capacity, appropriate legal authorisations had been sought. People had access to external healthcare professionals, whilst we found this had not been in place previously, appropriate referrals were now in place. For example, people had recently undergone continence assessments. We received negative feedback from partners who worked with the service, and we received mixed feedback from staff about team working and staff morale. Recent changes had been made to meal choices and most people told us the meals and choice of food had improved.

This service scored 54 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People had their needs assessed and care plans were regularly updated. However, some care records required more robust information relating to pressure care and moving and handling. Care records contained detail about people’s preferences, history and religious and cultural needs.

Where people displayed behaviours of distress, there was no care plan in place about how to guide staff to support people to calm and maintain their safety, staff had also not received training in relation to PBS. Staff told us they had access to care records via an online system, however some staff felt they would benefit from training about how to appropriately use this system. One staff member said, “I haven’t had time to read any of the care records, never seen them.”

New systems were in place to ensure care records were regularly reviewed. However, some improvements were required to auditing systems, to ensure records contained robust guidance and care plans were in place in relation to PBS.

People had access to external healthcare professionals, whilst we found this had not been in place previously, appropriate referrals were now in place. For example, people had recently undergone continence assessment, to ensure they were provided with the correct continence care and aids. A weekly visit from a GP was in place, where people's health needs were discussed and monitored. Where required, people had Speech and Language Therapy input (SALT).

Staff told us people had access to external professionals. One staff said, “We have a good relationship with the doctor.” However, some staff were not able to tell us the correct dietary needs of a service user, as advised by SALT.

Systems had recently been implemented to conduct checks on people’s health and well being. Some records required improvements to ensure they contained advice given from external professionals.

Records evidenced people now received support from external professionals, such as social workers and healthcare professionals. People had access to a chiropodist and a hairdresser who visited the service regularly. However, a relative told us, “[Name] hair is very long, they always like it short, but staff have let it grow.”

We received mixed feedback from staff about how the team worked together. Most staff told us this had recently improved and communication within the team was improving. One staff member said, “Problems between staff have been sorted, things have improved here. The manager listens to staff and has sorted things.” Whilst another staff said, “There are cliques in the team. Morale is not good.”

We received negative feedback from partners about how the service was working with them to make improvements.

Systems had been recently introduced to improve communication between the team. For example, daily flash meetings were now in place and staff had attended team meetings, this had improved how the team communicated on a day-to-day basis, including any concerns and current care needs. Care records were online and could be easily shared between services where appropriate.

People told us the meals had improved. Comments included, “We have choice and there is plenty of food.” And “It is good food, it is nice to have choices, which we have now.” Whilst people could request food and fluids as they wished, and people were regularly offered drinks, improvements could be made to ensure people had continuous access to drinks within their own rooms. We also observed a person waiting a long period for a cup of tea and one person told us, “When I ask for a cup of tea, staff will say sorry, we are so busy.”

Staff told us mealtimes had improved and food choices were now in place. One staff member said, “We have 2 choices of food and if they don’t like that they can ask for something else.” Another staff told us they now had enough budget for food, to enable choices. Another staff member said, “They (provider and manager) is doing everything they can to make the service better, including planned renovations for the kitchen and a better choice of foods.”

A new menu had recently been reviewed with people and relative’s input. This had improved the meal choices and nutritional intake for people. People were offered choices of food at each meal, with people showed plated meal examples to assist them to choose.

Some improvements were made about how staff monitored and improved outcomes for people. There had been no recent feedback surveys for people or their relatives. Most people told us they were often bored, and one person told us they would like to go to a football match, but had not been offered the opportunity. The new manger had recently conducted meetings with people and their relatives, to formulate new menu's and meal choices.

Staff told us there was a lack of positive outcomes for people. One staff said, “Things have got better, but staff are running around all the time.” Another staff member said, “We don’t have time to sit and talk to people.”

A 'You said, we did' document had recently been introduced, which required using in practice, in line with people’s feedback about the service. Plans were in place to gain people’s feedback and suggestions and meetings had recently commenced with people and their relatives.

People had their capacity assessed and where required; appropriate legal authorisations had been sought. Some consent had been sought from people in relation to residing at Hunningley grange and the use of photographs. Some improvements were required to ensure consent was sought from people in relation to the use of CCTV in the home, managing medication and managing finances.

Not all staff were trained in the principles of the Mental Capacity Act (MCA), however training was planned for the near future. One staff member said, “I haven’t had this training yet, I always ask people what they want to wear, we get things out of the wardrobes and give people choices.”

Improvements were required to ensure systems were in place to gain consent where appropriate for all aspects of people’s care and treatment.