Archived: Pexton Grange

Updated 30 March 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 26 January 2015. The inspection team consisted of three adult social care inspectors and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before our inspection, we reviewed the information we held about the home. This included correspondence we had received about the service and notifications submitted by the service. We asked the provider to complete a provider information return (PIR) which helped us to prepare for the inspection. This is a document that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make.

A team of NHS staff are based at Pexton Grange to support people with rehabilitation.

We contacted commissioners of the service and 16 external health and social care professionals who had knowledge of Pexton Grange. We received feedback from Sheffield local authority contracts team, two GP’s, three geriatric consultants, six specialist nurses, two social workers, a pharmacist and a Community Psychiatric Nurse (CPN). This information was reviewed and used to assist with our inspection.

During our inspection we used different methods to help us understand the experiences of people living at the service. These methods included both formal and informal observation throughout our inspection. We spent time observing daily life in the home including the care and support being offered to people The formal observation we used is called Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. Our observations enabled us to see how staff interacted with people and how care was provided. One of the three adult social care inspectors visited the home for two hours to undertake a SOFI.

On the day of our inspection 56 people were living at the home. During our inspection we spoke with 15 people living at the home, two relatives, the registered manager, the deputy manager and nine members of staff which included care and ancillary staff.

We spent time looking at records, which included six people’s care records, five staff records and other records relating to the management of the home.

Updated 30 March 2015

Pexton Grange provides accommodation and nursing care for up to 57 people. The home is divided into 3 floors, one dedicated to nursing care for older people, one to rehabilitation support for adults of any age and the third to supporting older people living with dementia. Intermediate care beds are provided on each floor. All of the bedrooms are single. A garden and car park are provided. The home is close to bus routes to the city centre.

There was a manager at the service who was registered with CQC. 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 and associated Regulations about how the service is run.

Our last inspection at Pexton Grange took place on 08 July 2013. The service was found to be meeting the requirements of the regulations we inspected at that time.

This inspection took place on 26 January 2015 and was unannounced, which meant the provider and staff did not know we would be visiting. On the day of our inspection there were 56 people living at Pexton Grange.

People told us they were well cared for by staff that knew them well, and they felt safe.

Relatives told us their loved ones were well cared for and they had no worries or concerns about Pexton Grange.

We found systems were in place to make sure people received their medication safely.

Staff were provided with induction and training to make sure they had the right skills and knowledge for their role. Staff understood their role and what was expected of them. The service followed the requirements of the Mental Capacity Act 2005 Code of practice and Deprivation of Liberty Safeguards. This helped to protect the rights of people who may not be able to make important decisions themselves.

People had access to a range of health care professionals to help maintain their health. A varied and nutritious diet was provided to people that took into account dietary needs and preferences so that health was promoted and choices could be respected.

People living at the home, and their relatives said that they could speak with staff if they had any worries or concerns and they would be listened to.

We saw people were provided with some activities to provide leisure opportunities. However, some people told us activities were limited and they were sometimes bored.

There were effective systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to. People using the service and their relatives had been asked their opinion via surveys and the results of these had been audited to identify any areas for improvement.