Archived: The Grange Nursing Home

We saw the staff were courteous and respectful when providing care and support to people. People said they were offered choices and "they (the staff) always ask before they do anything". A person told us "you get up when you are ready" and "there is help when you need it". We observed staff supporting people with their meals and preserving people's dignity. Relatives told us "the staff keep me informed of how my husband is getting on". They said the staff had 'these people's interests at heart." This meant people or their relatives were involved in their care and treatment.

Arrangements were in place to ensure people received their prescribed medicines as needed. Medicines were stored safely and records were maintained appropriately.

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

People were supported to raise their concerns and a person told us they had a family liaison person they could talk with. Staff told us information about how to raise concerns was available in people's bedrooms and this was part of their admission information sharing process. Records were maintained of any concerns investigated which included responses as appropriate. A complaint log was maintained and was made available to us at the time of the inspection.

Nursing and care staff had been trained and were aware of the local safeguarding procedures. However, domestic staff had not had recent training and were not clear of in house procedures. We found good staffing levels and positive feedback from people and relatives. However at key points of the day, such as lunchtime, people had to wait for care and we received some comments about this. Quality assurance procedures were in place. These included consultation with people who received the service, relatives and staff. This meant that they could influence the service.