Archived: The Grange

There was a registered manager in post at the time of our inspection although they were not present at the time of our inspection. 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 2008 and associated Regulations about how the service is run.

People who needed assistance with the administration of their medicines told us they received these as prescribed and when needed. However medicines which required specific storage arrangements were not stored correctly.

People told us they felt safe living at the home and liked and related well with the staff who were supporting them. Staff knew how to keep people safe and whom to report any concerns about people’s safety to. People felt there were sufficient staff available to meet their needs and confirmed the staff on duty were consistent and known to them. Risks to people were assessed and known to staff. Accidents and incidents were reviewed and analysed to identify any trends.

The care people received was carried out by staff who received regular training and support to enable them to do their job. Staff felt supported and enjoyed the work they were employed to do. Staff told us they were well supported by the management. Management were available to offer guidance to staff and assisted in the provision of care as needed.

People told us they were consulted about their care and support. People were not restricted and staff had awareness about the importance of this. Most people were complimentary about the food provided and confirmed special diets were catered for and a choice available to them.

People felt staff responded to them as needed although there were times when improvements were identified as needed during the inspection. Records completed by staff did not always reflect drinks people had received to meet their personal needs. People felt confident to make complaints in the event of them needing to do so.

People were supported within the home by healthcare professionals to assist in their rehabilitation to return home or move to alternative care locations. People’s healthcare needs were met with the support of other healthcare professionals as needed.

People were involved in making plans about their care at the home and when they returned home. People were aware the time they were able to spend at the home was limited while they received rehabilitation. Although people received exercises to help with their mobility they told us they had little to do throughout the day other than watch television and talk with others.

The views of people were sought once they had left the home and returned to their own property or moved to another care home.

We read care records for three people and other supporting documents for the service. We saw that people were respected by staff. Staff asked people if they were happy with them giving care before they gave it.

People's needs had been assessed and care and treatment was planned and delivered in line with their individual care plan. We saw that staff were aware of each person's needs and how to give care and support to meet those needs. One person told us that: 'Staff are really good here, they really help me to get better'. We saw that staff were kind and caring in their approach to people who lived at the home.

The deputy manager showed us around the home. People told us: 'I am extremely happy here and I feel safe". Another person told us: 'I am happy with what they do here. I can do more for myself now".

There was a complaints procedure in place at the home. The registered manager told us this procedure would be followed in the event people had any comments or complaints. We found staff knew how to support people to make a complaint if they needed to. One person told us they would: 'Talk to the staff if I have any worries'. 'I don't have any complaints about this place, they are all excellent'.

We saw that staff treated people with dignity and respect. We saw that staff were friendly and supportive to people and helped them to make everyday decisions.

People's needs had been assessed and care and treatment was planned and delivered in line with their individual care plan. Staff were aware of each person's needs and how to give care and support to meet those needs so that people's health and welfare were ensured.

People we spoke with told us they were: "Well looked after" by the staff and that staff were: "Caring and helpful".

Recruitment procedures made sure that suitable staff were employed to work in the home, to safeguard people from the risk of harm.

A quality assurance system was in place that took account of people's views and experiences of the service to improve services provided.