Grange Crescent

Grange Crescent is a residential care home that provides accommodation for older people who require personal care. The home can accommodate up to 54 people in one adapted building. At the time of this inspection there were 51 people using the service.

People’s experience of using this service and what we found

Since our last inspection the provider had made improvements to ensuring consent to care and treatment in line with law and guidance.

The home was clean, and people were protected from the risk and spread of infections.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

A comprehensive training plan evidenced staff had received appropriate training to carry out their roles effectively. People’s needs were assessed, and care delivered in line with best practice. Care plans and supporting documentation included people's individual choices and preferences. We observed lunch being served and found people were supported to maintain a healthy and balanced diet which included their preferences. People were also supported with snacks and drinks throughout the day.

Throughout the inspection we observed staff interacting with people in a caring and considerate way. We saw staff gaining people's consent prior to carrying out care tasks. There was a homely atmosphere in the home and people appeared comfortable, happy and relaxed. People we spoke with were complimentary about the care and support they received.

The management team carried out regular audits to ensure the quality of the service was maintained. The management team took appropriate actions to address any issues. People had confidence in the management team and felt they were approachable.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 12 September 2019).

At our last inspection we recommended that improvements to the records used by the service to ensure people were supported to have maximum choice and control of their lives. Staff training on the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards also needed improving. At this inspection we found the provider had acted on these recommendations and had made improvements.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Grange Crescent on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Grange Crescent is a residential care home that provides accommodation for older people who require personal care. The home can accommodate up to 54 people in one adapted building. At the time of this inspection there were 50 people using the service.

People’s experience of using this service and what we found

People told us they felt safe. People were supported by staff who were trained in safeguarding adults from abuse. Risks to people were assessed and staff knew how to keep people safe from avoidable harm. The management of people’s medicines was mostly safe; however, we identified some minor improvements could be made to the system used by staff. There were enough staff available to keep people safe and meet their needs. People told us the home was always clean and we found they were protected from the spread of infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. However, some improvements were required to the records used by the service to support this practice. We have made a recommendation about staff training on the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards, as staff needed to improve their understanding of these subjects. Staff were observed to be competent and skilled in other areas. People’s needs were assessed before they started using the service, so staff knew what care they needed to provide. People’s nutritional needs were met, and people were happy with the food provided at Grange Crescent. Staff supported people to maintain their health and seek medical advice when required.

People and their relatives were positive about the staff team. They told us staff were kind and caring. People were supported by staff who knew them well. People told us staff always treated them with dignity and respect. People were supported and encouraged to make decisions about their care. Staff involved people’s family members, when this was appropriate. People’s privacy was respected, and their independence was promoted.

People were encouraged to take part in a range of activities, both in the community and within the home. People were happy with the activities made available to them. We found people were meaningfully occupied each day. People received care in accordance with their preferences. People and their relatives knew how they could complain if they needed to. Staff provided appropriate and coordinated care to people at the end of their lives by working closely with community health professionals.

People and their relatives told us the home was well-run. People said they had opportunity to express their views about the service. The provider, registered manager and staff all demonstrated a desire to provide person-centred, high-quality care. The provider and registered manager completed a range of checks on the service to identify if any improvements were required.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 24 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

At the last inspection the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good.

People living at Grange Crescent told us they felt safe and they liked the staff.

We found systems were in place to make sure people received their medicines safely so their health was maintained.

Staff recruitment procedures ensured people’s safety was promoted.

Staff were provided with relevant training and supervision to make sure they had the right skills and knowledge to support people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

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

A range of activities were available to provide people with leisure opportunities.

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

There were effective systems in place to monitor and improve the quality of the service provided.

Further information is in the detailed findings below

A relative spoken with said that they were happy with the care their loved one received. They commented, "We [our family] have no worries at all. The staff are very good and always keep in touch with us. [Our relative] is well looked after."

We found that before people received any care or treatment they were asked for their consent and the staff acted in accordance with their wishes.

We found that people's care and welfare needs were assessed and each person had a written plan of care that set out their identified needs and the actions required of staff to meet these.

We found that there were systems in place to reduce the risk and spread of infection.

We saw that a satisfactory recruitment and selection procedure was in place to ensure that staff were appropriately employed.

We found that people were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.

Two relatives spoken with confirmed that they were satisfied with the care provided.

We found that people's care and welfare needs were assessed and each person had a written plan of care that set out their identified needs and the actions required of staff to meet these.

We found that safe systems were in place for the receipt, handing and administration of medication so that people's health was promoted and they were kept safe.

We found that sufficient numbers of staff were provided to meet people's needs.

Staff had received refresher training in dementia awareness to improve their skills and knowledge.

We found that a complaints policy and procedure was in place. People had been provided with information on how to make a complaint. All of the people spoken with said they had no complaints or concerns about the home.