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Inspection Summary


Overall summary & rating

Good

Updated 20 April 2018

The inspection took place on 21 March 2018. The inspection was unannounced.

Astley Grange is a 'care home'. People in care homes receive accommodation and nursing and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Astley Grange provides nursing and personal care for up to 40 older people over three floors. The service was in a detached building in a residential area. A private garden was available for people to sit out in when the weather was fine. A passenger lift was available between floors so people could access any part of the building if they wished. There were 35 people living at the service at the time of our inspection.

At the last inspection in February 2016 the service was rated Good. At this inspection, we found the service remained Good.

There was a registered manager who had been in post for approximately four years. 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.

Processes were in place to keep people safe and free from harm. Staff were knowledgeable in safeguarding adults' procedures and any concerns were discussed with the registered manager and local authority safeguarding team. Plans were in place to manage and mitigate risks to people. The registered manager regularly reviewed any incidents that occurred. There were sufficient staff to meet people's needs. People received their medicines as prescribed. Infection control procedures were adhered to.

People were supported by staff that had the knowledge and skills to undertake their duties. Staff completed a programme of training and received supervision, although the frequency of this was under review by the registered provider. Staff supported people to eat and drink sufficient amounts and met their dietary requirements. Healthcare professionals were liaised with by staff and visited the service as required to ensure people had their health needs met. Staff adhered to the Mental Capacity Act 2005 and conditions specified in people's Deprivation of Liberty Safeguards authorisations.

Kind and respectful relationships had been developed at the service. Staff were polite and friendly when engaging people. Staff supported people to make choices and communicated with people in a way they understood. People's religious and cultural needs were met. People's family members were welcomed at the service and there were no restrictions for visitors. People's privacy and dignity was maintained.

People's care and support needs were met. Electronic care records were regularly reviewed and held sufficient and appropriate detail about how people were to be supported. A full activities programme was in place, this included use of various external people to engage people in activities. A complaints process remained in place and the service had received a number of compliments from people and their relatives.

Staff felt well supported by the registered manager and felt they were approachable. Staff and people's feedback was obtained through a programme of meetings. A programme of audits was in place to review and monitor the quality of service delivery. The registered manager adhered to the requirements of the CQC registration and submitted notifications about key events that occurred at the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 20 April 2018

The service remains Good.

Effective

Good

Updated 20 April 2018

The service remains Good.

Caring

Good

Updated 20 April 2018

The service remains Good.

Responsive

Good

Updated 20 April 2018

The service remains Good.

Well-led

Good

Updated 20 April 2018

The service remains Good.