We carried out a review of the data available to us about The Grange on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Grange, you can give feedback on this service.
The Grange is a residential care home providing the regulated activity of personal and nursing care for up to 40 people. The service provides support to older people, including people who are living with dementia in one adapted building and across two floors [Audley and Saffron Suites]. At the time of our inspection there were 37 people using the service and this included three people who were in hospital.
People’s experience of using this service and what we found
We could not be assured staffing levels were always suitable to meet people’s needs. Suitable arrangements were in place to protect people from abuse and avoidable harm. Staff understood how to raise concerns and knew what to do to safeguard people. Risks to people’s safety and wellbeing were assessed, recorded and followed by staff. Recruitment practices at the service were safe. Suitable arrangements were in place to ensure people received their medication, but improvements were required to ensure the service’s controlled drug book was accurate. People were protected by the prevention and control of infection. Lessons were being learned and improvements made when things went wrong.
Suitable arrangements were in place to ensure staff were appropriately trained and newly appointed staff received an induction. However, improvements were required to make sure all staff received ‘move and assist’ training. Staff felt valued and supported and received formal supervision. The dining experience for people using the service was good. People received enough food and drink to meet their needs. People were supported to access healthcare services and receive ongoing healthcare support as needed. 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.
People and those acting on their behalf told us they were treated with care, kindness, respect and dignity. Staff had a good rapport and relationship with the people they supported, and observations demonstrated what people told us.
People’s care and support needs were documented, and staff had a good understanding and knowledge of these and the care to be delivered. Suitable arrangements were in place to enable people to participate in social activities Monday to Friday. People were confident any concerns raised would be listened to and acted upon.
People told us the service was well-led and managed. Quality assurance arrangements enabled the provider to monitor the quality of the service provided.
We have made a recommendation about staffing levels.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us in April 2021 and this is the first inspection.
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. This included checking the provider was meeting COVID-19 vaccination requirements.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.