Archived: Middlesbrough Grange

Middlesbrough Grange is a residential care home providing accommodation and personal care for up to 45 people. The service provides support to older people and people living with a dementia illness. Support is provided in one specially adapted building across two floors. At the time of our inspection there were 39 people using the service.

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

People’s medicines were managed safely, but records around the application of creams and lotions were not robust. We have made a recommendation around this. People told us they felt safe and protected from avoidable harm. We found one safeguarding incident which had been investigated but had not been reported to the local safeguarding team or CQC. The registered manager confirmed this was an oversight. We have made a recommendation around the notification of safeguarding concerns.

Risks to people were appropriately managed and the environment was safe. People’s support plans contained good information to help guide staff to keep people safe. There were enough suitably trained staff to safely support people and staff were recruited in a safe way. The home was clean and tidy and robust infection control measures were in place. Lessons were learnt when things went wrong.

People’s needs were thoroughly assessed, and staff knew people’s likes and dislikes. Staff had the right training and support. People were supported to eat and drink enough to maintain a balanced diet and staff had good knowledge about people’s dietary needs. Staff made referrals to healthcare professionals appropriately. The home was designed to meet people’s needs with different areas for people to use.

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.

Staff treated people with kindness, respect and dignity. People received person-centred care and were supported to be independent where possible and make their own choices. People were supported to communicate, and information was available in different formats for people. Complaints and concerns were dealt with appropriately.

There was a positive atmosphere in the home and staff enjoyed their jobs. There was a clear management structure and quality assurance audits were completed regularly. Communication between management and staff, people and relatives was good. Management sought feedback from people and acted upon this.

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 has changed provider. The last rating for the service under the previous provider was good (published 23 May 2019).

This service was registered with us with the new provider on 6 May 2021 and this was the first inspection under the new provider.

Why we inspected

This was a planned inspection to assess the standard of care delivered by staff and award a rating.

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.

Follow up

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