The Grange

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider ensured people’s care and treatment were effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were assessed thoroughly and kept under regular review. Staff sought advice and support from external professionals when specialist input or assessment was required. People spoke positively about the care they received, with one person commenting, “I’ve been happy here and I didn’t think I would be.”

The provider planned and delivered people’s care and treatment with them, taking into account what was important and mattered to them. Care was provided in line with legislation and current evidence‑based good practice and standards.

People were positive about the care they received. People’s weight was generally stable, and we observed individuals enjoying their meals. People also spoke positively about access to food and drink, with one person commenting, “The food is good. No complaints there. I did lose a lot of weight before [living here] but I am putting it back on here!”

People had oral care assessments in place and were supported to access dental services when needed. People were encouraged to remain as mobile and independent as possible. One family member told us, “They have recently started doing physio with [family member] once a week, and as a result their walking is improving a lot.”

The provider worked well across teams and services to support people. They helped ensure people only needed to share their information once by sharing assessments of need when people moved between different services.

Staff sought specialist advice from dietitians or speech and language therapists when there were concerns such as weight loss or difficulties with swallowing. Where people had capacity and made decisions that differed from professional advice, the staff team worked closely with all relevant parties to ensure people were safe and appropriately supported.

The provider supported people to manage their health and wellbeing in ways that maximised their independence, choice and control. Staff encouraged people to live healthier lives and, where possible, reduce their future need for care and support.

People were supported to access the services they needed, and we saw evidence of positive outcomes. This included people whose health had significantly improved following periods of ill health, as well as people being supported to live more independently where possible.

Professionals spoke positively about the service. One professional commented, “I have found that they are often able to know when residents are unwell with subtle changes such as not eating as well as they usually do. This means they seek advice quickly.”

The provider routinely monitored people’s care and treatment to support continuous improvement. They ensured outcomes were positive, consistent, and aligned with both clinical expectations and the expectations of people using the service.

Systems were in place to monitor people’s health and to ensure they received any support or treatment they required, such as medicines for constipation. Daily records were maintained and provided an overview of how people had been each day. However, we discussed ways in which the provider could ensure more specific detail about people’s day could be captured in the records to ensure they reflected fully person-centred care. The provider was responsive to our feedback and gave assurances.

The provider was considering moving to an electronic care planning system, which may support staff to record information in a more detailed and structured way in the future.

The provider ensured people were informed about their rights around consent and respected these when delivering person‑centred care and treatment.

Records showed that people had given consent to the care they received. Staff consistently asked people for consent before providing any additional support. People told us they were happy with how they were supported and that staff always asked for their permission and respected any decisions they made.