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Darenth Grange Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 May 2019

About the service:

Darenth Grange Residential Home is a residential care home providing personal care to up to 29 people aged 65 and over. There were 18 people living at the service at the time of inspection. People had varying care needs, including, living with dementia, Parkinson’s disease and diabetes. Some people could walk around independently and other people needed the assistance of staff or staff and equipment to help them to move around.

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

People’s experience of using this service:

¿ Although the service met the characteristics of Good in Effective and Caring, there were three areas, Safe, Responsive and Well Led that Required Improvement.

¿ The medicines people were prescribed to take were not always recorded and managed in a safe way.

¿ Risks within the premises and environment had not always been identified to make sure management plans were in place to reduce the risks to people.

¿ Measures were not always in place to make sure the spread of infection was suitably controlled.

¿ People were not always provided with activities to meet their interests and avoid social isolation. Care plans did not always provide individual guidance and a person-centred approach to people’s care.

¿ Opportunities were missed through the provider’s monitoring and auditing systems to identify the areas of quality and safety that needed improvement, so that action could be taken in a timely manner.

¿ Complaints were not always fully responded to with outcomes clearly set out. We have made a recommendation about this.

¿ People were supported to make their own decisions on a day to day basis.

¿ Staff knew people well and many staff had worked at Darenth Grange for a number of years. Staff told us they were happy in their work and felt well supported.

¿ People were supported to maintain their independence and staff were careful to respect people’s privacy.

¿ People were encouraged and supported to express their views.

¿ The provider had enough staff to make sure people received the care and support they needed.

¿ People were happy with their meals and were able to eat in a large comfortable dining room.

Rating at last inspection:

Requires Improvement (Report published 30 March 2018). This service has been rated Requires Improvement at the last two inspections and had previously been rated Inadequate.

Why we inspected:

This was a planned inspection based on the previous rating.

Enforcement:

Please see the ‘action we have told the provider to take’ section towards the end of this report.

Follow up:

We will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated Requires Improvement.

Inspection areas

Safe

Requires improvement

Updated 17 May 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 17 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 17 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 17 May 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 17 May 2019

The service was not always well-led

Details are in our Well-Led findings below.