Archived: Grange View

Updated 5 August 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 28 June 2017 and was announced. We gave the registered manager twenty four hours' notice because the service looks after adults who are normally out during the day to undertake various activities. We needed to ensure that the registered manager would be available. The inspection was carried out by one adult social care inspector.

Before the inspection, we looked at all the information we held about the provider. This included the last inspection report and notifications of significant events. In September 2016, the provider completed and sent us a Provider Information Return (PIR). The PIR is a form that asks the provider to give us some key information about the service, what the service does well and improvements they plan to make. We looked at the information the provider had submitted.

During the inspection, we met three people who lived at the service. People living at the service were not able to give us detailed feedback about their experiences, so we observed how they were being cared for and supported. We spoke with the registered manager and a support worker. After the visit, we also spoke with a professional who supported people living at the home and a relative.

We looked at the environment and equipment people used. We looked at records which included the care records for three people, staff recruitment, training and support records for three members of staff and other records the provider used for monitoring and assessing the quality of the service.

Updated 5 August 2017

Grange View provides accommodation for up to three people with learning disabilities. In addition the service catered for people with challenging behaviour and those on the autistic spectrum.

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

People remained safe at the service. There were sufficient staff available to meet people's needs and support them with activities both in and outside of the service. Risk assessments had been completed to enable people to retain their independence and receive care with minimum risk to themselves or others. People received their medicines safely.

There were enough suitably knowledgeable staff to provide people with support and guidance when they needed it. Staff had received appropriate training, support and development to carry out their role effectively. Plans were in place to further develop the skills and knowledge of the staff team.

Care plans were well organised and up to date. The plans contained information about what was important to people as well as information regarding their health needs.

The staff were very caring and people had built strong relationships with staff. We observed staff being patient and kind. People's privacy was respected. People where possible, or their representatives, were involved in decisions about the care and support people received.

Staff understood and promoted people's rights in line with the requirements of the Mental Capacity Act 2005 (MCA). Staff had received training in MCA and had good knowledge of the principles and how to support people to make decisions about their day to day living. Deprivation of Liberty Safeguards applications were made to a supervisory body when needed to ensure any restrictive practices were authorised and appropriate.

People's views were sought and the service listened to their feedback. People and their relatives had access to the complaints procedure and knew how to raise any concerns about the care provided.

Staff and relatives were positive about how the service was managed and the leadership of the registered manager. The registered manager was enthusiastic and passionate about the quality of care provided at the service and knew people and their needs well. Staff were valued at the service and shared the provider's vision and values to support people to live fulfilling lives.

There was a robust quality assurance system in place and shortfalls identified were promptly acted on to improve the service.