11 December 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
The inspection was completed by two inspectors and an expert by experience in the care of older people.
Service and service type
Solent Grange Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. However, a manager had been recruited who had applied to become the registered manager. This means that they and the provider will be legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 hours’ notice of our intention to inspect. This was because we needed to be sure the right staff would be available and to manage any risks relating to inspecting the service.
What we did before the inspection
Before the inspection, we reviewed information we had received about the service, including previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us. We also requested some records relating to infection control which were reviewed prior to the visit to the home.
We used all of this information to plan our inspection.
During the inspection
We spoke with five people living at the home during our inspection visit and six relatives by phone. We observed care and support provided for people in communal areas and viewed most of the home. We spoke with members of staff including, four care staff, two nurses, two administrators, two housekeepers, the regional manager and the manager.
We reviewed a range of records including those relating to medicines management, staff files in relation to recruitment as well as a variety of records relating to the management of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with four further staff by telephone and two external health and social care professionals. We looked at additional information the provider sent us including individual risk assessments and management records, records relating to the management of the service including audits and policies and procedures.
11 December 2020
About the service
Solent Grange Nursing Home is registered to provide accommodation for up to 89 people. The home provides both personal and nursing care support to older people including those living with dementia. At the time of the inspection the home accommodated a total of 45 people.
People’s experience of using this service and what we found
People and relatives told us they felt safe and were happy with their care. They confirmed staff were kind and caring and we observed positive interactions between staff and people.
Governance systems were in place to help ensure the quality of the service. The manager was now ensuring these were fully followed. This helped to ensure that following an accident or incident, appropriate action would be taken to investigate and reduce the risk of recurrence.
A comprehensive continuous improvement plan had been developed by the company. This had identified areas where improvements were required including health and safety, risk management, medicines, infection control and auditing of the service. Action was being taken to commence making the necessary improvements.
People received their medicine as prescribed. The manager had identified a need to add further information to medicine administration care plans and ‘as required’ (PRN) medicine plans to provide staff with additional guidance as to when these medicines should be given.
Staff were trained in infection control and had also received specific Covid-19 training to help ensure they understood the risks and adhered to infection control processes in line with Covid-19 guidance. Throughout the inspection staff were observed to be wearing face masks as per the latest government guidance. The use of additional Personal Protective Equipment (PPE) was discussed with the manager and regional manager who agreed to seek advice to ensure all PPE was worn in line with government guidance. PPE such as disposable masks, visors, gloves and aprons, were available for staff and visitors to the service to use. Safe visiting procedures were in place.
We observed sufficient numbers of staff available to meet people's needs. Safe and effective recruitment practices were in place and followed.
People, relatives and staff were positive about the running of the service. They had confidence in the new manager who they felt was making improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 17 May 2019).
Why we inspected
As part of CQC's response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes. Solent Grange Nursing Home was randomly selected to be part of this review.
We also inspected the key question areas of Safe and Well-led. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. We have rated the Key Questions for safe and Well-led as Good therefore the overall rating for Solent Grange Nursing Home remains Good.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Solent Grange Nursing Home on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.