Archived: The Grange Care Centre

We have asked the provider to make improvements with people's care plans and the way they were reviewed and updated. Improvements were required with the assessment of risks and monitoring of healthcare needs. Although there was a formal complaints procedure not all complaints made by families were logged as complaints.

People in the home had dementia and were unable to tell us their views about the way they were looked after. We completed a short observation framework inspection (SOFI) and spent a period of time observing the interactions of staff with a group of people. On the whole we observed positive interactions; the staff were attentive to people's individual needs and genuinely cared for them. Three examples where the interaction could have been better were discussed with managers.

We discussed procedures in place for administering medicines to people who refused to take their tablets. There were satisfactory safeguards in place to ensure that medicines were administered safely, or marked as refused.

Recruitment and selection of staff ensured that appropriate checks were undertaken before they began work in the home.

We found that care plans were person centred and that individual needs were recorded daily. Staff told us that they worked closely with other professionals when delivering care and support. For example, staff worked with GPs and hospital departments. Staff told us that personalisation of care was important as it meant that resident's were seen as individuals first.

People were safeguarded against the potential of abuse and there were arrangements in place to guide and support staff for safeguarding vulnerable people.

Staff told us they were supported by the management team and that they received regular supervision and annual appraisal.

Staff informed us that they received regular training and from time to time were able to undertake qualifications regarding their roles.

The provider had a range of systems in place to monitor the quality of its service delivery and to act where improvements were required.