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The Grange Care Centre Requires improvement

We are carrying out a review of quality at The Grange Care Centre. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 September 2019

About the service

The Grange Care Centre is a residential care home providing accommodation and nursing care for up to 160 people with general nursing needs and end of life care. The service had eight separate units, each of which have individual bedrooms with en-suite facilities and communal living, dining, bath, shower and toilet facilities. Support was provided for older people including those with dementia care needs, younger adults with a physical disability and/or mental health needs and people requiring care at the end of their lives. At the time of the inspection there were 150 people living at the care home.

People’s experience of using this service and what we found

Medicines were administered appropriately but guidance for when some medicines should be administered was not provided. We also saw there were issues in the management of medicines to ensure they were in date and kept at the correct temperature.

Risk management plans were not always in place when a specific risk had been identified to provide staff with guidance as to how they could reduce possible risks.

People’s dignity and privacy was not always maintained and there was a lack of interaction between staff and people in some units. Notwithstanding our observations, people we spoke with felt staff treated them with dignity and respect when they received care.

Records relating to people using the service did not always provide accurate information relating to the care and support they needed, so staff had all the information they needed to care for people. The activities provided around the home were not always meaningful for the people living there.

The provider had a range of audits in place but the ones relating to care plans and medicines were not robust to identify where actions were required.

Some people we spoke with said they were not happy with the choice of food and people’s nutritional plans were not always followed. We have made a recommendation about the provision of food at the care home.

People using the service, relatives and staff told us they felt there were times when there were not enough staff on duty.

The environment around the home did not always support people to be as independent as possible.

The provider had systems to investigate safeguarding concerns and incidents and accidents with any lessons learned identified. There was a robust recruitment process in place. The provider had appropriate procedures for preventing and controlling infection.

Staff completed a range of training and had regular supervision with their manager. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Peoples religious and cultural needs were identified. People were aware of how to raise a complaint or concern.

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

Rating at last inspection and update

The last rating for this service was Requires Improvement (published 12 December 2018) and there were two breaches of regulation. The service remains rated requires improvement. This service has been rated requires improvement for the inspection in August 2017.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made/ sustained and the provider was still in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection. We have found evidence that the provider needs to make improvement. Please see the Safe, Effective, Caring, Responsive and Well Led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Grange Care Centre on our website at

Inspection areas

Safe

Requires improvement

Updated 13 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 13 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 13 September 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 13 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 13 September 2019

The service was not well-led.

Details are in our well-Led findings below.