Updated 13 February 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
Inspection team:
The inspection took place on 23 January 2019 and was carried out by one inspector and one expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type:
The Grange is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The inspection was unannounced.
What we did:
Before the inspection we looked at information we held about the service to help us plan our inspection. We reviewed the information in the Provider Information Return (PIR). This is information we ask the provider to send to us at least annually to give us key information about the service such as what it does well and any improvements they plan to make. We asked the Local Authority for any information they had which would aid the planning of our inspection.
We considered other information we held about the service. This included notifications about events that happened at the service, which the provider is required to send to us by law such as deaths and safeguarding referrals.
During the inspection visit we spoke with seven people who used the service and four relatives. We spoke with one visiting professional, two members of care staff, the cook, the kitchen assistant, the acting deputy manager and the registered manager. We observed the care and support that people received in the communal areas to assess how they were supported by staff.
We looked at two people's care files and saw records that related to the management of the service such as accidents, incidents and complaints records. We looked at audits and we looked at the way medicines were stored and managed.