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The Grange Care Centre Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 22 December 2018

The Grange Care Centre provides accommodation, personal care and nursing for up to 49 older people some of whom may be living with dementia or had a stroke. At the time of our inspection, 40 people were living at the service. The building was set over two floors. The home was in a village with access to the local community and had a garden wrapped around the building. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.

The home was previously inspected 7 April 2016 where it had been rated outstanding in ‘Is the service responsive?’ and ‘Is the service well led?’. This unannounced inspection was carried out on 6 and 12 November 2018 where we found ‘Is the service caring?’, ‘Is the service responsive?’ and 'Is the service well led?' outstanding.

At this inspection we found the evidence continued to support the rating of outstanding.

There were two registered managers in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People living at the service and their relatives were extremely happy with the high standards of care they received. Feedback on the care and support staff provided was very positive. We observed extremely caring interactions between staff and people in the home.

The two registered managers promoted an inclusive and person-centred culture at the service. People knew the registered managers very well, said they were both visible at the service, and spent time with them. The registered managers and provider demonstrated excellent leadership and encouraged continuous learning and improvement to the care offered in the home. They encouraged the staff team to share ideas and to support each other.

The home continued to have a care award from the National Stroke Association and in 2017 had been nominated for the National Care Awards. The registered managers engaged with other organisations to learn new ways to be more imaginative when caring for people and forward thinking when managing the home.

The registered managers and staff team provided exceptional social activities and engagement for people using the service. The staff team had formed strong links with the community, in particular with the local school. People immensely enjoyed taking part in a variety of activities provided at the service and in the community. The registered managers engaged people to design creative activities in ways which enriched each person's life. Staff supported people to live an active and full life that met their interests.

Staff had had ample time to support individuals in a meaningful way and to provide compassionate care. This was because of high staff numbers and a range of staff experiences to provide a holistic approach to care. People were supported with the things that were important to them, which were identified quickly when they moved into the home. Care records were current and reflected people's abilities and where they required help from the staff team.

Care and support was planned and delivered in a way that was intended to ensure people's safety and welfare. People received their medicines as prescribed.

The staff team worked well with other professionals to ensure people's health needs were met. People's care records showed that, where appropriate, support and guidance was sought from health care professionals, including from the visiting GP and community home care support team. Health and social care professionals spoke highly of the home and confirmed there was exceptional leadership which filtered down to the staf

Inspection areas

Safe

Good

Updated 22 December 2018

The service remains Good

Effective

Good

Updated 22 December 2018

The service remains Good

Caring

Outstanding

Updated 22 December 2018

The service has improved to Outstanding

The service was exceptionally caring.

People and relatives repeatedly told us how extremely caring and kind the staff were.

Throughout the inspection we saw the positive and trusting relationships that had formed between staff and people and their relatives.

Staff were passionate about providing person-centred care to people that added value to their lives. Staff were inclusive of people's choices and beliefs and treated people with dignity and respect.

Responsive

Outstanding

Updated 22 December 2018

The service remains Outstanding

Well-led

Outstanding

Updated 22 December 2018

The service remains Outstanding.