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The Grange Residential Care Home Good

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

Inspection Summary


Overall summary & rating

Good

Updated 10 October 2019

About the service:

The Grange Residential Care Home is a care home that was providing personal and nursing care to 33 people aged 65 and over at the time of the inspection. The service can support up to 36 people. The home accommodates people across two separate floors, each of which has separate adapted facilities and a lift. Some of the people living in the home had a diagnosis of early stage dementia. The home is situated in the village of Sandiacre in Nottinghamshire.

People's experience of using this service and what we found:

The provider had a system to ensure staff documented any accidents or incidents which had taken place. However, sometimes it was not clear what action the registered manager had taken on some of these instances. In addition, the registered manager had not informed CQC of two important incidents as required under current regulations. We have made a recommendations about this that can be seen in the 'Well-led' section of this report.

Staff told us they received good support from senior staff and the registered and deputy manager. We did note that most of the checks and audits at the home were completed by the registered and deputy managers and had not been effective in identifying the issues found during this inspection. There was an absence of documented input of any checks by the provider. We have made a recommendation about this that can be seen in the 'Well-led' section of this report.

People told us they were well cared for and felt safe in the home. We found staff had been safely recruited. In addition, they had completed the provider’s mandatory training and annual updates to ensure their knowledge and skills were up to date.

People were happy with the level of staff in the home and we observed a good staff presence at the inspection.

Staff received safeguarding training and had a good understanding of the principals involved in acting when abuse was suspected.

Medicines were managed and administered safely and this meant that people received their medicines as prescribed by healthcare professionals.

People's needs were met through assessments and support planning. The service worked well with healthcare and social professionals to achieve positive outcomes for people. Staff had good knowledge and skills and this ensured people's needs were met.

We saw good examples of when people had been supported to maintain a healthy and balanced diet.

People told us carers and staff were compassionate and kind and during the inspection, we observed this to be the case. Management and staff knew people well. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received care and support that was person-centred. We saw examples of how the care and support people received enriched their lives through meaningful activities. The service had a robust complaints policy and people said that they could raise issues with staff and the management team.

The values and culture embedded in the service ensured people were safe and at the heart of the care and support they received. The registered manager and deputy manager planned and promoted holistic, person-centred, high-quality care resulting in good outcomes for people. People knew how to feedback their experiences and this was considered and acted upon by the registered manager.

There was an end of life policy in place that could be used if appropriate. Staff members had been trained around this and were able to ensure best practice was applied during times when people were at the end of life.

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 25 April 2017).

Why we inspected:

This was a planned inspection based on the previous rating of the service.

Follow up:

We will contin

Inspection areas

Safe

Good

Updated 10 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 10 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 10 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 10 October 2019

The service was not always well-led.

Details are in our well-Led findings below.