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The Grange Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 21 January 2021

About the service

The Grange is a residential care home providing personal care to 27 people at the time of the inspection, some of whom were living with dementia. The service can support up to 34 people over two floors. The accommodation contains several communal areas and has bedrooms, bathrooms and toilets on both floors.

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

The service was inspected during the COVID-19 pandemic. The service has systems for sharing and cascading up to date guidance and best practice to all staff. However, the registered manager did not always keep an ongoing record of policy and procedure updates to evidence that best practice information had been shared to keep people safe. We have made a recommendation that the provider reviews relevant guidance, updates policies and ensures this information is cascaded.

There were sufficient staff to support people's needs and they had been safely recruited. People we spoke with told us they were happy with the level of staff and we saw this during the inspection.

Staff received safeguarding training and had a good understanding of the principals involved in acting when abuse was suspected. Staff also completed the provider’s mandatory training and annual updates to ensure that their knowledge and skills were up to date.

People told us that they were cared for and felt safe in the home. Their needs were understood through assessments and support plans. We saw that people were involved in their care planning. Staff had good knowledge and skills and this ensured people's needs were met.

People received care that was person centred. People had 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 told us staff were kind and caring, this was observed during the inspection. People said that they could raise issues with staff and the management team.

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

Staff reported and recorded incidents appropriately. Managers responded to incidents to achieve satisfactory outcomes as well as learning and improvement.

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 9 October 2019).

Why we inspected

The inspection was triggered due to a confirmed COVID-19 outbreak. We undertook a review of Infection Prevention and Control (IPC) practices to assess whether the service was compliant with IPC measures. This took place on 13 November 2020 and was unannounced.

During the targeted inspection a number of concerns were found around infection control and governance. These concerns prompted a second day of inspection. We undertook a focused inspection on 2 December 2020 to review the key questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service remains Good, this is based on the findings at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this full report.

Follow up

We will continue to review information we receive about the service until we return to visit as part of our reinspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Good

Updated 21 January 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 January 2021

Caring

Good

Updated 21 January 2021

Responsive

Good

Updated 21 January 2021

Well-led

Requires improvement

Updated 21 January 2021

The service was not always well-led.

Details are in our well-led findings below.