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Inspection Summary


Overall summary & rating

Good

Updated 29 October 2019

About the service

The Grange is a residential care home without nursing for five people who have learning adaptive needs/autism. At the time of this inspection there were five people living in the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures people who live in a service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning adapative needs and/or autism to live meaningful lives that include control, choice and independence. People living in the service receive planned and coordinated person-centred support that is appropriate and inclusive for them.

People's experience of using the service and what we found

People and their relatives were positive about the service. A person said, “I like the staff and they’re nice.” Another person smiled and pointed in the direction of their bedroom when we used signed-assisted language to ask them about their home. A relative said, "I think The Grange is excellent. It’s not posh but they completely understand my family member.”

The outcomes for people living in the service reflected the principles and values of Registering The Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become as independent as possible.

People were safeguarded from the risk of abuse. People received safe care and treatment in line with national guidance from care staff who had the knowledge and skills they needed. There were enough care staff on duty and safe recruitment practices were in place. People were supported to take medicines safely and lessons had been learned when things had gone wrong. Good standards of hygiene were maintained and people had been helped to quickly receive medical attention when necessary.

People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

The accommodation met people's needs, people’s privacy was respected and confidential information was kept private.

People were consulted about their care, given information in an accessible way and supported to pursue their hobbies and interests. There were arrangements to quickly resolve complaints and people were treated with compassion at the end of their lives so they had a dignified death.

Quality checks were completed and people had been consulted about the development of the service. There was good team-work, regulatory requirements had been met and joint working was promoted.

For more details, please read 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 at our inspection (published 11 October 2018) and there was one breach of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 29 October 2019

The service was safe.

Effective

Good

Updated 29 October 2019

The service was effective.

Caring

Good

Updated 29 October 2019

The service was caring.

Responsive

Good

Updated 29 October 2019

The service was responsive.

Well-led

Good

Updated 29 October 2019

The service was well-led.