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Grange Cottage Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 31 August 2017

This inspection took place on 20 July 2017. At our previous inspection in April 2015 the service was rated as good. Grange Cottage now provides personal care and support for up to 33 people some of whom are living with dementia or mental health problems. Since the last inspection the provider increased their bed capacity from 19 people by extending the care home to the property next door. On the day of our inspection 19 people were using the service.

At the time of the inspection, there was a registered manager. 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 felt safe and were supported by staff who knew how to keep them safe. Risks to people's health and safety were assessed and appropriately managed and people were supported by sufficient numbers of staff. Robust staff recruitment procedures helped to keep people safe. People received the support they needed to safely manage their medicines.

Staff had the knowledge and skills to care for people effectively and felt well supported by appropriate training and effective supervision. People were all able to make choices and decisions about their care sometimes with the support of their relatives. People received support where they needed it to access a range of healthcare services.

Relatives and professionals told us staff were consistently kind and caring and established positive relationships with people and their families. Staff valued people, treated them with respect and promoted their rights, choices and independence.

People's needs were fully assessed with them before they moved to the home to make sure that the home could meet their needs. Assessments were reviewed with the person and their relatives. People were encouraged to take part in activities and leisure pursuits of their choice.

People knew who to talk to if they had a complaint. Complaints were managed in accordance with the provider's complaints policy.

People spoke positively about the way the home was run. The management team and staff understood their respective roles and responsibilities. Staff told us that the registered manager was very approachable and understanding.

There were effective systems in place to monitor and improve the quality of the service provided. We saw that various audits had been undertaken.

The registered manager was not aware of when notifications had to be sent to CQC and thought they should be sent only to the local authorities. When we explained the purpose of these notifications the registered manager and the home’s administrator acknowledged the need to do this and agreed to implement this requirement with immediate effect.

Inspection areas

Safe

Good

Updated 31 August 2017

The service was safe. Staff were knowledgeable in recognising signs of potential abuse. Risks to people were understood and managed appropriately as part of their care plans.

There were enough staff employed to ensure people received the care they needed and in a safe way.

There were effective recruitment procedures and practices in place and being followed.

Medicines were safely stored and administered to people.

The environment was well maintained and designed in a way that helped people with dementia to be safe and comfortable in the home.

Effective

Good

Updated 31 August 2017

The service was effective. Staff were provided with adequate support in terms of training and supervision to perform their roles effectively.

The service worked within the principles of the Mental Capacity Act to uphold people's rights.

People were assisted to have sufficient to eat and drink and to access healthcare services in order to maintain good health.

Caring

Good

Updated 31 August 2017

The service was caring. Relatives told us staff were very caring towards their family members. They told us they were involved in the care planning process and people’s views and preferences were taken into account in the process.

Staff demonstrated respect for people who used the service in the way they interacted with and spoke about people.

Staff took account of people's individual needs and supported them to maximise their independence. Staff provided support in ways that protected people's privacy and respected their dignity.

Responsive

Good

Updated 31 August 2017

The service was responsive. People's needs were fully assessed with them before they moved to the home to make sure that the staff could meet their needs.

The management team responded to people's needs quickly and appropriately whenever there were changes in people's support needs.

The provider had a complaints procedure and people told us they felt able to complain if they needed to.

Well-led

Requires improvement

Updated 31 August 2017

The service was not always well-led. The provider had not always sent notifications to the Care Quality Commission as required by law. They put in place measures to ensure this was carried out with immediate effect when we pointed this out to them.

We found there was a positive and open culture in the home. Staff we spoke with described the registered manager as approachable and responsive to their own and to people’s needs.

The provider had a range of checks and audits to monitor the quality of the service that we saw were effective in identifying areas for improvement.