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Christopher Grange Residential Care Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 January 2021

About the service

Christopher Grange is a residential care home providing personal care to 53 people aged 65 and over at the time of the inspection, including people living with dementia. The service can support up to 78 people and is comprised of four units.

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

People told us that they were happy with the care and support provided by staff. However, the home did not always suitably manage risk to people.

Medicines were not always managed safely. Some environmental checks were either not in place or had not identified the concerns found at our inspection. People were exposed to a risk of harm.

The service was not always well managed. Practices across the different units were inconsistent. Assurance and auditing processes did not always adequately mitigate risk to the health and welfare of people living at the service.

The registered manager began to address our findings following the inspection, showing they were responsive to making the required improvements, and that the safety and quality of the service was a priority.

People's relatives spoke positively about the care and support their family member received. There were enough staff to meet people's care and support needs.

Staff told us they enjoyed their job and felt supported in their role.

The service appeared well maintained and clean and staff followed effective infection prevention and control measures.

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 12 June 2019).

Why we inspected

The inspection was prompted in part by notification of a specific incident, following which a person using the service died. This incident is subject to a criminal investigation and also involves other health care providers. As a result, this inspection did not examine the circumstances of the incident.

The information CQC received about the incident indicated concerns about the management of medicines. This inspection examined those risks.

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 has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvements. Please see the Safe and Well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Christopher Grange Care Home on our website at www.cqc.org.uk.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information, we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 20 January 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 20 January 2021

Caring

Good

Updated 20 January 2021

Responsive

Good

Updated 20 January 2021

Well-led

Requires improvement

Updated 20 January 2021

The service was not always well-led.

Details are in our well-led findings below.