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Grange Hill House Residential Home Good

Inspection Summary

Overall summary & rating


Updated 21 February 2019

We inspected this service on 16 and 17 January 2019, the inspection was unannounced. The inspection was carried out by one inspector and an assistant inspector.

Grange Hill Residential Home provides accommodation with personal care and support for up to 38 older people. Some people were living with dementia and other associated illnesses. At the time of our visit, 30 people were living at Grange Hill.

A requirement of the services’ registration with us is that they have 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. There was a registered manager in place.

At the last inspection in September 2017 the service was rated Requires Improvement and had one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was in relation to how people’s risks were identified. At this inspection we found improvements had been made and they were no longer in breach of regulations. The overall rating for the service has now changed to good.

People were positive about the care and the staff who supported them.

People were treated with dignity and kindness. Staff treated people as individuals with different needs and preferences. Care records were personalised and provided information on support needs, likes and dislikes and people’s preferences and interests.

Staff had a good knowledge of people's care needs and their daily routines and preferences. People had key workers who had responsibility for ensuring people had toiletries and other personal effects. There was agreement with the registered manager that this role needed further development.

Staff understood the provider's safeguarding procedures and could explain how they would protect people if they had any concerns. Risk assessments were up to date and were regularly updated.

There were sufficient numbers of suitably qualified, skilled and experienced staff to care for the number of people living at the home.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. People's views on the service were regularly sought and acted on.

Recruitment practices ensured only suitable people were employed with relevant checks completed before staff worked at the home.

Inspection areas



Updated 21 February 2019

The service was safe.

At the last inspection we found medicines and hazards in the home were not always managed safely, medicines had not been stored safely in communal areas, and tools were left unattended which were a trip hazard. At this inspection we found improvements had been made and medicines and risks in the home were safely managed.

There were enough staff to meet people's needs effectively. Risks were recorded and managed safely and staff had knowledge of how to keep people safe.



Updated 21 February 2019

The service was effective.

Staff had training that was appropriate to their roles. Staff understood the principles of the Mental Capacity Act 2005 and supported people to make their own decisions. People were supported to maintain their health and staff involved and worked with other health professionals in peoples care when required.



Updated 21 February 2019

The service was caring.

Staff were kind and caring in how they supported people and people were treated with dignity and respect. People were supported to pursue their hobbies and interests. Staff promoted equality and diversity to make sure people�s beliefs were free from any discrimination.



Updated 21 February 2019

The service was responsive.

Support was personalised and tailored to people�s choices and needs. Care records included clear information and guidance for staff. There was a system for people to make a complaint or raise concerns.



Updated 21 February 2019

The service was well led.

People, relatives and staff were positive about the management. The registered manager understood their responsibilities and ensured people, relatives and staff felt able to contribute to the development of the service. Systems were in place to monitor and improve the quality of the service. There was a clear commitment to further improving people's experiences of care.