• Care Home
  • Care home

Middletown Grange

Overall: Good read more about inspection ratings

Middletown, Hailey, Witney, Oxfordshire, OX29 9UB (01993) 700396

Provided and run by:
Barchester Healthcare Homes Limited

Latest inspection summary

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Background to this inspection

Updated 3 August 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Middletown Grange nursing home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home is purpose built accommodating up to 60 people.

The service had a manager registered with the Care Quality Commission. This means that the registered manager and provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we held about the service and the service provider. We looked at notifications received from the provider. A notification is information about important events which the provider is required to tell us about by law. This ensured we were addressing any areas of concern. We reviewed the action plan which the provider had submitted following the last inspection. We received feedback from two social and health care professionals who regularly visited people who received care from the service. We also reviewed the provider’s previous inspection reports. We used all of this information to plan our inspection.

During the inspection

We spoke with six people and two relatives. We looked at four people’s care records and seven medicine administration records (MAR). During the inspection we spent time with people. We looked around the home and observed the way staff interacted with people. We spoke with the senior regional director, the interim manager and six staff which included, nurses, carer staff, kitchen staff and activities coordinator. We reviewed a range of records relating to the management of the home. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Overall inspection


Updated 3 August 2019

About the service

Middletown Grange nursing home is a care home providing personal and nursing care to 52 people aged 65 and over at the time of the inspection. The service can support up to 60 people.

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

People living at Middletown Grange told us they received safe care from skilled and knowledgeable staff. Staff knew how to identify and report any concerns. The provider had safe recruitment and selection processes in place.

Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs. The home used the same agency staff to ensure consistence of care. Staff recruitment was on-going. Medicines were managed safely, and people received their medicines as prescribed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were supported to maintain good health and to meet their nutritional needs.

People told us staff were caring. Staff consistency enabled people to receive good care from staff who knew them well. People had access to activities to prevent social isolation.

Middletown Grange was well-led by a registered manager who had been in post for six months and was passionate about improving people’s care. The service had a clear management and staffing structure in place. Staff worked well as a team and complemented each other’s skills. The provider had quality assurance systems in place to monitor the quality and safety of the service.

Rating at last inspection and update

The last rating for this service was requires improvement (published 7 September 2018) and there were two breaches of our regulation. 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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk