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Inspection Summary


Overall summary & rating

Good

Updated 19 December 2020

About the service

Alice Grange is a care home providing personal and nursing care for up to 80 people across three floors. One of the floors provides care to people living with dementia. At the time of our inspection visit there were 41 people living at the home.

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

We had significant and multiple concerns at our last inspection and rated the home inadequate in four key questions and overall. We also found five breaches of the Health and Social Act 2008 (Regulated Activities) Regulations 2014 at that time.

Immediately following our last inspection, the provider took action to begin making the necessary improvements including placing a voluntary suspension on any new admissions to the care home. The provider brought in a team of senior support managers and clinical staff to help address the significant concerns and to put in place a plan of action to make the necessary improvements. This involved making improvements to governance and oversight arrangements, and implementation of systems and processes to safely assess and manage risks to people. Staffing levels were reviewed and immediately increased.

At this inspection we found significant improvements. The service had clear and improved leadership and there was increased stability and a changed culture which was commented on by many people, staff and stakeholders we spoke with.

People using the service told us they were happy living at Alice Grange and with the care they received. People felt safe and well-treated by staff. Staff were kind and considerate. Staffing levels were kept under review to ensure they were sufficent. Staff were recruited safely. We have made a recommendation regarding the on going monitoring of staffing levels by the provider.

Medicines were managed safely. Staff wore personal protective equipment (PPE) and clear guidance was in place regarding keeping people safe from the risks associated with COVID-19. The environment was clean and well maintained.

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.

Many people, relatives and staff were positive in their feedback about the leadership of the home and the quality of care delivered. A member of staff told us, “I can honestly say I have never been happier and more proud of my team than the one I’m in at Alice Grange. I would like to say that the knowledge of [people] and the dedication of the carers is outstanding, but it doesn’t stop there. From the domestic staff to the chefs, the hosts/hostesses and activities team, they all treat [people] as individuals, with dignity and respect. And even though the management team have not been in post long they too know the residents, the staff, [provider] policies and local guidelines but most of all they care.”

Feedback we received was positive about how the service was being managed and the significant improvements made. Staff felt very well supported by the registered manager. The registered manager and provider completed regular audits and checks, which ensured levels of quality and safety were maintained at the home. The registered manager understood and met their regulatory responsibilities.

For more details, please see 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 Inadequate (published 31 March 2020) and there were multiple breaches of regulation. The provider completed a fortnightly action plan after the last inspection to show what they would do and by when to improve. We also held monthly virtual meetings with the provider to check on the progress being made. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures si

Inspection areas

Safe

Good

Updated 19 December 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 December 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 19 December 2020

The service was caring.

Details are in our effective findings below.

Responsive

Good

Updated 19 December 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 19 December 2020

The service was well-led.

Details are in our well-led findings below.