The Grange

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care,treatmentand support achieved good outcomes and promoteda good qualityof life, based on best available evidence.

This was the first assessment for this service. This key question has been rated good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider assessed people’s health, care, well being and communication needs before they began receiving support. Relatives told us they, and the person receiving care, were involved in these discussions to help ensure care reflected people’s individual needs and preferences.

Information gathered during assessments was used to develop care plans for staff to follow. These were reviewed regularly and updated when people’s needs changed. Relatives told us the provider responded appropriately to requests for changes in support and adapted planned care when required.

The provider planned and delivered people’s care and support in line with current evidence-based practice and guidance. Staff completed a range of training relevant to people’s individual needs and told us this provided them with the knowledge and skills required for their roles.

Staff explained the registered manager shared information and updates about good practice through supervision sessions and team meetings. This helped staff understand how to provide care in line with people’s needs and preferences.

The provider worked effectively with staff and external services to support people’s care. Information about people’s needs was shared appropriately when support from other services was required, which helped promote continuity of care.

The provider also had systems in place to support effective communication within the service. Staff told us they had regular contact with the registered manager and were kept informed about people’s care and any changes in their needs through care records and secure messaging systems. This helped staff provide consistent and coordinated support.

Staff supported people to maintain their health and wellbeing. Care plans included information about people’s health conditions and the support they required to manage these safely. Staff told us they monitored people’s wellbeing during visits and would report any concerns to the management team or relatives when needed.

Where appropriate, staff worked with relatives and other professionals involved in people’s care to help ensure people received the support they required and any changes in their wellbeing were responded to appropriately.

The provider routinely monitored people’s care and wellbeing to help ensure positive and consistent outcomes. Staff recorded care interventions and escalated any concerns to the management team, relatives and, where appropriate, external healthcare professionals. This helped provide assurance that care was delivered in line with people’s care plans and changing needs were identified promptly.

The registered manager regularly reviewed people’s care and support to check their needs continued to be met and to support positive experiences for people using the service.

Staff respected people’s rights to make decisions about their care and support. Information about people’s wishes and preferred routines was recorded within care plans, and staff told us they checked with people before providing assistance.

Staff had received training in the Mental Capacity Act 2005 and were able to explain the importance of supporting people to make their own decisions wherever possible. When people required assistance with decision-making, staff described how they would work in line with recorded guidance and involve relatives or representatives, where appropriate, to help ensure decisions reflected the person’s best interests.