We carried out a review of the data available to us about Dean Grange on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Dean Grange, you can give feedback on this service.
Dean Grange is a residential care home providing personal care to 5 people with a learning disability at the time of the inspection. The service can support up to 5 people in one adapted building.
Through implementing a person-centred model of care and support the service had developed an outstandingly caring person centred culture which placed a strong emphasis on enabling people to develop and maintain their confidence and independence. Such as using public transport independently, taking up voluntary work and spending time without direct staff supervision.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Staff and management understood how to protect people from harm and abuse. Risks to people's safety were identified, assessed and appropriate action taken and their medicines were safely managed. People were supported by sufficient skilled staff.
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 treated with dignity, respect and kindness and were involved in the planning and review of their
care and support.
People received individualised care which reflected their personal preferences, wishes and routines. There were arrangements to investigate and respond to complaints.
The registered manager was visible and accessible to people and staff, providing clear leadership and developing ideas to continually improve the service. Quality checks were made with the aim of constantly improving the service in response to people's needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was Good (report published 3 June 2017) at this inspection the rating for this service remains good.
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.
Staff and management understood how to protect people from harm and abuse. Risks to people's safety were identified, assessed and appropriate action taken and their medicines were safely managed. People were supported by sufficient staff who had been recruited using thorough checks.
People were supported by staff who had training and support to maintain their skills and knowledge to meet their needs. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
People were treated with dignity, respect and kindness and were involved in the planning and review of their care and support. Dean Grange supported people to be as independent as possible and to move towards more independent living.
People received individualised care which reflected their personal preferences, wishes and routines. There were arrangements to investigate and respond to complaints.
The registered manager was visible and accessible to people and staff, providing clear
leadership and developing ideas to continually improve the service. Quality checks were made with the aim of constantly improving the service in response to people’s needs.
Further information is in the detailed findings below.
This inspection took place on 12 December 2014 and was unannounced. The previous inspection of the home was on 11 October 2013. There were no breaches of the legal requirements at that time.
Dean Grange provides care and accommodation for up to five people with a learning disability. There was a registered manager in post. 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.
People at the home told us they felt safe and could talk to staff if they had any concerns. Staff had been checked to ensure they were suitable to work with people.
Staff had a good awareness of safety and the risks to people. They took action which reduced the risk of people being harmed and which protected their rights. People had support from staff with their medicines and these were being managed in a safe way.
People had support from staff which helped them in different areas of their lives. This included help to arrange check ups and appointments so that people maintained good health. People had individual plans which provided good information about their needs and the support that had been agreed. Staff received training and followed procedures so they were competent in the tasks they carried out.
Staff were aware of the Mental Capacity Act 2005 in relation to mental capacity and helped people with making decisions. Choice was being promoted and information had been produced in ways which made it easier for people to understand it. Menus, for example, included photographs of the meals and people told us they could choose what meals they wanted.
People were treated with respect and in a caring way by staff. Staff helped people to maintain good relationships and to have a comfortable and well decorated home environment.
People took part in activities they enjoyed. They liked having ‘one to one’ time with staff when they could choose what to do, such as going shopping. People had meetings together when they could talk about the day to day arrangements and resolve any issues.
People benefited from a service that was responsive to their needs. There were systems in place for monitoring the service and for identifying where improvements could be made.
We looked at people's individual files which incorporated their personal profile, care plans and risk assessments and found they encompassed the safety and well-being of people who use the service. People who used the service told us that they knew how to raise a concern or complaint and felt confident in doing. They said if they had any issues or concerns they could "talk to the manager." There were policies and procedures in place providing guidance and all staff had received safeguarding and behavioural management training which were identified on the training schedule. Staff told us they were supported by management and that they received regular training.
We saw that people who used the service could be confident in receiving safe and co-ordinated care, treatment and support where more than one provider is involved, or they are moved between services.
They also told us about the health checks they had received and the support they received from staff.
We heard how the home was kept clean and how people had jobs to do both in the home and outside.
People were aware of the visits made to the home to check the quality of the service.