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Inspection Summary


Overall summary & rating

Good

Updated 11 January 2017

This inspection was unannounced and took place on 30 November 2016. The Grange Retirement Home provides accommodation, nursing and personal care for up to 62 people. There were 54 people living at the service at the time of our inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

We last inspected the service on 16 December 2013. The service met all the regulations we checked at that time.

Staff knew how to keep people safe from abuse. Staff identified and managed risks to people’s health and safety. Incidents and accidents were monitored and staff took appropriate action to minimise recurrence.

There were robust recruitment practices in place and staff were suitable to work with people. There were sufficient numbers of staff to meet people’s needs. People received their medicines in line with the provider’s medicine management procedures. Medicines were managed and stored safely.

Staff had appropriate skills and knowledge to meet people’s needs. Staff were supported in their role and had received supervisions and an annual appraisal to monitor their work.

People received support in line with the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People gave consent to care and support.

People were supported to eat and drink. People had a choice of food and drink and could choose where they had their meals. Staff sought and followed health care professional’s advice to support people with their dietary needs. People were supported to maintain their health and had access to healthcare professionals when needed.

People were happy with the care they received at the service. People were treated with kindness and compassion. Staff knew people well and respected their preferences on how they wanted to be supported. Staff respected people’s dignity and privacy. Staff promoted people to be as independent as possible. People received specialist care when nearing the end of their lives.

People’s needs were assessed and reviewed regularly. People and their relatives were involved in planning people’s care. Staff received guidance about how to support people. People were involved in planning their day to day care.

People received support to pursue their hobbies and interests. There were activities organised in which people could participate. The registered manager had put plans in place to ensure there were always sufficient or specific activities to meet people’s differing needs or preferences.

People and their relatives were asked their views of the service. The registered manager used their feedback to improve the quality of care. People knew how to raise a complaint. The registered manager investigated and resolved complaints in line with the provider’s procedure.

People, their relatives and staff described the registered manager as approachable. They were happy with how the service was run.

There were regular audits to review the quality of care and safety of the premises. The service worked in partnership with other healthcare professionals to ensure people received the support they required.

Inspection areas

Safe

Good

Updated 11 January 2017

The service was safe.

Staff knew how to protect people from abuse. The provider used safe recruitment procedures. There were enough staff to meet people’s needs.

Staff identified and managed risks to people’s health.

People received the support they required with medicines. Staff managed and administered people’s medicines safely.

Effective

Good

Updated 11 January 2017

The service was effective.

Staff were supported and received relevant training to undertake their role. Staff had received regular supervision and an annual appraisal to monitor their performance.

People consented to care and support. People were supported in line with the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

People accessed healthcare services to maintain their health and wellbeing.

People enjoyed healthy meals and had a choice of food and drink suitable for their dietary requirements.

Caring

Good

Updated 11 January 2017

The service was caring. Staff were kind and caring. Staff understood people’s individual needs, likes and dislikes.

Staff involved people in planning their support and care.

Staff upheld people’s dignity and human rights and respected their privacy and confidentiality. Staff promoted people’s independence.

People received support to maintain relationships with their friends and family.

People received specialist care when they were nearing the end of their lives.

Responsive

Good

Updated 11 January 2017

The service was responsive. People had their needs assessed and reviewed regularly. People received support that met their needs. People had choices in their day to day living.

People followed their interests and took part in activities of their choice. The registered manager had put a plan in place to ensure there were sufficient and appropriate activities for people.

People understood how to make a complaint. People’s concerns and complaints were investigated and resolved.

Well-led

Good

Updated 11 January 2017

The service was well-led. Staff felt well supported. People and staff described the registered manager as approachable and friendly.

The registered manager carried out regular audits to review the quality of care and safety of the premises. Improvements were made when necessary.

People, their relatives, members of staff and professionals were asked for their views about how the service was run and their feedback was used to drive improvements.