Background to this inspection
Updated
19 November 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 28 September 2015. We gave the provider three days’ notice of the inspection to make sure people using the service, the provider and registered manager would be available.
The inspection team consisted of one inspector.
Before the inspection, we reviewed the information we held about the service. This included the last inspection report, the provider’s action plan they sent us in response to the last inspection and notifications of significant incidents.
During the inspection, we spent time with both people using the service. We were unable to communicate with either person verbally but we observed how staff offered care and support during the day. We also spoke with two members of staff, the registered manager and the provider’s Operations Manager. We looked at the care records for both people using the service and other records, including medicines records, personnel records for three members of staff, accident and incident reports and audits carried out by the provider and the registered manager.
Following the inspection, we contacted the local authority’s safeguarding adults and contract monitoring teams.
Updated
19 November 2015
This inspection took place on 28 September 2015. We gave the provider three days’ notice of the inspection to make sure people using the service, the provider and registered manager would be available.
The last inspection of the service took place in November 2014 when we found the provider was in breach of regulations relating to care planning, safeguarding people using the service, treating people with respect and dignity and informing the Care Quality Commission (CQC) of significant incidents that affected people using the service. At this inspection, we found the provider had made some progress to improve standards of care, but more needed to be done.
Grange House is a care home for up to five people with a learning disability. When we inspected, two people were using the service. The home had a registered manager who had been in post since July 2014. 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.
We found three breaches of the regulations. We also found three breaches where the provider had failed to take action following our last inspection and we are taking action against the provider. We will report on this when our work in relation to these specific breaches is completed.
The provider had not reported possible safeguarding incidents to the local authority or CQC.
There were not always enough staff to support people to take part in activities.
The provider did not take action to address risks to the health and safety of people using the service.
The provider was depriving people of their liberty illegally, as they had not obtained the agreement of the local authority.
The provider did not always assess people’s care and support needs and staff did not always respond to people’s needs in line with their individual care plans.
The registered person did not always carry out or act on the findings of audits of the quality of the service.
People received the medicines they needed safely.
The provider ensured staff completed the training they needed to work with people using the service.
The provider arranged for and supported people to access the healthcare services they needed.
Staff treated people with kindness and patience, respected people’s dignity and privacy and offered people choices about aspects of their daily lives.
You can see what action we told the provider to take at the back of the full version of the report.