The New Grange Care Home Limited

Updated 11 June 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was undertaken by one inspector, one assistant inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

The New Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and ten relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, deputy manager, care workers and the chef. We observed the care people received to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including quality assurance checks, policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found. We also continued to seek feedback from professionals who work alongside the service.

Updated 11 June 2021

About the service

The New Grange Care Home is a residential care home providing personal care to people aged 65 and over, many of whom live with dementia. The service can support up to 58 people. At the time of inspection, there were 40 people living at the service.

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

People were safe living at The New Grange. Staff could appropriately recognise the signs of abuse and felt confident reporting any concerns they might have. There were sufficient staff to meet people’s needs and people spoke highly of them. One person told us, “The staff here are so helpful, they know me really well, I have no complaints.”

Care plans were person-centred, detailing people’s needs and wishes. Risk assessments had been completed and were followed. For example, a person at risk of developing pressure areas was supported to move or turn regularly. People told us that they were given a choice of meal every day and our observations confirmed this.

There were robust auditing systems in place to promote good quality of care, and drive improvement. The home had been involved in several pilot schemes in the community. One had significantly reduced the number of hospital admissions for people. People, staff and relatives all gave us positive feedback about the registered manager and felt the home was well-led.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 27 November 2019).

Why we inspected

We received concerns in relation to pressure care, the management of medicines, training being out of date or not provided, and people not being supported appropriately at meal times. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The New Grange Care Home on our website at www.cqc.org.uk.

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.