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Inspection Summary


Overall summary & rating

Good

Updated 24 August 2018

This inspection took place on 29 June 2018 and was unannounced. At our last inspection in July 2017 we rated the service as good.

We undertook this inspection because we had received concerns about the safety of equipment available and staff competence to respond to health emergencies at the home. During our inspection we did not identify any risk relating to this.

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

Innage Grange accommodates 83 people within seven separate units. Each unit has their own bathrooms, kitchenette, dining area and lounge. All but one of the units are the ground floor and are connected by a wide central corridor. There is a passenger lift to the first floor. The home accommodates older people who may be living with dementia. At the time of our inspection there were 79 people were living at the home.

A registered manager was in post but they were not present for this inspection. 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 were kept safe from avoidable harm and abuse. The provider had safeguarding procedures in place, which staff understood and followed. Risk assessments reflected how care should be provided to the person to minimise any risks to them; they were regularly reviewed to adapt the level of support needed in response to people's often rapidly changing needs.

People received their medicines when they needed them and these were managed safely. People were protected against the risk of infection. People were supported by sufficient numbers of staff who had been employed through safe recruitment processes.

People received care and support that was effective in meeting their needs. People's care and support needs were assessed and good practice guidance was followed. People were involved in the planning and review of their care and were encouraged to express their views, preferences and wishes regarding their care, support and treatment. This included any end of life wishes they had.

The training staff received was specific to people's individual needs. Staff practice was assessed and monitored to ensure they were competent to meet people's needs. People were supported in an environment which had been designed and adapted to meet their needs.

People were supported to eat and drink sufficient amounts and risks associated with their dietary intake were assessed and monitored to ensure people's safety. Staff worked in partnership with other professionals and people confirmed they received the support and treatment they needed to maintain their health.

People were supported to have maximum choice and control of their lives and care workers supported them in the least restrictive way possible. Staff supported people to make decisions about their care and treatment. Where people could not make their own decisions, the provider worked within the law to ensure their human rights were respected.

People had developed positive relationships with staff and agreed all staff were kind, caring and compassionate. Staff ensured people understood the information they received about their care.

People were treated with dignity and respect and staff supported people's independence.

People received care and support that was individual to them and considered their diversity. Staff understood people's routines and preferences and supported their social needs.

People understood how to make a complaint and there was a system in place to investigate these.

Inspection areas

Safe

Good

Updated 24 August 2018

The service was safe.

People were protected against abuse and were supported to keep safe by sufficient numbers of staff who were aware of the risks associated with their needs and how to minimise these. The provider completed recruitment checks to ensure potential new staff were suitable to work with people in their own homes. The provider had systems in place to prevent the risk of infection and people�s medicines were managed safely.

Effective

Good

Updated 24 August 2018

The service was effective.

People's care and support needs were assessed using good practice guidance. Staff received the training they needed to ensure they had the skills, knowledge and experience to deliver effective care. People had the support they needed to eat and drink enough. The provider worked with other organisations to ensure there was a joined up and effective approach to people's care and support. Staff sought people's consent before providing assistance to them. The home was designed and adapted to meet people�s needs.

Caring

Good

Updated 24 August 2018

The service was caring.

People were treated with kindness and respect and felt involved in their own care. Staff respected people's privacy and dignity when they supported them. People were supported to make choices in the way their care was provided.

Responsive

Good

Updated 24 August 2018

The service was responsive.

People received care that was individual to them and respected their preferences. People were provided with opportunities to make comments or raise complaints about the care they received. People were asked about their end of life wishes and care plans were developed to reflect these wishes.

Well-led

Good

Updated 24 August 2018

The service was well-led.

People were cared for in an open and inclusive environment. People were encouraged to provide feedback on the quality of care they received. Staff felt supported in their roles and understood what was expected from them. The provider had systems in place which helped to monitor and improve the effectiveness of the care people received.