Archived: Grange Court Residential Home

Is the service caring?

Is the service responsive?

Is the service safe?

Is the service effective?

Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people who used the service, their relatives, staff supporting them and from looking at records.

Is the service safe?

People told us they felt safe. Safeguarding procedures were robust and staff we spoke with understood how to safeguard the people they supported.

Systems were in place to make sure that managers and staff learnt from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations. This reduced the risks to people and helped the service to continually improve.

Equipment was well maintained and serviced regularly therefore not putting people at unnecessary risk.

Is the service effective?

There was an advocacy service available if people needed it, this meant that when required people could access additional support. People's health and care needs were assessed with them, and they were involved in writing their plans of care.

People's needs were taken into account with signage and the layout of the service enabling people to move around freely and safely. The premises had been sensitively adapted to meet the needs of people with physical impairments.

Visitors confirmed that they were able to see people in private and that visiting times were flexible.

Is the service caring?

People were supported by kind and attentive staff. We saw that care workers showed patience and gave encouragement when supporting people. People said; 'I like having time to spend in the quiet room with my relative, it's nice we can sit and enjoy each other's company.' Another said, 'The staff look after me well, they're all good'.

A relative told us they visited regularly without notice and they were happy their relative was well cared for in the home.

People's preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with people's wishes.

Is the service responsive?

People completed a range of activities in and outside the service regularly.

People using the service, their relatives, friends and other professionals involved with the service completed an annual satisfaction survey. Where shortfalls or concerns were raised these were addressed.

People knew how to make a complaint if they were unhappy. People told us they had never needed to make a complaint but if they did they thought complaints would be investigated and action taken as necessary.

Is the service well-led?

The service worked well with other agencies and services to make sure people received their care in a joined up way.

Staff had attended several training courses which took into account the needs of the people who used the service. This ensured that people's needs were met.

We found there were the necessary processes in place to protect people from abuse and the environment of the home was comfortable and visibly clean. We found staffing numbers to be sufficient and the skill mix of staff suitable to meet the varying needs of people who used the service. We found there was a suitable complaint process and saw evidence of how this had worked with a recent verbal complaint.

We spoke with two people who used the service. One person described how they were "happy at the home" and staff were "caring". Another person described how they were comfortable at the home and staff were friendly.

We spoke with two relatives of people who lived at Grange Court. They told us staff kept them informed of changes to their relatives needs and they would speak with staff if they had any concerns. However, they were both not aware they could attend the monthly reviews of their relative's care and had not been asked for their feedback about the service in the past 12 months.

The two people and two relatives we spoke with were generally happy with the care and support provided. One relative we spoke with told us they would rate most of the staff at Grange Court as '11 out of 10'. Both people we spoke with told us they received support at the times they needed it and felt able to approach staff if they required additional support or had any concerns.

We saw evidence that people were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines. We also saw that the provider had an effective system in place to regularly assess and monitor the quality of service that people receive.