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Archived: Grange Cottage Good

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 3 August 2016

We carried out this unannounced comprehensive inspection on 8 July 2016.

Grange Cottage provides care and accommodation for up to nine people who need personal care. The home is situated in the small town of Grange over Sands on the coast of Morecambe Bay. The property is a large six bedroom cottage, five with ensuite facilities. There are three one bedroom ensuite rooms in a bungalow in the adjoining garden. The property has been adapted and extended for its current use as a care home.

At the time of our inspection there were six people living in the home.

There was a registered manager employed. 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.

At our last focused inspection of this home on 26 November 2015, we asked the provider to take action to make improvements to staffing, staff training, staff recruitment processes, how medicines were managed and fire safety. Following the inspection the registered manager took immediate action to protect people from the risk of harm. They also wrote to us detailing the actions they had taken and planned to take to ensure the quality and safety of the service.

At our inspection on 8 July 2016 we found these actions had been completed. The processes used when new staff were employed had been improved, there were enough staff to care for people and all staff had completed appropriate training. Medicines were managed safely and people had been protected against the risk of fire.

We saw that people were treated with kindness, patience and respect. They made choices about their lives and the decisions they made were respected.

People were safe living in the home. They were protected against abuse and avoidable harm. Hazards to their safety had been identified and action taken to manage the risks identified.

People were provided with a choice of meals and drinks that they enjoyed. Activities were provided to take account of people’s interests and preferences.

There were enough staff, with the skills and knowledge, to provide the support people needed. The staff knew people well and provided their support as they wanted.

People were supported to access appropriate health care services to ensure they maintained good health.

Visitors were made welcome in the home and people could maintain relationships that were important to them.

The registered manager worked with the staff in the home providing guidance and overseeing the quality of the service. People knew the registered manager and were comfortable speaking to her. They knew how they could raise concerns and were confident action would be taken if they did so.

People were asked for their views and were included in developing how the service was provided.

Inspection areas

Safe

Good

Updated 3 August 2016

The service was safe.

Improvements made following our last inspection of the home had been sustained to ensure people received safe care.

Risks to people�s safety had been identified and managed.

There were enough staff to provide the support people required. New staff were checked to ensure they were suitable to work in the home.

Medicines were handled safely and people received their medicines as their doctors had prescribed.

Effective

Good

Updated 3 August 2016

The service was effective.

The staff were trained and had the skills and knowledge to provide the support that people needed.

The registered manager was knowledgeable about the Mental Capacity Act (2005) (MCA) and her responsibilities around promoting people�s rights.

Meal times were pleasant and sociable occasions. People were given a choice of meals and drinks that they enjoyed.

People were supported to access appropriate health care services to ensure their health was maintained.

Caring

Good

Updated 3 August 2016

The service was caring.

People were treated with respect and in a kind and caring way.

The staff knew people well and respected the decisions they made about their lives.

People were supported to maintain their independence.

Responsive

Good

Updated 3 August 2016

The service was responsive.

People were included in planning and agreeing to the support they received.

Activities were provided that took account of individual�s choices and interests.

People knew how they could raise concerns and were confident action would be taken if they did so.

Well-led

Good

Updated 3 August 2016

The service was well-led.

The registered manager worked with staff in the home providing guidance and overseeing the quality of the service.

People knew the registered manager. They were asked for their views about the care they received and were included in developing how the service was provided.

The registered manager was open to feedback about the service and had taken action to address areas that required improvement.