• Care Home
  • Care home

Danesford Grange Care Home

Overall: Good read more about inspection ratings

Kidderminster Road, Bridgnorth, Shropshire, WV15 6QD (01746) 763118

Provided and run by:
MGC Care Limited

Latest inspection summary

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Background to this inspection

Updated 9 January 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

Inspection team: One inspector and an assistant inspector carried out the inspection supported by 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: Danesford 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 did not have a manager registered with the Care Quality Commission but a manager was in post. This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: Inspection site visit activity was unannounced and started on 11 December 2018 and ended on this date.

What we did: We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse. We sought feedback from the local authority and professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection, we spoke with eight people who used the service and one relative to ask about their experience of the care provided.

We spoke with seven members of staff including the provider, quality lead, care workers and ancillary staff.

We reviewed a range of records. This included four people's care records. We also looked at two staff files in relation to recruitment, training and supervision records. We looked at records relating to the management of the home and a variety of policies and procedures developed and implemented by the provider.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Overall inspection

Good

Updated 9 January 2019

What life is like for people using this service:

Following the inspection of 26 and 30 April 2018 we identified three breaches of regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were in relation to the safe care and treatment, the ineffectiveness of the quality assurance systems used to drive improvements and the failure in the requirement to display their previous inspection rating.

At this inspection we found that substantial improvements had been made and these regulations were now met.

People were safe living at Danesford Grange Nursing Home. We found there were systems and processes in place for people's needs to be safely met.

Staffing levels were supportive of people's individual care needs.

People received their medicines on time and staff understood each person's abilities and health needs.

People were supported to have maximum control and choice over their lives and staff supported them in the least restrictive way possible.

The provider’s policies and systems supported staff practice and staff understood legislation around people's ability to make decisions.

Staff had a kind and caring approach towards people. They respected people’s privacy and dignity.

People enjoyed meaningful activities and there were appropriate opportunities to engage with the activities coordinator in groups or on a one to one basis.

Systems and processes for assessing and monitoring the quality of the provision, including identifying and analysing risk, had been robustly implemented. Audits were now thorough and there was evidence of management oversight of the service.

People, relatives and staff spoke highly of the management team and the way the service was run.

More information is in Detailed Findings below

Rating at last inspection: Requires improvement (report published 19 June 2018)

About the service: Danesford Grange is a nursing home that was providing personal care to 30 people at the time of the inspection, some of whom were living with dementia. It is registered for a total of 33 beds.

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service had improved and was rated Good overall

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.