Cheadle Grange Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered. This key question has been rated Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People's needs were assessed before admission, and care plans and risk assessments were developed promptly following admission to the home. Care plans were reviewed regularly and updated when people's needs changed to help ensure care remained relevant and person-centred.

Systems were in place to identify changes in people's needs and escalate concerns appropriately. Daily meetings provided opportunities for staff to share information, review people's wellbeing and coordinate care. However, some staff told us important information was not always communicated effectively during handovers.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People's experiences of food were mixed. The provider recognised concerns about menu choices and was working with people and families to make improvements. While one person told us, “I'm not enthralled with the food,” a family member commented, “The food looks delicious. They now have a lady chef who is really good and the other day made a cherry cheesecake and even the coleslaw is freshly made, not shop bought.”

The provider used equipment and environmental adaptations to promote independence, including coloured crockery and toilet seats for some people living with dementia. One relative commented, “[Family member] was having trouble with white plates and now has a coloured bowl and a spoon and finds that much easier, and they do keep an eye on him.”

People generally received appropriate support with personal care. However, some people felt they could not always have a shower when they wanted. Records did not always demonstrate refusals of personal care, including oral care, were appropriately followed up or accurately documented by staff. The provider gave assurances this would be discussed with staff.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People and relatives spoke positively about the staff team and the support provided. However, some concerns were raised about actions not always being followed through consistently, including ensuring the communal lounge and dining areas were always staffed. Staff also shared some concerns about staffing levels and the use of agency staff. The registered manager acknowledged these challenges and described ongoing work to improve staffing levels and strengthen the culture within the home. One staff member told us, “It definitely feels like collaborative work, and we work well as a team.”

The home reported positive working relationships with a range of health and social care professionals. Relatives told us communication between the home, healthcare services and families worked well. One relative commented, “The GP goes in regularly, they call it a ward round. They updated [family member's] medication last week and they called me on Thursday to let me know about the changes.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to access healthcare services when required, and records demonstrated information was updated to reflect changes in people's needs. However, some staff told us changes to people's needs were not always communicated clearly.

People at risk of weight loss had risk assessments and care plans in place, and changes in their needs were monitored regularly. However, where people were prescribed fluid intake targets, records did not always demonstrate sufficient fluids were being offered, and drinks were not always readily available to people. Despite this, we found no evidence people were dehydrated. One family member told us, "During the hot spell there was lots of water and juice and the staff were really pushing it."

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Systems supported oversight of people who were unwell, at risk of falls, had reduced appetite or fluid intake, or where other concerns had been identified. Records were generally accurate and up to date.

People's nutritional needs were monitored, and most people maintained a stable weight. Where people were at risk of losing weight, appropriate risk assessments, care plans and monitoring arrangements were in place. We observed mealtimes were calm and organised, with staff generally providing encouragement and support where needed.

Feedback about the support provided at mealtimes was more mixed. One family member told us, “The staff do not have a system for serving food, it’s very haphazard and I have witnessed the staff giving out food and then just collecting it, not concerned about what has been eaten.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People gave written consent to their care and support when they moved into the home. Where people lacked the mental capacity to make specific decisions, appropriate processes were followed to ensure decisions were made in their best interests and in line with the Mental Capacity Act. Staff were observed seeking people's permission before providing support.