Christopher Grange Residential Care

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 people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question inadequate. At this assessment the rating has changed to 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. For example, care records showed staff had a clear understanding of people's physical health, emotional wellbeing, communication needs and personal preferences. Care plans included information about people's life histories, routines, interests and the support they needed, helping staff provide consistent, person-centred care. Staff worked with healthcare professionals to assess and review people's needs, and guidance from professionals was incorporated into care plans and followed in practice. Care plans and risk assessments were regularly reviewed and updated following incidents, changes in health or professional input to ensure support remained relevant and reflected people's current needs.

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. For example, care was planned and delivered using recognised assessment tools and good practice guidance. Staff monitored people's nutrition, hydration, mobility, skin condition, diabetes and risk of falls, and updated care plans when people's needs changed. Staff carried out weight checks, monitored food and fluid intake, provided pressure area care and followed advice from healthcare professionals to help make sure people received the right treatment and support.

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. For example, staff worked closely with healthcare professionals. Information was shared through handovers, care records and clinical reviews, helping staff identify changes in people's health and wellbeing and respond promptly.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. For example, staff supported people to maintain their health and wellbeing through access to healthcare services. People were supported to attend appointments with healthcare professionals, including dentists, opticians, chiropodists and dietitians, and to follow advice relating to their health needs. Staff encouraged people to eat and drink well, supported them to manage long-term health conditions and promoted mobility and activity where appropriate. Records showed people received support tailored to their individual health needs. One relative told us staff arranged healthcare support appropriately and described the support provided by healthcare staff as, “Absolutely exceptional.” During a lunchtime observation, the dining room was calm and welcoming. Staff supported people to enjoy their meals at their own pace, providing encouragement and gentle prompting where needed. We observed positive interactions between staff and people, and people appeared comfortable, settled and well supported during mealtime.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and met both clinical expectations and the expectations of people themselves. For example, the provider used a range of monitoring systems to identify risks, measure outcomes and improve care. Records showed positional change charts, food and fluid records, weight monitoring and skin integrity checks were completed where required. Clinical reviews, audits and risk assessments were used to identify changes in people's needs and track the effectiveness of care. Where concerns were identified, care plans were reviewed, professional advice was sought and actions were taken to improve outcomes and reduce risks to people's health and wellbeing.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. For example, we observed staff seeking people's consent before providing support, explaining what they were doing and respecting people's choices. Care plans directed staff to explain care interventions before providing support and obtain consent wherever possible. Where people lacked capacity to make specific decisions, mental capacity assessments and best interest decision-making processes had been completed in line with the Mental Capacity Act 2005. Records showed any restrictions, including those subject to Deprivation of Liberty Safeguards (DoLS), were assessed, monitored and reviewed to ensure they remained necessary, proportionate and in people's best interests.