Background to this inspection
Updated
10 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We planned this inspection to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector and 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
The Grange is a 'care home'. People in care homes receive accommodation and nursing or personal care as 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 is owned by an individual who was also managing the home, and which did not require a registered manager to be in post. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We carried out the inspection visit on 25 February 2020. It was unannounced.
What we did
Before our inspection, we reviewed the information we held about the home which included statutory notifications and safeguarding alerts and the Provider Information Return (PIR), which the provider completed before the inspection. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
During our inspection we spoke with the manager, two senior care staff, a care worker, the chef and the activities co-ordinator. We also spoke to six people who used the service and two relatives. We looked at three care records and three staff files; we looked at various documents relating to the management of the service which included medical records, training data and quality assurance records. We also spoke to one visiting health care professional who worked closely with the home.
Updated
10 March 2020
About the service
The Grange provides accommodation and personal care for up to 28 older people. On the day of our visit there were 26 people living in the home.
People’s experience of the service
Systems and processes were in place to keep people safe and risks associated with people's care needs had been assessed. There were enough staff to meet people's needs and recruitment processes and procedures were safe. Medicines were managed safely. The service appeared clean and well maintained.
Staff received training and supervision for them to perform their role. People's nutrition and health were supported and promoted. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff knew people well and care plans were detailed and provided staff with clear guidance on how to meets people's needs. Staff respected people privacy and dignity and encouraged people to remain independent. People and relatives could express their views about the running of the home.
People received personalised care and support which met their needs and reflected their preferences. People benefited from a variety of activities, events and trips out that were available to reduce social isolation, give meaning and purpose and enhance their wellbeing.
The service was well led. The service is owned by an individual who was also managing the home, and which did not require a registered manager to be in post. People, staff and relatives spoke positively about the manager. There was a positive culture throughout the service which focused on providing care that was personalised. The management team used a variety of methods to assess and monitor the quality of the service. They were aware of their regulatory responsibilities associated with their role.
More information is in the full report.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was good (report published August 2017). The service remains good.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per us
inspection programme. If we receive any concerning information, we may inspect sooner