Archived: The Grange Residential Care Home Also known as Mr David William Skeath

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

The Grange is a residential care home providing accommodation with personal care for up to 28 older people. The building was on three levels, ground, first and second floors with a lift serving all levels and two staircases (one at either end of the building).On the day of our inspection there were 27 people living in the home.

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 were positive about the service and the staff who supported them. People told us they liked the staff that supported them and that they were treated with dignity and kindness.

Staff treated people with respect and as individuals with different needs and preferences. The care records contained information about how to provide support, what the person liked, disliked and their preferences. People who used the service along with families and friends had completed a life history with information about what was important to people. The staff we spoke with told us this information helped them to understand the person.

The care staff demonstrated a good knowledge of people’s care needs, significant people and events in their lives, and their daily routines and preferences. They also understood the provider’s safeguarding procedures and could explain how they would protect people if they had any concerns.

There were sufficient numbers of suitably qualified, skilled and experienced staff to care for the number of people in the home. People told us they never had to wait for assistance. The atmosphere in the service was calm and relaxed and staff did not appear to be rushed.

Robust recruitment and selection procedures were in place and appropriate checks had been undertaken before staff began work.

Most staff had worked with the service for many years which ensured a good continuity of care for people living in the home.

Medicines were managed safely. Senior staff had detailed guidance to follow when administering medicines. Staff completed comprehensive training to ensure that the care provided to people was safe and effective.

There was an open and transparent culture and encouragement for people to provide feedback. The provider took account of complaints and comments to improve the service. A complaints book, policy and procedure were in place. People told us they were aware of how to make a complaint and were confident they could express any concerns and these would be addressed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The management team provided good leadership and people using the service, relatives and staff told us they were approachable, visible and supportive. We saw that regular audits were carried out by the registered manager to monitor the quality of care.

Care staff received regular supervision and appraisal from their manager. These processes gave staff an opportunity to discuss their performance and identify any further training they required.

The staff in the home organised activities that provided entertainment and stimulation for people living in the home. However some people felt that there were not enough activities on offer. We have made a recommendation in relation to this.

The home was kept clean and well maintained.