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Linford Grange Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 November 2019

About the service

Linford Grange is a residential care home providing personal care to 14 people at the time of the inspection. The service can support up to 20 people. The service supports a wide range of people including older people, people with learning disabilities, and people with brain injuries.

People’s experience of using this service and what we found

The registered manager had not always notified the Care Quality Commission (CQC) of certain events as required by law.

The environment was not always safe. A fire escape was blocked with equipment and a fire door had been propped open, preventing it from closing. Wardrobes were not secured to walls, preventing them from falling over. Audits had not picked up on these issues.

Recruitment procedures were not always robust. Appropriate checks and assessments were not always carried out to ensure all staff were of suitable character to work with vulnerable people.

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 we spoke with understood safeguarding procedures and how to raise concerns and felt confident their concerns would be followed up. Risk assessments were in place to manage risks within people’s lives, and staff we spoke with felt safe supporting people with a wide range of needs.

Medicines were stored and administered safely, and people we spoke with were happy with the support they received in this area. Staffing support matched the level of assessed needs within the service during our inspection, and staff were trained to support people effectively. All staff felt well supervised and confident in their roles.

People told us they enjoyed the food prepared for them, and support was given to people to eat in communal areas or within their own rooms.

Healthcare needs were met, and people had access to health professionals as required. Care plans outlined any support people required to manage their healthcare needs. People's consent was gained before any care was provided, and they were supported to have maximum choice and control of their lives.

Staff treated people with kindness, dignity and respect and spent time getting to know them. People were supported in the least restrictive way possible. Care plans reflected people likes, dislikes and preferences. People were engaged with by staff and had the opportunity to take part in activities.

People and their family were involved in their own care planning as much as was possible, and a complaints system was in place and was used effectively.

The manager was open and honest, and worked in partnership with outside agencies to improve people’s support when required. The service had a registered manager in place, and staff felt well supported by them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (9 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to Regulation 18 – Notification of other incidents, of the Care Quality Commission (Registration) Regulations 2009.

Please see the action we have told the provider to take at the end of this report.

Since the last inspection we recognised that the provider had failed to notify us of certain incidents they are required to. Notifications are information that the provider is required to send us by law. This was a breach of regulation. Full information about CQC’s regulatory response to this is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progr

Inspection areas

Safe

Requires improvement

Updated 6 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 6 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 6 November 2019

The service was caring.

Details are in our caring findings below

Responsive

Good

Updated 6 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 6 November 2019

The service was well-led.

Details are in our well-Led findings below.