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Inspection Summary


Overall summary & rating

Outstanding

Updated 2 April 2020

About the service

Anisha Grange is a nursing home registered to provide accommodation, nursing and personal care for up to 74 older people, some who may have care and support needs associated with dementia. People were accommodated in one of three units (known as communities) over three floors. Valentine, the nursing community, was on the ground floor. People with dementia mainly lived on the first floor in the Primrose community, whilst people who did not have nursing or dementia needs predominantly lived in the Autumn Way community on the second floor. At the time of our visit there were 65 people living at the service.

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

People provided glowing feedback about the service, and staff team. This was summed up by one person who said, “I couldn’t be in a better place with lovelier people.” Without exception, all of the people we spoke with told us they felt safe and happy living at the service. Considerable time and resources had been invested to ensure people enjoyed living at the service and they were provided with lots of opportunities to live full and varied lives. People told us they had so much to do they couldn’t always fit it in and were never bored. A person told us, “There’s no reason to be bored here, there’s so much going on.”

Staff were skilled and competent in their job roles. The training staff received was of a very good quality and staff were encouraged to continuously develop their skills and knowledge. People were supported to have as much choice and control over their lives and were supported in the least restrictive way possible. The policies and systems in the service support this practice.

Feedback from healthcare professionals showed staff had empathy and understanding when supporting people living with dementia to manage their emotions and behaviours. A professional told us, “Care staff present as passionate about understanding the resident as an individual, their history and why they may be behaving in certain ways.”

Best practice guidance had been followed to support people with dementia to have opportunities for meaningful engagement using intergenerational activities. People had access to resources to help them reminisce, which enriched their quality of life, mental wellbeing and self-esteem.

New ways of working had been introduced to help reduce social isolation and loneliness in people identified at risk. A person told us, “‘I’m in bed all day, but I see plenty of people, I don’t feel lonely.” Strong links with the community had been forged which provided people with opportunities to feel like valued members of their community and promote their social inclusion.

An outstanding feature of the service was the open and transparent way complaints were dealt with. The registered manager was extremely responsive to people’s concerns, making every effort to ensure people felt listened to and were happy with the way their complaints were managed.

People’s needs and wishes for their end of life care were explored in a very person centred way and documented in detail to ensure people were supported the way they wanted.

The leadership of the service was exceptional and significant improvements had been made and sustained. People and staff held the registered manager in extreme high regard. They were highly visible and approachable and considered to be extremely kind and caring.

Of note, was the highly positive culture that had continued to grow and develop under the direction of the registered manager. An inclusive and highly caring ethos was evident throughout the organisation which was strongly promoted by the management team and provider and shared by the staff team.

Staff at all levels told us they were proud to work at the service and without exception, all staff we observed and spoke to demonstrated a high degree of passion, enthusiasm and commitment to providing high quality, person-centred care and support.

People and staff wer

Inspection areas

Safe

Good

Updated 2 April 2020

The service remained good.

Details are in our Safe findings below.

Effective

Good

Updated 2 April 2020

The service remained good.

Details are in our Effective findings below.

Caring

Good

Updated 2 April 2020

The service remained good.

Details are in our Caring findings below.

Responsive

Outstanding

Updated 2 April 2020

The service had improved to outstanding.

Details are in our Responsive findings below.

Well-led

Outstanding

Updated 2 April 2020

The service had improved to outstanding.

Details are in our Well-led findings below.