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Inspection Summary

Overall summary & rating


Updated 25 January 2018

We inspected Vida Grange on 6 and 8 November 2017. The inspection was unannounced on the first day and we told the provider we would be visiting on the second day. This was the first inspection of the service since it was registered in December 2016.

Vida Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Vida Grange can accommodate up to 124 people across eight units which are called houses. Each house has its own separate adapted facilities. When we visited five houses were open and 72 people used the service. Three of the units provided nursing care and two units provided residential care. The service provided support to older and younger people living with dementia.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider’s vision included a commitment which stated, ‘Vida Grange will see each resident as unique and respect the perspective of each individual through the provision of life story work and adopting a person centred approach to our residents and within our team’. The provider had worked very hard to integrate their vision and ethos of care into every aspect of their work from recruitment, designing care with people and their families and using every opportunity to learn lessons and continually improve. This meant people received truly person centred care from staff who were extremely caring. Relatives described the service as distinctive from others their family members had used in relation to the person centred care people received.

People were treated with high levels of respect and afforded dignity. Staff provided excellent support to enable people to communicate which ensured people directed their own care and support. People told us staff were exceptionally kind towards them. People and their relatives told us they thought the care people received was of a very high standard.

The provider used good practice and innovation to ensure people living with dementia received an effective service. This meant people experienced a good quality of life and that the service had managed to support people to have good outcomes. Investment in the staff team with regards to their training and support meant they had the skills and knowledge to deliver expert care. Exceptional use of positive behavioural support techniques meant people experienced less distress and therefore had more positive feelings of wellbeing.

The environment was expertly designed to support people to be independent in their surroundings and this reduced the likelihood of distressed behaviour. The staff approach was to empower people to have choice and make their own decisions. 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.

People had access to a wide variety of activities which they told us they thoroughly enjoyed. People were supported to develop and maintain friendships to prevent social isolation. Staff used information they gathered about people to develop meaningful relationships with them. All of this supported people to experience high levels of wellbeing.

People were supported very well to manage their health. People told us they found the food was of a great standard and this supported people to maintain good nutritional health. The service had excellent links with the healthcare professionals to maintain people’s health.

Staff understood how to ke

Inspection areas



Updated 25 January 2018

The service was safe.

Staff we spoke with could explain indicators of abuse and the action they would take to ensure people�s safety was maintained.

Records showed recruitment checks were carried out to help ensure suitable staff were recruited to work with people who lived at the service.

There were arrangements in place to ensure people received medication in a safe way. The premises were well maintained and safe.

People had individual risk management plans to provide staff with the details of how to keep them safe. Incidents which occurred were analysed to reduce the likelihood of a reoccurrence.



Updated 25 January 2018

The service was extremely effective.

People experienced positive outcomes because the support they received was based on good practice in relation to supporting people living with dementia. This included excellent use of positive behavioural support.

Staff received specialist training, excellent support and mentorship to ensure they had the skills and knowledge to provide high standards of care and support to people.

The environment had been expertly designed to support people living with dementia to be safe and to be less anxious.

People were supported to maintain good health and had excellent access to healthcare professionals and services. Innovative ways to understand people�s symptoms and to support their treatment were used.



Updated 25 January 2018

The service was extremely caring.

Staff used their expert knowledge of each person to develop meaningful relationships which meant people felt confident communicating and expressing themselves.

People told us they were supported by exceptionally caring staff who respected their privacy and dignity. Visitors said they were made to feel welcome and were fully involved in their family members support.

Staff were able to describe the likes, dislikes and preferences of people who used the service and care and support was individualised to meet people�s needs. This person centred approach had a very positive impact on people�s feelings of wellbeing.



Updated 25 January 2018

The service was responsive.

People had opportunities to take part in meaningful activities of their choice inside and outside the service. People were supported and encouraged with their hobbies and interests.

People received person centred care which focused on their own needs and how they preferred the support to be delivered.

People and their relatives knew how to raise concerns and were confident the registered manager would listen and act appropriately.



Updated 25 January 2018

The service was well led.

The service had a registered manager who understood their responsibilities of their role. The newly formed leadership team were working to develop the culture of the service and achieve high standards of care for people.

The provider listened to and acted on feedback from people, their relatives, members of staff and detail following analysis of incidents. There was a definite culture of continuous improvement.

Morale was positive and staff understood the values and ethos of the provider. Systems to measure quality and safety were in place.