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Inspection Summary


Overall summary & rating

Good

Updated 28 July 2018

This inspection visit took place on 25 and 27 June 2018 and was unannounced.

This is the first inspection at Harrier Grange following the provider’s registration with the Care Quality Commission (CQC) on 1 March 2017.

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

Harrier Grange is registered to provide care and accommodation for up to 66 people who require nursing or personal care. The home specialises in dementia care. Accommodation within the home is situated on three floors with a passenger lift providing access to the upper floors. The home provides communal areas with lounges and dining rooms available on each floor. Car parking spaces are available to the front of the building and there is a garden at the rear of the property. At the time of our inspection visit there were 29 people living at the home.

There was a registered manager in place. 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.

People, their relatives and staff told us the registered manager was supportive and approachable.

People were supported by staff who knew them well. Staff we spoke with were enthusiastic about their jobs, and showed care and understanding both for the people they supported and their colleagues.

Staff understood what it meant to protect people from abuse. They told us they were confident any concerns they raised would be taken seriously by the management team.

Medicines were stored safely and securely, and procedures were in place to ensure people received their medicines as prescribed.

The service had robust recruitment procedures to make sure staff had the required skills and were of suitable character and background.

People and their relatives told us they enjoyed the food served which took into account peoples individual dietary needs and preferences.

Staff understood the requirements of the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice.

People’s privacy and dignity was respected and promoted. Staff understood how to support people in a sensitive way, while promoting their independence. People told us they were treated with dignity and respect.

There was a range of activities and therapies available to people living at Harrier Grange. People were supported to engage in activities that were important to them.

People’s care records reflected the person’s current health and social care needs. Care records contained up to date risk assessments. There were systems in place for care records to be regularly reviewed.

There was a complaints policy and procedure in place. People’s comments and complaints were taken seriously, investigated, and responded to.

There were effective systems in place to monitor and improve the quality of the service provided.

The service had up to date policies and procedures which reflected current legislation and good practice guidance.

Safety and maintenance checks for the premises and equipment were in place and up to date.

We have made two recommendations to the provider in relation to;

Providing a secure environment in which to complete daily care notes and to make and receive phone calls relating to peoples care in the Safe section of this report.

The frequency of supporting staff through formal supervision in the Effective section of this report.

Inspection areas

Safe

Good

Updated 28 July 2018

The service was safe. The provider had taken appropriate steps to protect people from the risk of abuse, neglect or harassment.

The provider had an effective recruitment and selection procedure in place.

Medicines were managed in a safe way and they were administered in a caring and supportive manner.

Risk assessments were in place for people and staff to maximise their safety.

Effective

Good

Updated 28 July 2018

The service was effective. There was an on-going programme of development to make sure that all staff were up to date with required training subjects.

People had access to healthcare services and received on-going healthcare support.

The provider was working within the principles of the Mental Capacity Act 2005 (MCA).

Caring

Good

Updated 28 July 2018

The service was caring. People were comfortable and relaxed in the company of the staff supporting them.

Staff treated people with dignity, respect and kindness. Staff fully understood and were aware of people's needs, likes, interests and preferences.

People were involved in making decisions about their care, treatment and support as far as possible.

Responsive

Good

Updated 28 July 2018

The service was responsive. Care plans were reviewed regularly to reflect any changes and ensure continuity of people�s care and support.

Pre-admission assessment of needs included information about people�s likes, dislikes and preferences about how their care was to be provided

Systems were in place to deal with any complaints received.

Well-led

Good

Updated 28 July 2018

The service is Well Led. Staff, people and relatives told us the registered manager had created a warm, supportive and non-judgemental environment in which people had clearly thrived.

Staff interacted with people positively, displaying understanding, kindness and sensitivity.

There were effective systems in place to monitor all aspects of the care and treatment people received.