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Inspection Summary


Overall summary & rating

Good

Updated 2 August 2017

Grange House provides accommodation and personal care for up to 17 people living with dementia. At the time of our inspection, 17 people were using the service.

At the last inspection, the service was rated Good. At this inspection, we found the service remained Good.

At our previous inspection on 21 and 22 April 2015, the service did not have a registered manager in post as required by law. We also found that the registered provider did not use quality monitoring systems effectively to make the necessary improvements in relation to concerns raised about health and safety, complaints and the results of satisfaction surveys.

At this inspection, we found that the service used the quality assurance systems in place effectively to identify shortfalls and to make improvements to the standard of care provided. Action plans showed the provider addressed the shortfalls identified during regular audits in line with their designated timeframes.

People received safe care that protected them from the risk of abuse. Staff understood their responsibility to identify and report any concerns about people’s health and well-being. Staff attended training in safeguarding adults and knew the procedures to follow to keep people safe.

People received appropriate support to mitigate identified risks to their health and safety. Risk management strategies remained effective in ensuring staff protected people from the risk of avoidable harm.

Appropriate recruitment practices ensured that only staff vetted as suitable to provide care worked at the service. Sufficient numbers of staff supported people safely and met their needs.

Staff received the support, training, supervisions and appraisals required to enable them to undertake their roles effectively.

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 their care delivered in line with the requirements of the Mental Capacity Act 2005 and the restrictions placed on their freedoms under the Deprivation of Liberty Safeguards.

People told us staff treated them with kindness and compassion. Staff knew people well and had developed good working relationships with them.

People had their nutritional and hydration needs monitored and met. Staff supported people to eat and drink and to maintain a healthy balanced diet. People had access to healthcare services when needed to maintain their health and well-being in a timely manner.

People took part in planning and making decisions about how they wanted their care delivered. Assessments of people’s needs enabled staff to design and provide care suitable to each person and their individual preferences.

The registered manager sought people’s views about the service and acted on the feedback received to improve the quality of care. People using the service and their relatives knew how to raise any concerns and make a complaint if they were unhappy about the service. A complaints procedure was accessible to people in a format they understood.

Inspection areas

Safe

Good

Updated 2 August 2017

The service remains Good.

Effective

Good

Updated 2 August 2017

The service remains Good.

Caring

Good

Updated 2 August 2017

The service remains Good.

Responsive

Good

Updated 2 August 2017

The service remains Good.

Well-led

Good

Updated 2 August 2017

The service was well led. A registered manager was in post. The provider had put in place quality assurance systems to monitor the quality the care and to make improvements when necessary.

People and staff were complimentary about how the service was managed. The registered manager was available and approachable to people and staff felt valued at the service. There was an open and inclusive culture at the service centred on people.

There was a close partnership with other agencies and good community links.