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Inspection Summary


Overall summary & rating

Good

Updated 5 January 2019

This inspection took place on 21 and 22 and 26 November 2018 and was unannounced. Hillbrook Grange Residential Care Home was incorporated in 2010 as a private company and is overseen by a board of Trustees/Directors. Due to the home being a 'not-for-profit' charitable organisation all surplus funds are reinvested in the business for the benefit of the people who live there.

Hillbrook 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.

The service is in the Bramhall district of Stockport and is close to local shops and other amenities. Accommodation consists of single occupancy bedrooms located on the ground and first floors. There are two lounges, a quiet lounge/library and a dining room on the ground floor and extensive landscaped gardens adjoining the home. The service can accommodate up to 41 people; at the time of the inspection there were 32 people living at Hillbrook Grange.

At a previous inspection conducted in October 2017 the service was given an overall rating of requires improvement and there was one breach of Regulation 17 of the Health and Social Care Act 2008 [Regulated Activities] Regulations 2014 in relation to good governance. At this inspection we found the service was now meeting the requirements of this regulation.

Audits, surveys and meetings helped the service maintain and improve their standards of support.

People thought the registered manager was approachable and supportive. There were now systems in place to audit the quality of service provision and additional audits were being developed to enhance the existing governance framework.

At the last inspection there was no registered manager in post. At this inspection we found there was 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.

Staff had been trained in safeguarding topics and were aware of their responsibilities to report any possible abuse. The service used the local authority safeguarding procedures to report any safeguarding concerns.

Recruitment procedures were robust which ensured new staff were safe to work with vulnerable adults.

The administration of medicines was safe. Staff had been trained in the administration of medicines and had up to date policies and procedures to follow.

The home was very clean, tidy and homely in character. Staff were trained in the prevention and control of infection to help protect the health and welfare of people who used the service.

Electrical and gas appliances were serviced regularly. Each person had a personal emergency evacuation plan (PEEP) and there was a business contingency plan in place in the event of any unforeseen emergencies.

New staff received induction training to provide them with the skills to care for people. Staff files and training records showed staff had undertaken sufficient training to meet the needs of people and they were supervised regularly to check their competence. Supervision sessions also gave staff the opportunity to discuss their work and ask for any training they felt necessary.

We observed many good interactions between staff and people who used the service; people and their relatives told us staff were kind and caring.

We saw from our observations of staff interactions with people and from records we saw, that people who used the service were given choices in all aspects of their lives and helped to remain independent where possible. Staff sought consent from people before assisting them.

We saw care plans gave staff sufficient information to

Inspection areas

Safe

Good

Updated 5 January 2019

The service was safe.

Safeguarding reporting procedures were in place; staff had been trained in safeguarding topics and were aware of their responsibilities to report any possible abuse.

Arrangements were in place to ensure medicines were safely given. Staff had been trained in medicines administration and managers audited the system and staff competence.

Staff were recruited robustly to ensure they were safe to work with vulnerable adults.

Effective

Good

Updated 5 January 2019

The service was effective.

Care plans included a range of health and personal information and monitoring charts were complete and up to date.

Staff induction and training was robust and supervisions were undertaken regularly.

Staff had knowledge of Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS) authorisations were in place appropriately.

Caring

Good

Updated 5 January 2019

The service was caring.

Staff demonstrated a caring attitude towards people and were careful to protect the privacy and dignity of people who used the service.

Records were stored confidentially and staff were trained and aware of protecting data.

Visiting was encouraged to enable people to remain in touch with their family and friends.

Responsive

Good

Updated 5 January 2019

The service was responsive.

Plans of care were regularly reviewed and contained sufficient details for staff to deliver their care and support.

There was a range of activities for people to attend if they wished.

There was a complaints procedure prominently displayed for people to raise any concerns they may have.

Well-led

Good

Updated 5 January 2019

The service was well-led.

The audits we saw showed the registered manager looked at ways of maintaining and improving standards at the home.

Policies, procedures and other relevant documents were reviewed regularly to help ensure staff had up to date information.

All the people and staff we spoke with told us they felt supported and could approach managers when they wished.