We carried out a review of the data available to us about The Grange on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Grange, you can give feedback on this service.
The Grange is a residential care home providing personal care for up to 26 adults, including those who are living with dementia. At the time of our inspection there were 20 people living at the home.
We found the following examples of good practice.
There were policies, procedures and contingency plans in place in relation to infection control. However, the policy in relation to infection outbreaks could have been more specific to COVID-19. The registered manager addressed this following the inspection. The registered manager was the infection control lead for the service and so was responsible for ensuring people were protected from the risk of infection and the staff team were appropriately trained.
Risks to people's health and safety were being assessed and people were protected from the risk of cross infection, including COVID-19. We had recently spoken with four family members, who all provided us with positive feedback about the service, the staff and management of the home, as well as the support people received. All family members told us they felt their relatives were safe living at The Grange.
Government guidance was being followed in relation to isolation criteria and testing programmes for service users, staff, visitors and visiting professionals. The well-being of staff was also being considered and effective support provided, as required. All permanent staff had received both COVID-19 vaccinations and everyone who lived at the home had also received additional booster doses. All staff had completed specific training in relation to infection control and the management of COVID-19.
There were two domestic staff on duty at the time of our visit and cleaning schedules were in place. The environment was clean and hygienic throughout and fully stocked Personal Protective Equipment (PPE) stations were positioned throughout the home. We were told there were ample supplies of PPE available and we saw staff to be wearing PPE correctly.
The Grange is a care home providing residential care and support to older people. The home can accommodate up to 26 people. At the time of inspection there were 22 people living in the home. There were two shared rooms but the others were all single. Accommodation was provided over two floors with a lift available. There were communal secure gardens available.
People’s experience of using this service and what we found
People were protected from the risk of abuse and avoidable harm. Staff were familiar with what might be a safeguarding concern and knew where to raise their concerns. Relatives we spoke with felt their family members were safe in the home and there were enough staff available to keep people safe.
People received planned care based on comprehensive assessments of their needs. People had been as involved as possible in their care plans. Relatives felt staff understood the needs of their family members. People complimented the food available and were supported to eat and drink enough. People were supported to have maximum choice and control in their lives and to make decisions in line with the Mental Capacity Act (MCA).
Staff were kind and caring, we observed positive interactions throughout the inspection. Staff understood people's communication needs and supported them to express their views. People's privacy and dignity were promoted. Relatives felt their family member was treated respectfully.
People received person-centred care which reflected their needs and preferences. People's needs were reviewed regularly to ensure planned care remained up to date. People could raise their concerns and complaints. No complaints had been received since the last inspection.
The service was well managed. The registered manager had a clear commitment to provide high-quality care and the team worked well together to achieve good outcomes for people. The registered manager had good oversight of the service and regularly checked on the quality of care and record keeping. Relatives felt confident the registered manager was managing the service well.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection and update
The last rating for this service was requires improvement (14 January 2019) with a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on our previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
People’s experience of using this service:
• The service met the characteristics of requires improvement in two of the five key questions. Therefore our overall rating for this service is requires improvement.
• We found a breach of the regulations in relation to the recruitment of new staff.
• Some improvements were needed to the cleanliness of the home and the measures in place to manage the risk of cross infection.
• There were also good practices in the service.
• People liked living in the service. We observed a homely and friendly atmosphere.
• Staff told us they enjoyed working in the home. The registered manager was described by everyone as approachable and proactive in addressing any concerns raised with them.
• People were protected against abuse, neglect and discrimination.
• Staff had received training to support their role and received supervision and appraisal to continue this support.
• Staff were good at identifying when input from health professionals was necessary.
• Staff were aware of people's life history and preferences and they used this information to develop positive relationships and deliver person centred care. People felt well cared for by staff who treated them with respect and dignity.
• People enjoyed the food provided and systems were in place to monitor their nutritional needs.
• More information is in the full report.
Rating at last inspection: This was the first inspection since a new provider had taken over the running of the service in August 2018.
Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Enforcement: Information relating to the action the provider needs to take can be found at the end of this report.
Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates. We will follow up on the breach of regulations at our next inspection.