Emerson Grange

Emerson Grange is a residential care home providing nursing and personal care to 61 people aged 65 and over at the time of the inspection. The service can support up to 85 people in one purpose-built building. Rooms were spread across three floors; one floor was designated to care for people living with Dementia.

People’s experience of using this service and what we found

Risks to people were managed safely. Some changes needed to be made to Diabetes and Choking risk assessments. The registered manager addressed these concerns straight away and changes were made.

People and their relatives told us they felt safe at Emerson Grange. Safeguarding concerns were dealt with appropriately and the registered manager reported concerns to the local authority safeguarding team. There were enough staff to meet people’s needs in a timely way and staff were appropriately trained.

People's medicines were managed safely by competent and trained staff. Records were in place and audits were carried out monthly.

People supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

People told us the food was good. Activities were provided regularly throughout the day and people were encouraged to feed back about what they wanted to do.

People and their relatives told us the staff were kind and caring. Staff were observed to know people well and how best to support them.

People were involved in planning their own care. Care plans were person centred, including likes and dislikes and they were reviewed regularly. Relatives were kept up to date and involved where necessary in their loved one’s care.

The management team were new to the service. People, relatives and staff were positive about them, said their door was always open and they were visible in the service. Positive changes had been made to the service such as improvements to communication.

The service had a quality assurance system in place. Various audits were carried out and actions were put in place where necessary to reduce risks or to make improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good (published 18 September 2019).

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding alerts. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Emerson Grange is a residential care home providing nursing and personal care to 40 people aged 65 and over at the time of the inspection. The service can support up to 85 people in one purpose-built building. Bedrooms comprised of single bedrooms, all of which had en-suite facilities, and 7 care suites which had a small kitchenette and lounge area. Rooms were spread over three floors. There was a lift to access the first and second floor. People had access to a number of communal areas, including quiet spaces and a garden.

People's experience of using this service

People said they felt safe and that their needs were met in a timely manner. Risks were assessed, identified, and risk management plans were in place to manage these safely. Medicines were safely managed, and people were protected against the risk of infection. Accidents and incidents were appropriately managed and learning from this was disseminated to staff. Sufficient numbers of suitably skilled staff were deployed to meet people's needs.

Assessments were carried out prior to people joining the service to ensure their needs could be met. Staff were supported through induction, training and supervisions. 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 were encouraged and supported to eat a healthy and well-balanced diet. People had access to healthcare services when required to maintain good health.

People told us staff were kind, caring and attentive to their needs They also said that staff respected their privacy, dignity and always asked for their consent before supporting them. People's independence was promoted whenever possible. Information was available to people in a range of formats to meet their individual communication needs if required. There was an effective system in place to respond to complaints in timely manner. Staff understood the Equality Act and supported people without discrimination.

People were supported to maintain relationships with those that were important to them and participated in activities that interested or stimulated them.

The service was responsive to people's needs and preferences. Care plans holistically reflected people's needs in a personalised way and were very detailed. The registered manager ensured these were reviewed and updated when people's needs changed. People's end of life wishes, and needs had been considered.

There were effective systems in place to assess and monitor the quality of the service provided. The provider worked in partnership with key organisations to ensure people's individual needs were planned and met.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

This service was registered with us on 28th August 2018 and this is the first inspection.

Why we inspected

This was a planned inspection.

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.