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Grange Nursing Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Grange Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 August 2019

About the service

Grange Nursing Home is providing personal and nursing care to 17 people aged 65 and over at the time of the inspection. The service can support up to 32 people.

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

People and their relatives told us that there had been an improvement in the home since the new manager had been in post.

We observed care being delivered within the home and saw that people were comfortable in the presence of staff, positive relationships had developed between people receiving support and care staff. People told us staff were kind and treated them with dignity and respect.

People had up to date risk assessments and care plans in place that identified their needs. Improvements had been made to the management of the health and safety issues such as fire safety, water and building management.

Medicines were managed safely and the manager had worked closely with the medicines management team from the local authority to make improvements.

Staff were recruited safely and received regular training and supervisions. Checks were made on their performance to ensure competence and confident in their roles. Staff, attended staff meetings to keep up to date and to share their views.

Incident and accidents were analysed for patterns and trends. Risks to people were assessed safely and referrals were made to other professionals in a timely manner where advice was required.

People received the support they needed to eat and drink and maintain a healthy and balanced diet. People told us they enjoyed the food available to them and were able to choose alternative meals if they did not like what was on the menu.

People were now able to access enjoyable and fulfilling activities.

The registered provider and manager had developed and implemented a robust quality assurance process that drove improvement in the home and was constantly being reviewed.

People were 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.

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 Inadequate (published 06 March 2019) and there were multiple breaches 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. However, these improvements had happened over a short period of time. This needs to be sustained by the registered provider and manager.

This service has been in Special Measures since 06 March 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

The overall rating for the service has changed from Inadequate to Requires Improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Grange Nursing Home on our website at www.cqc.org.uk.

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.

Inspection areas

Safe

Requires improvement

Updated 8 August 2019

The service was found safe however the service needed to demonstrate the improvements were imbedded and could be sustained.

Details are in our safe findings below.

Effective

Requires improvement

Updated 8 August 2019

The service was found effective however the service needed to demonstrate the improvements are imbedded and could be sustained.

Details are in our effective findings below.

Caring

Good

Updated 8 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 August 2019

The service was found well-led however, the service needed to demonstrate the improvements are imbedded and could be sustained.

Details are in our well-led findings below.