Norwood Grange Care Home

Updated 6 August 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Norwood 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.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection we reviewed the information, we had received about the service since the last inspection. This included CQC notifications. Notifications describe events that happen in the service that the provider is legally required to tell us about. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with nine people who used the service and two relatives about their experience of the care provided. We spoke with eight staff including the registered manager, deputy manager, a team leader, care staff, and other maintenance, domestic and catering staff. We also spoke with the provider who was visiting the service on the day of our inspection. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included three people’s care records and four medicine records. We looked at three staff files in relation to recruitment and staff supervision. We also looked at a variety of records relating to the management of the service, including policies and procedures which we reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 6 August 2022

About the service

Norwood Grange Care Home is purpose built to provide accommodation and care for up to 35 people. The home provides care for people living with dementia and mental health needs. At the time of the inspection 25 people were using the service.

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

Staff ensured people’s needs were met in a timely and safe way. People told us they felt safe living at the home. Staff were aware of the safeguarding protocols and knew what action to take to keep people safe. Risks to people were identified and detailed assessments were in place, to ensure risks were managed safely.

We have made a recommendation about the registered provider making some improvements to the retention of staff photographic Identity checks. The registered manager confirmed they would take immediate action to make these improvements.

Medication systems were in place and followed by staff to ensure people received their medicines as prescribed. Staff were trained and assessed as competent in administering medicines.

The premises were clean and there was good infection control practice in place.

Staff interacted well with people and they provided care which was person-centred and individualised. Staff had received training to ensure they had the knowledge they required to carry out their role effectively.

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. People had access to health care professionals. Staff worked with other professionals to ensure people's needs were met.

People told us staff were kind and caring. We saw people looked well cared for. Relatives were positive about the care and support provided. Staff understood people’s needs and told us how they respected people’s dignity.

People felt they could speak with staff and the management team if they had any concerns.

There was an effective quality monitoring system in place which identified improvements and addressed them in a timely way.

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 the service under the previous provider was good, published on 19 April 2019.

Why we inspected

This was a planned inspection based on the date of registration of the new provider.

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.

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

Follow up

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