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Minster Grange Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 October 2020

About the service

Minster Grange is a residential care home providing personal and nursing care to 53 people. The service can support up to 83 people. The service has five separate units across three floors. On the ground floor, Ash provides nursing care and Aspen provides nursing care for younger adults. On the first floor, Beech provides nursing care for people who may also be living with dementia. On the second floor, Copper provides residential care for people who may be living with dementia and Chestnut provides residential care for older people.

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

This service had a new provider who registered with the Care Quality Commission (CQC) on 14 January 2020. The new provider’s governance systems to monitor the quality of care provided had not been fully embedded into the service. This meant the provider had not identified and addressed the shortfalls found at this inspection. Records of the care people received were not consistently completed.

One unit did not have sufficient staff to meet people’s needs. The provider increased staffing levels during the inspection. Lessons had not been fully learnt from previous incidents to protect people’s safety.

People’s nutritional needs were met, although further work was required to promote choice at meal times. The building was appropriate for people’s needs and their bedrooms were fully personalised. People were supported to access health care services.

Within the context of Covid-19 infection risk, procedures were in place to ensure infection control was managed. Staff understood their responsibilities to reduce the risk of spread of infection.

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.

Staff were kind and caring and had developed positive relationships with people living at the service. We received positive feedback from relatives about the staff and the care they provided to people.

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

Rating at last inspection

The last rating for the service under the previous provider was good, published on 12 July 2017.

Why we inspected

The inspection was prompted in part due to concerns received about staffing levels, end of life care, nutrition and personal hygiene. A decision was made for us to inspect and examine those risks.

Enforcement

We have identified breaches in relation to staffing and governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will 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 22 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 22 October 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 22 October 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 22 October 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 22 October 2020

The service was not always well-led.

Details are in our well-led findings below