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Inspection Summary


Overall summary & rating

Good

Updated 18 March 2020

Eastbourne Grange Residential Care Home is a residential care home in the Meads area of Eastbourne. The home provides accommodation for up to 25 older people, some of whom were living with dementia. At the time of the inspection there were 17 people living at the home.

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

Systems and processes to assess, monitor and improve the quality and safety of the service provided were in place. However, there were areas of peoples’ documentation that needed to be improved to ensure staff had the necessary up to date information to provide consistent, safe care. Whilst care plans identified a care need, there was a lack of clear guidance and changes to care needs were not clearly defined. Individual risk to some people, whilst known by staff, was not documented and risk assessed against care delivery.

People received safe care and support by staff who had been appropriately recruited, trained to recognise signs of abuse or risk and understood what to do to safely support people. One person said, “I am comfortable and safe.” A visitor told us, “Staff keep people safe.” People were supported to take positive risks, to ensure they had as much choice and control of their lives as possible. We saw that people were supported to be as independent as possible with the use of walking aids and specialised cutlery for eating. We observed medicines being given safely to people by trained and knowledgeable staff, who had been assessed as competent. There were enough staff to meet people's needs. The provider used a dependency tool to determine staffing levels. Staffing levels were regularly reviewed following falls or changes in a person's health condition. Safe recruitment practices had been followed before staff started working at the service.

Staff had all received training to meet people’s specific needs. During induction, they got to know people and their needs well. One staff member said, “I really enjoy my job, I get training and support.” People’s nutritional and health needs were consistently met with involvement from a variety of health and social care professionals.

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.

Everyone we spoke to was consistent in their views that staff were kind, caring and supportive. One visitor said, “Very kind and polite staff, the atmosphere is good, I feel welcomed every time I visit.” People were relaxed, comfortable and happy in the company of staff. People’s independence was considered important by all staff and their privacy and dignity was promoted.

Staff were committed to delivering care in a person-centred way based on people's preferences and wishes. The staff team were knowledgeable about the people they supported and had built trusting and meaningful relationships with them. Activities were tailor-made to people’s preferences and interests. People were encouraged to go out and form relationships with family and members of the community. Staff knew people’s communication needs well and we observed them using a variety of tools, such as pictures and objects of reference, to gain their views.

People were involved in their care planning. End of life care planning and documentation guided staff in providing care at this important stage of people’s lives. End of life care was delivered with respect and dignity.

People, their relatives and health care professionals had the opportunity to share their views about the service. Complaints made by people or their relatives were taken seriously and thoroughly investigated.

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 Requires Improvement (published 2 March 2019). The provider completed an act

Inspection areas

Safe

Good

Updated 18 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 18 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 18 March 2020

The service was caring.

Details are in our safe findings below.

Responsive

Good

Updated 18 March 2020

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 18 March 2020

The service was not consistently well-led.

Details are in our Well-Led findings below.