Puddingstone Grange

Updated 11 November 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

This inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Puddingstone Grange is a ‘care home’. People in care homes receive accommodation, nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Puddingstone Grange is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 information we held about the service since our last inspection. This included information received from the provider as required by law to report certain types of incidents and events. We sought feedback from the local authority who commissioned services from the provider. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with 18 people using the service and two visiting relative to gather their views of the care provided. We spoke with 10 members of staff including the director of care, a registered manager, a deputy manager, a registered nurse, six care workers and an activities coordinator. We reviewed a range of records. This included six people's care, risk management and medicine records. We looked at four staff files in relation to recruitment and a variety of records relating to the management of the service, including policies and procedures.

Updated 11 November 2022

About the service

Puddingstone Grange is a residential and nursing care home providing regulated activities of personal and nursing care for up to 62 people. The service provides support to people living with dementia, nursing and mental health needs. At the time of our inspection there were 62 people using the service. The home is purpose built with four units spread across two floors.

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

We have made a recommendation about the management of records.

People told us they felt safe living at the home, and they had no concerns regarding abuse or neglect. People were protected from the risk of avoidable harm because risks to people had been identified, assessed and had appropriate risk management plans in place.

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 were supported by enough staff on each unit to ensure their needs were safely met. The service completed appropriate recruitment checks before new staff began working at the home.

Medicines were managed safely, and people were receiving their medicines as prescribed by healthcare professionals. The home was clean, staff followed appropriate infection control practices to minimise the spread of infections. The service followed current COVID guidance. Lessons were learnt from accidents and incidents to prevent repeat occurrences.

The service was well-led by a management team who had good oversight of the service. Managers were visible in the home and people told us they came around daily to greet them and ask about their welfare. There were system in place to assess and monitor the quality and safety of the service and to drive improvements. People, their relatives', professionals and staff's views were sought to improve on the quality of the service provided.

The service worked in partnership with key organisations including health and social care professionals to deliver care and support that met individual needs. Staff knew of their roles and responsibilities, they told us they felt the culture of the service was moving in the right direction.

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 this service was good (published 15 January 2020)

Why we inspected

The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to a criminal investigation and as a result this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of falls. This inspection examined those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. This was because the provider had taken action to mitigate the risk of falls and their actions had been effective.

Please see the safe and well led key questions sections of this full report. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Puddingstone Grange 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.