The Grange

Updated 9 December 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

This inspection took place on 4 November 2020 and was announced.

Updated 9 December 2020

The inspection took place on 21 September 2018 and was unannounced, which meant that nobody at the service knew we would be visiting. At the last inspection in April 2015, the service was rated good. At this inspection we found the service continued to be good. However, the safe domain had deteriorated to requires improvement, this was due to environmental factors.

The 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.

The Grange is an 18 bedded home providing care and support to older people. The home also provides care and support to people living with dementia. The home is a converted older property near the centre of Stockport.

At the time of our inspection the service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service was clean. However, the environment was tired and many areas were not well maintained to be able to be effectively cleaned. The registered provider following our inspection provided us with an action plan, this detailed the affected areas and showed the improvements required with dates for completion.

People told us they felt safe. Staff were knowledgeable regarding safeguarding and were aware of how to identify possible abuse and use the correct procedures to record and report. Risks associated with people’s care had been identified and staff were knowledgeable on how to manage the risks. Systems to manage medications were in place and followed.

We observed that although there were enough staff available to meet people’s needs this was not always in a timely way due to ineffective deployment of staff.

Accidents and incidents were monitored and the registered provider ensured lessons were learned.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff received training on a regular basis. Staff were knowledgeable about their role. People received a nutritious diet. People had access to healthcare professionals and staff followed their advice.

We observed staff interacting in a positive way with people. People told us the staff were very kind and caring. Staff were observed to be kind and considerate, the interactions we saw was very respectful. People’s privacy and dignity was respected.

The care staff provided a range of activities took place. However, people told the activities could take place more often although when they were delivered they said they were very good. People told us they felt able to raise concerns and complaints and were listened to.

Audits were in place to ensure policy and procedures were followed. However, we found they were not always formally documented. The registered provider had identified this and was improving the systems.

There was evidence that people had a voice and were given opportunities to be engaged and involved in the home.