Autumn Grange Nursing Home

Updated 14 April 2023

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 completed by 2 inspectors.

Service and service type

Autumn Grange is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Autumn 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

We reviewed information we had received about the service since the last inspection. 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. We sought feedback from the local authority. We used all this information to plan our inspection.

During the inspection

We spoke with 8 staff members including the registered manager and quality assurance manager. We spoke with 2 people who use the service, 3 relatives of people who used the service and one healthcare professional. We reviewed a range of records, including 5 people's care records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed including policies and procedures.

Updated 14 April 2023

About the service

Autumn Grange is a residential care home providing personal and nursing care to up to 54 people. The service provides support to older people, people living with a dementia and younger adults. At the time of our inspection there were 47 people using the service. The home provides care over two floors with a range of communal spaces for people to use for dining, activities and relaxation.

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

Systems were in place to protect people from the risk of abuse. Risks to people were identified and appropriate measures were in place to minimise the risk of avoidable harm. Staff understood safeguarding procedures and how to raise a concern. There were enough staff to support people safely and people’s needs were met. People were recruited safely and appropriate pre-employment checks were completed. Medicines were managed safely and people were supported to receive their prescribed medicines.

People’s needs were regularly assessed and staff had the appropriate knowledge and skills to support people effectively. People were supported to maintain a healthy diet and people’s weights were monitored to ensure their nutritional needs were met. Appropriate referrals to healthcare professionals were made to support people’s health needs. The environment in the home was safe and clean, some areas were tired and needed improvement, plans were in place to address these.

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. The registered manager promoted a person-centred, open culture to ensure people experienced positive outcomes. People told us the care people received was good and staff knew people well.

There was clear oversight to monitor the quality of the service. People, staff and professionals were regularly sought to provide feedback on the service to drive further improvement. The registered manager knew people well and focused on engaging with all people who used the service to ensure a positive culture was maintained.

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 6 August 2019).

At our last inspection we recommended that the provider considered guidance in relation to falls management and reviews people’s mealtime experience. At this inspection we found the provider had acted on recommendations.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Follow up

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