The Grange Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This was the first inspection for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The care records detailed people’s needs but, at times, needed to include more information about how an individual was impacted and how to support them. The management team immediately started to look at how these enhancements could be made. A person said, “I don’t think you could get a better care home. They really listen to what you want and like and then make sure it happens.”

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Staff ensured people’s health needs were monitored and they received a nutritious diet, which when needed followed the Speech and Language Therapy team and dietitian guidance. The catering staff had a comprehensive understanding of people’s needs and how to promote a healthy diet. People were extremely complimentary about the food. A person said, “The food is marvellous and we always get good sized portions.”

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff worked closely with other agencies and professionals such as physiotherapists, Speech and Language Therapy teams and occupational therapists to support people reach their potential. A professional said, “The senior care staff and other care staff are generally knowledgeable about those they look after. I have a good working relationship with the senior care staff.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and, where possible, reduce their future needs for care and support. Staff liaised with external health and social care professionals to ensure people received consistent care and support. Relatives and professionals reported individuals had experienced positive outcomes because the service. A relative said, “[Person’s name] and we have had nothing but good experiences. It is a relaxed and easy place to be and nothing we ask for is an issue.”

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. A professional said, “During my involvement I have found care staff home staff including management team helpful and supportive. Care staff provide support during my therapy assessments and interventions which is beneficial as they know their residents well and I have also observed positive relationships between staff and residents which is always lovely to see.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood the requirements of the Mental Capacity Act and associated codes of practice. They appropriately completed capacity assessments and ‘best interests’ decisions. People made their own choices and decisions on a day-to-day basis about what they did, what they ate and how they filled their time. Where people were not able to verbally communicate their choices, there were tailored communication plans for staff to follow, to ensure people were in control of their own lives.