The Grange Rest Home Limited

Updated 31 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one adult social care inspector.

Service and service type:

The service is a 'care home'. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at on this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This was a planned inspection and was unannounced. The inspection took place on 8 and 9 April 2019.

What we did:

Before the inspection we reviewed all the information we held about the service. This included notifications the service had sent us. A notification is the means by which providers tell us important information that affects the running of the service and the care people receive.

We did not request a Provider Information Return. This is information providers send us at least once annually 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 also spoke with the local authority safeguarding and quality monitoring team to obtain their views about the service. We used all this information to plan our inspection.

We spoke with seven people and two relatives. We also spoke with the registered manager, four care staff (including two senior care leads), the chef and kitchen assistant, activity coordinator and a domestic assistant. We spoke with two healthcare professionals by phone after the inspection site visit.

We looked around the service and observed care practices throughout the inspection. We reviewed a range of records including four care plans, four staff files, training records and other information about the management of the service. This included accidents and incidents information, four Medicine Administration Records (MAR), temperature records, equipment checks and quality assurance audits.

Updated 31 May 2019

About the service:

The Grange Rest Home is a residential care home registered to provide accommodation and personal care for up to 26 older people. People at the home were living with dementia. The home does not provide nursing care. At the time of the inspection there were 23 people living in the home.

People’s experience of using this service:

People told us they felt safe and happy living at The Grange Rest Home. Staff understood how to keep people safe and felt confident that they would be listened to, and action taken, if they had any concerns that people were at risk of harm or abuse.

People were supported by staff who were well trained and competent to help them achieve their desired outcomes and live their lives as independently as possible. Staff understood the importance of helping people to stay healthy by supporting them to access relevant healthcare services in a timely way. Risks that people faced were minimised and regularly reviewed.

People were supported by staff who were consistently kind, caring and attentive in their approach. Staff had got to know people well which enabled mutually beneficial relationships. People were listened to and made decisions about the care and support they received. Staff promoted meaningful choice and sought people’s consent before providing them with care.

People were encouraged to participate in a range of activities that reflected their interests and abilities. When people wished to spend time alone or with visitors this was respected and supported. Relatives told us they felt welcomed and involved. The home provided opportunities for people, relatives and staff to feedback and influence what happened at the home. The management were well respected and promoted an open, friendly and supportive culture.

Quality and safety checks helped ensure people were safe and protected from harm. Audits helped identify areas for improvement with this learning shared with staff. This also ensured that practice standards were maintained and improved. A staff member told us, “The management constantly listen and help us improve.”

Rating at last inspection:

At our last inspection we rated the home Good (published 22/10/2016).

Why we inspected:

This inspection was a scheduled inspection based on the previous rating.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk