The Grange Care Home

Updated 4 February 2021

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 the Care Quality Commission’s (CQC’s) response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 26 January 2021 and was announced. We gave 24 hours' notice of the inspection due to restrictions in place during the COVID pandemic.

Updated 4 February 2021

We carried out an inspection of The Grange Care Home on 10 and 12 October 2017. The first day was unannounced.

The Grange Care Home provides accommodation and both nursing and personal care for up to 40

people. It is an extended, detached older property which has retained many of the original features and is located on the outskirts of the town of Colne. Accommodation is provided on two floors which are linked by a passenger lift. There were 32 people accommodated in the home at the time of the inspection.

At our last inspection on 2 December 2014 the service was rated Good. At this inspection we found the service remained Good.

The service was managed by 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.

People told us they felt safe and staff were caring; they said they were happy with the service they received. The registered manager and staff were observed to have positive relationships with people living in the home and people were relaxed in their company. There were no restrictions placed on visiting times for friends and relatives. Safeguarding adults' procedures were in place and staff understood how to protect people from abuse

Appropriate Deprivation of Liberty Safeguard (DOLS) applications had been made to the local authority and people's mental capacity to make their own decisions had been assessed and recorded in line the requirements of the Mental Capacity Act 2005. People were supported to have 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.

Each person had a care plan that was sufficiently detailed to ensure they were at the centre of their care. People’s care and support was kept under review and, where appropriate, they were involved in decisions about their care. Risks to people’s health and safety had been identified, assessed and managed safely. Relevant health and social care professionals provided advice and support when people’s needs changed.

People’s views with regards to staffing levels varied. Some considered there were enough suitably skilled staff to support them when they needed any help whilst others felt this could be improved at times. Staff generally felt they were suitable numbers of staff available but a lack of flexibility in the team to ensure cover was available for sickness. The staffing levels were monitored to ensure sufficient staff were available. The registered manager followed a robust recruitment procedure to ensure new staff were suitable to care for vulnerable people; arrangements were in place to make sure staff were trained and supervised.

Medicines were managed safely and people had their medicines when they needed them. Staff administering medicines had been trained and supervised to do this safely.

The home was clean, bright and comfortable and appropriate aids and adaptations had been provided to help maintain people’s safety, independence and comfort. Some people had arranged their bedrooms as they wished and had brought personal possessions with them to maintain the homeliness.

There had been recent changes to the activities team which meant the provision of daily activities was dependent on the availability of care staff. We noted some activities were being undertaken and we were told recruitment of an activities person was underway. People told us they enjoyed the meals and had been involved in discussions about the menu. They were provided with a nutritionally balanced diet that catered for their dietary needs and preferences.

People were encouraged to be involved in the running of the home and were kept up to date with any changes. People were aware of how to raise their concerns and were confident they would be listened to. Action had been taken to respond to people’s concerns and suggestions.

People considered the service was managed well and improvements had been made. There were effective systems in place to monitor the quality of the service to ensure people received a good service that supported their health, welfare and well-being.