Background to this inspection
Updated
6 March 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 inspector.
Service and service type:
The Grange is a supported living service which means that the people using the service lived independently. 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:
We gave the service 48 hours’ notice of the inspection visit because we needed to be sure that we could speak to staff and look at records in the office.
What we did:
We reviewed the information we held about the service. This included the previous inspection report, notifications since the last inspection and feedback from the local authority. Notifications are changes, events and incidents that the service must inform us about. We used information the provider sent us in their Provider Information Return (PIR). This is information we require providers to 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.
During the inspection, we visited the service on 21 January 2019 to see the registered manager, staff and people; and to review care records and policies and procedures. We reviewed three people’s care records, three staff files around staff recruitment, training and supervision. Records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were also reviewed.
After the inspection we conducted telephone interviews with three relatives.
Updated
6 March 2019
About the service: The Grange Supported Living service provides support to people on and off site with a range of disabilities. At the time of the inspection the service was supporting 40 people on site, eight of which received regulated care. The majority of people who use this service live in properties around the Grange Centre. CQC does not regulate the premises used for supported living; this inspection only looked at people’s personal care and support.
People’s experience of using this service:
People were supported to live as independently as possible at a service which encouraged and inspired people to live full lives. One relative told us, “ I think it’s a caring service. Its very responsive. If there’s anything they can do then they will do it.” In one day people could complete classes in cookery, gardening, textiles, flower arranging and/or work alongside staff at the centre for work experience. People’s properties were respected by staff as private dwellings which enabled them to have dignity and privacy whilst receiving support.
The management team ensured that they worked in line with ‘Registering the Right Support’ and other best practice guidance. These values include choice, promotion of independence and inclusion to ensure that people with learning disabilities or autism can live as ordinary a life as any citizen.
Risks to people were assessed and managed in a way which balanced their safety and right to lead a non-restricted life. There were enough well trained staff to ensure people were supported safely at all times. Staff ensured that people’s needs were consistently met and assessed to enable improvements and progress in their lives.
People, relatives and staff were engaged by the service via meetings, forums, questionnaires and projects so that everyone could contribute to the development of the service. There was a credible strategy in place with plans for multiple new improvements and updates at the service. This was being implemented by the registered manager who was pro-active in considering how the service could be improved. People, staff and relatives spoke positively about the registered manager and senior team who led the service well.
People were supported to communicate with their relatives and the managers when they were not happy or wanted to change their support. Staff cared about the people they supported and wanted to help them do what they wanted with their lives.
Rating at last inspection:
Good (2 June 2016)
Why we inspected:
This was a scheduled comprehensive inspection. We inspect all services rated as 'Good' within 30 months to ensure that we regularly monitor and review the quality and safety of the service people receive.