Archived: The Grange

Updated 16 March 2017

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was an announced inspection which took place on the 1 March 2017. We gave notice to the service in the morning of the inspection because there was a chance that people who lived there may not have been in. We needed to be sure that people and staff would be there. On this inspection there was one inspector.

Prior to the inspection we reviewed the information we had about the service. This included information sent to us by the provider, about the staff and the people who used the service. We reviewed the Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. However as the PIR was completed some months ago this did not necessarily reflect the most up to date picture of the service as there had been changes to how the service was being managed. We reviewed the information supplied by the registered manager and we checked information that we held about the service and the service provider. This included statutory notifications sent to us by the provider about incidents and events that had occurred at the service. A notification is information about important events which the provider is required to tell us about by law.

During the visit we spoke with the registered manager and both people that used the service. We looked at the care plans for one person who used the service, medicine administration records and supervision and training records for staff. We looked at records that related to the management of the service. This included minutes of staff meetings and audits of the service.

The service was last inspected on the 22 May 2015 where we identified breaches.

Updated 16 March 2017

This inspection was carried out on the 1 March 2017. The Grange is registered to provide accommodation and personal care to a maximum of nine older people some who may have a disability and may be living with dementia. The service is set in a large retirement village. At the time of our inspection the service provided care to two people.

There was a registered manager in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

There were enough staff to support the needs of people at the service and people said that they received support and care when they needed.

People were protected from the risk of abuse and staff understood their roles and responsibilities. People told us that they felt safe and were looked after in a safe environment.

Staff understood the risks to people. Staff encouraged and supported people to lead their lives as independently as possible whilst ensuring they were kept safe. People’s medicines were managed in a safe way. Accidents and incidents were recorded and action taken to reduce the risks to people.

Staff receiving appropriate induction, training and supervision to provide effective care to people. Staff were encouraged to develop their skills.

People's human rights were protected because the requirements of the Mental Capacity Act (MCA) and Deprivation of Liberty (DoLS) were being followed. MCA assessments were completed where needed. Staff understood MCA and why it was important to understand if people had capacity to make decisions.

People enjoyed the food at the service. Staff supported people nutritional and hydration needs and people accessed health care professionals when needed.

Staff were caring and considerate to people’s needs. People said that staff were caring and kind to them and treated them with dignity. People and relatives were involved in their care planning and the care that was provided was person centred.

Care plans were detailed and provided guidance to staff on best to support people. Staff communicated with each other the changes to people care. Staff understood people’s needs.

People were able to participate in activities and people had opportunities to go on trips out.

Systems were in place if complaints and concerns were received. The provider had systems in place to regularly assess and monitor the quality of the care provided. The provider actively sought, encouraged and supported people's involvement in the improvement of the service.

People told us the staff were friendly and management were approachable. Staff were encouraged to contribute to the improvement of the service. Staff told us they would report any concerns to their manager. Staff felt that management were very supportive and staff felt valued.

The registered manager had informed the CQC of significant events. Records were accurate and kept securely.