Archived: Cantley Grange

Updated 6 December 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Cantley Grange is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and three relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, deputy manager, care workers, catering staff and the activity co-ordinator. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 6 December 2019

About the service

Cantley Grange is a residential care home providing personal care for up to 40 people. Some people using the service were living with dementia. At the time of our inspection there were 36 people living at the home.

People’s experience of using this service and what we found

People were safeguarded against the risks associated with abuse. The home was generally clean and maintained, however some store rooms had items stored on the floor, making cleaning difficult, some shower chairs were rusty, and a bath seat required cleaning. The provider took immediate action to resolve these issues.

There were sufficient staff to meet people’s needs. Staff were recruited safely and in line with the provider’s policy. Medicines were managed in a safe way. Work had commenced to improve protocols for people who required medicines on an ‘as and when’ required basis. Risks associated with people’s care needs had been identified and actions taken to minimise them. Lessons were learned when things went wrong.

People had an initial assessment prior to using the service to ensure their needs could be met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were in receipt of sufficient nutrition and hydration to meet their needs and individual diets were catered for. Staff we spoke with told us they had received training and were supported to do their job. People had access to healthcare professionals when required.

Staff were kind and caring in their nature and respected people’s dignity and respect. We spoke with staff who were knowledgeable about people’s needs.

Care plans in place required more detail to ensure they were person centred and contained relevant information to ensure their needs were met appropriately. Some activities and social stimulation took place, but this was not always meaningful and appropriate for people who used the service. End of life care required further development. Staff did not receive training in this area and a process needed to be introduced to ensure people’s end of life care needs were met. The provider had a complaints procedure and people felt able to raise concerns and comments about the service.

Improvements had been noted throughout the inspection. The management systems in the service had been developed to capture actions which arose from audits and people’s feedback. However, some issues raised on inspection had been previously noted by the management team. This was in relation to PRN protocols and identifying that storage was a problem. Other issues such as the rusty shower chairs and the lack of person-centred information in care planning and end of life care had not been identified prior to our inspection.

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

Rating at last inspection

The last rating for this service was requires improvement (published 22 November 2018)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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