The home was secure and care workers had to use a key to enter the home. Visitors were asked for identification before being allowed entry. We found the building was well maintained and suitable for people who use the service. We found corridors and fire exits were free of clutter and easily accessible. Necessary checks were completed to ensure the safety of people who use the service and staff.
Care was planned with the involvement of the people who use the service and reflected their individual needs. We found people were provided with appropriate care to meet their needs.
The home was secure and care workers had to use a key to enter the main entrance to the home. Visitors were asked for identification before being allowed entry.
However the People who use the service, staff and visitors were not protected against the risks of unsafe or unsuitable premises. During our inspection we observed potential risks in relation to the design and layout of the home. For example, on entering the home and garden and accessing the upstairs bathroom and one of the bedrooms. We found corridors and fire exits free of clutter and easily accessible on the ground floor. However the location of two fire extinguishers on the upstairs corridor restricted access to two bedrooms and the bathroom and presented a potential falling hazard.
People's records and other records relevant to the management of the service were accurate and fit for purpose. These were securely kept and could be located promptly when requested.
In this report, we have not used direct quotes from people who use the service in order to preserve their anonymity.
During our inspection we saw people were being spoken with and supported in a sensitive, respectful and professional manner. People felt staff respected their privacy and dignity and helped them to remain as independent as possible.
People who use the service were independent with their personal care needs and received the minimal assistance they needed from staff. However, staff had not carried out an assessment of the needs of the people living at the home. Staff had not planned people's care in order to meet their needs and ensure their welfare and safety while they lived at Grange House.
Records were kept securely and could be located promptly. However, people were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not maintained.
We found there were enough qualified, skilled and experienced staff to meet people's needs. People living at the home told us staff were available when they needed them and felt staff had the skills they needed when providing support and helping them with their care.