Yardley Grange Nursing Home

Updated 4 May 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

On the 24 January 2023 one inspector and a specialist nurse advisor visited the service. One inspector visited the service on 25 January 2023. An Expert by Experience carried out phone calls to relatives. 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

Yardley Grange Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Yardley Grange Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 24 January 2023 and ended on 13 February 2023. We visited the location on the 24 and 25 January 2023.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well and improvements they plan to make. All of this information was used to help us to plan our inspection.

During the inspection

We spoke with 1 person and 8 relatives about their experience of the care in the home. We spoke with 11 staff members including the registered manager, deputy manager, nursing staff, care staff and the chef. We carried out observations of people’s care.

We reviewed 7 care plans and records relating to monitoring of people’s care needs. We reviewed 8 medicine administration records. We reviewed 3 staff members files to review the recruitment processes in place. We viewed records relating to training and how the quality of the service was monitored.

Updated 4 May 2023

About the service

Yardley Grange Nursing Home is a residential care home providing personal and nursing care to up to 46 people. The service provides support to people who are over 65 and require nursing care and/or have dementia. At the time of our inspection there were 42 people using the service.

The home is set out over two floors with access to both floors via a lift. There are numerous communal lounges and visiting areas situated throughout the building for people to use.

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

The provider had systems in place to monitor the quality of the service. However, these systems had not identified the shortfalls we found at the inspection in relation to recording of actions taken following feedback from people and oversight of some aspects of recruitment. Further oversight was needed to ensure all areas of the service were monitored effectively.

People were supported safely, and staff understood the risks associated with people’s care. People received safe support with their medicines and learning was taken from any incidents or accidents that occurred. There was a dedicated team of staff responsible for the cleanliness of the home and systems were in place to promote and monitor good infection control practice.

There were sufficient staff available to support people and staff were recruited safely. People were supported by staff who had received the necessary training for their roles. 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 received support to have their healthcare needs met and the registered manager and staff team worked alongside local healthcare professionals to achieve this. People had their preferences for meals and drinks met and were provided with meals that met their dietary requirements.

People felt well cared for and were supported by staff who knew them well. People were involved in choices in their care and were treated with dignity and respect.

People had access to a range of activities and were supported to maintain relationships that were important to them. People’s care records were reviewed to ensure they were up to date.

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 the service under the previous provider was good (published on 21 May 2019).

Why we inspected

Whilst we have carried out an infection control inspection, published 09 April 2021, this inspection did not award a rating for the service. The service has not been inspected and rated since a change in provider on 10 July 2019. We undertook this inspection to rate the service under the new provider.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.