- Care home
The Grange Care Centre
Report from 16 April 2024 assessment
Contents
Ratings
Our view of the service
The Grange Care Centre is a care home with nursing for up to 160 adults. There are 8 self-contained units. Two units are designed to accommodate adults with physical disabilities. Three units are for people living with the experience of dementia and 3 units are for older adults with nursing needs. At the time of our assessment 145 people were living at the service. The assessment included an unannounced visit to the service on 9 May 2024. The inspection team included, 2 inspectors, an assessor, a member of the CQC medicines team, a nurse specialist advisor and 2 Experts 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. We received feedback from the local authority quality monitoring team and safeguarding team. They shared the findings of audits they had undertaken at the service and the provider's response to these. During the assessment visit, we spoke with 16 people and 6 visiting relatives. We observed how people were being cared for and supported. Our observations included 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. At the time of our assessment, there was no registered manager in post. The provider had recruited a new manager who was due to start soon after. In the meantime, a regional support manager was managing the home alongside a team of senior staff who were experienced and familiar with the service. We met the management team and other staff on duty. We also met senior managers from the organisation who regularly visited and supported the staff. We also looked at the environment, a range of records including care records and how medicines were being managed. We received written feedback from 4 staff following our visit to the service.
People's experience of this service
Most people living at the service and their relatives were happy with the staff and the care they received. Some people raised individual concerns about their experiences. We discussed these with the managers. They were either already aware of the concerns and had taken action to address these or agreed to investigate and respond to these concerns because of our discussions. People liked the staff and we saw kind, caring and supportive interactions. Staff knew people well. People's needs were assessed and planned for. People had access to a range of external healthcare services. Staff worked closely with external professionals to monitor and meet people's needs. The provider organised for a range of social activities which people could join. The staff received support, training and guidance so they could provide effective care. There were systems to monitor and improve the quality of the service. The provider had responded to concerns identified through their own audits and feedback from other organisations. Lessons were learnt when things went wrong. The provider asked stakeholders for their views and included this feedback as part of their planning and development of the service.