Cantley Grange

Updated 13 April 2022

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.

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

The inspection was carried out by one 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 a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 (PIR). 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 10 people who used the service and three relatives about their experience of the care provided. We spoke with six members of staff including the registered manager, regional manager, and care workers. 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 three 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 13 April 2022

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 31 people living at the home.

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

Staff ensured people’s needs were met in a timely and safe way. People and relatives told us they felt safe living at the home. Staff were aware of the safeguarding protocols and knew what action to take to keep people safe. Accidents and incidents were effectively monitored, which ensured staff learned when things went wrong. Risks to people were identified and detailed assessments were in place, to ensure risks were managed safely.

People were protected by the prevention and control of infection, although we identified some issues at site visit. However, an action plan was swiftly put in place to address these minor concerns.

Medication systems were in place and followed by staff to ensure people received their medicines as prescribed.

Staff interacted well with people and they provided care which was person-centred and individualised. Staff had received training to ensure they had the knowledge they required to carry out their role effectively.

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 had access to health care professionals. Staff worked with other professionals to ensure people's needs were met.

People told us staff were kind and caring. Relatives were positive about the care and support provided. Staff understood people’s needs and told us how they respected people’s dignity.

People felt they could speak with staff and the management team if they had any concerns.

There was an effective quality monitoring system in place which identified improvements and addressed them in a timely way.

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

Rating at last inspection

This service was registered with us on 10/10/2018 and this is the first rated inspection.

The last rating for the service under the previous provider was good (published on 6 December 2019).

Why we inspected

The service had not received a rating since registration, and we needed to ensure the service was safely operating.

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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.