Tyne Grange

Updated 2 June 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 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

The inspection was carried out by one inspector.

Service and service type

Tyne Grange 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. Tyne Grange 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

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

Notice of inspection

This inspection was announced.

We gave the service 24 hours’ notice of the inspection visit. Having consideration of the coronavirus pandemic, we gave the registered manager a short period of notice of our arrival. This was to ensure safe systems were in place to protect everyone.

Inspection activity started remotely off site on 4 April 2022 and a site visit took place on 7 April 2022. The inspection ended on 28 April 2022.

What we did before the inspection

We reviewed information we had received about the service since it was registered, including the notifications of accidents and incidents we had received from the provider. We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections.

During the inspection

We spoke with seven people who used the service about their experience of the care provided. We spoke with nine members of staff including the registered manager, deputy home manager, registered nurse, physiotherapist and five support workers including two senior support workers. We received feedback from seven health and social care professionals.

We made observations around the service.

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

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 2 June 2022

Tyne Grange is a care home providing personal and nursing care to up to a maximum of 22 people. The service provides support to younger and older people, including people with enduring mental health or physical needs. At the time of our inspection there were 22 people using the service.

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

Tyne Grange was exceptionally well led. The provider's vision and values were truly person-centred to make sure people were at the heart of the service. This vision was driven by the exceptional leadership of the registered manager.

The staff team supported some people with complex needs. There was clear evidence of collaborative working and excellent communication with other professionals to help meet people's needs and maintain their placement wherever possible. A professional commented, “In my experience, people appear to benefit from the input provided by Tyne Grange staff, which seems very holistic and person-centred."

Everyone complimented and highly praised the staff team and gave examples of the outstanding care that was delivered. People were encouraged and supported to lead as fulfilled a life as possible. They were supported to follow their dreams and aspirations. There were several examples where staff had really gone the extra mile and supported people in different aspects of their lives. A person told us, “Staff are really, really good and attentive. Tyne Grange is the best home I’ve been in.”

The service was flexible and adapted to people's changing needs and wishes and promoted their independence. Care was completely centred and tailored to each individual. Risk assessments were in place and they identified current risks to the person as well as ways for staff to minimise or appropriately manage those risks, including positive risk taking. A person told us, “Staff are amazing, they always listen to me and support me.”

There was a very strong and effective governance system in place. People, relatives and staff were very confident about approaching the registered manager if they needed to. They recognised that their views and feedback were valued and respected and consistently used to support quality service development. Strong processes were in place to manage and respond to complaints and concerns.

People's diversity as unique individuals with their own needs was well-respected by staff. The staff team knew people extremely well and provided support discreetly and with compassion. People’s privacy was respected, and people were supported to maintain contact with relatives and friends.

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.

Staffing capacity was sufficient and staff deployment was effective to ensure people's needs were met in a safe, timely and consistent way. Systems were in place for people to receive their medicines in a safe way.

Staff were encouraged to continue their professional development in order to progress and provide the best outcomes for people. Staff demonstrated that they really understood the importance and benefits of providing person-centred care. The service was following safe infection prevention and control procedures to keep people safe.

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 14 September 2020 and this is the first rated inspection.

Why we inspected

This was a planned inspection and all domains were inspected as the service has not been previously rated.

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.