14 July 2022
During a routine inspection
Potters Grange is a residential home registered to provide accommodation and nursing care to up to a maximum of 24 people.
The service provides support to adults who require personal and/or nursing care and may be living with a physical disability, sensory impairment or dementia. At the time of our inspection there were 16 people living at the service.
The service is a new, purpose-built building. There are three floors, with accommodation on two floors and ancillary services on the remaining floor. Each bedroom has en-suite facilities, with additional toilets and a sensory bathroom on each floor. There are large communal spaces for people to use, with a spacious garden and patio area.
People’s experience of using this service and what we found
People told us they felt safe living at the service. Staff were aware of the safeguarding procedure and knew what action to take to help keep people safe. Risks to people's health, safety and wellbeing were identified and assessed, with action taken in response. Detailed assessments were in place, which provided clear guidance to staff on how to ensure risks to people were mitigated. Any incident, accident or untoward event was investigated by the registered manager.
People were supported by sufficient numbers of staff. Staffing levels were frequently reviewed by the registered manager. There were robust recruitment procedures in place. Staff had received training to ensure they had the knowledge they required to carry out their role effectively. Regular supervisions and team meetings were held with all staff.
Medicines were managed safely. Staff received training and had their competencies checked to ensure safe practice. Regular audits and checks were completed on all aspects of medicine administration.
We were assured by the measures taken to help ensure the prevention and control of infection. Staff had access to, and wore, sufficient PPE.
People had their needs assessed prior to moving to the service and were supported to express their views and make decisions about their care. Care plans and risk assessments were regularly reviewed and updated to reflect any changes in people's needs. Records demonstrated that appropriate referrals had been made, and health professionals involved, when people experienced a deterioration in their health or a change in their needs. We saw that people, and their relatives, were consistently involved in the development and review of care plans.
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 told us staff were kind, caring and courteous. Relatives were also positive about the care and support provided. People’s privacy, dignity and independence was promoted by staff in all aspects of people’s care. People were encouraged to share how this wished to received care. People told us that staff took into account their individual needs and preferences and were aware of their likes and dislikes.
People were supported to take part in a range of activities and were encouraged to explore new activities and interests if they wanted to. The service used social media, newsletters and individual ‘newspapers’ for each person to share news and information with people and their relatives.
People and their relatives felt they could speak with staff if they had any concerns and felt they would be listened to. A robust complaints procedure was available to all.
Feedback about the atmosphere and culture at the service was positive. People, relatives and staff felt engaged with the service and found the registered manager to be approachable. There were frequent opportunities for people, relatives and staff to provide feedback on the service. All confirmed they felt confident that their views and opinions were valued.
The provider and registered manager had a comprehensive quality assurance system in place which ensured all aspects of the service were regularly audited. This helped to ensure oversight and scrutiny of the care being delivered.
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 04 June 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service and based on the date of registration.
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.