Treeton Grange Nursing Home

Updated 22 December 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.

Inspection team

The inspection was carried out by 2 inspectors 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

Treeton 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. Treeton 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 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.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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. We used all this information to plan our inspection.

During the inspection

We spoke with 6 staff, including the provider, the registered manager and care staff. We spoke with 4 people who used the service, 8 relatives and 1 professional. We reviewed the care records of 3 people and 2 staff files. We reviewed a variety of records relating to the management of the service, including policies and procedures, audits and checks.

Updated 22 December 2022

About the service

Treeton Grange is a care home providing personal and nursing care to older and younger adults. The service can support up to up 50 people. At the time of our inspection there were 46 people using the service.

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

Systems were in place to protect people from abuse and the risk of harm. Staff understood their roles and how to raise safeguarding concerns. Risks to people were assessed and regularly reviewed. However, hoist slings were found to have worn labels and did not detail which person the slings belonged to. Following the inspection, the provider immediately implemented an audit of all slings and replaced labels where required. Care plans were detailed and provided staff with guidance to safely support people. People, relatives and staff told us that people were safe in the service.

Some staff and relatives told us staff were rushed and more staff were required. During our inspection we observed enough staff to meet people's needs and the service was providing the correct amount of staff based on people's assessed needs. Staff were recruited safely and pre employment checks were in place. People and their relatives told us staff were kind and caring.

Medicines were safely managed. Medicines were stored and disposed of appropriately and people received their medicines as prescribed. Infection, prevention and control audits were in place and the home was generally clean and tidy. Systems were in place to monitor accidents and incidents, including themes and trends, with lessons learned to reduce risks to people.

The registered manager understood their roles and responsibilities. Leadership was visible in the service and relatives told us the manager was approachable and available. Systems were in place to monitor quality and safety to drive improvements in the service. People and relatives had opportunities to provide feedback. This was analysed and actions were taken to meet people's needs and wishes. Staff were supported in their roles and staff told us they could report concerns to the registered manager. Regular staff meetings took place and staff were actively involved in these. Staff worked in partnership with community healthcare teams to ensure people received support, care and treatment in line with their individual needs.

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.

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 this service was good (published 7 April 2020).

Why we inspected

The inspection was prompted in part due to concerns received about moving and handling practices. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Treeton Grange on our website at www.cqc.org.uk.

Follow up

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