About the service: The Grange is registered to provide accommodation for up to 18 people. The home provides a service to adults who require personal care and who may have a mental health need, learning disability or who may have dementia related needs. There were 16 people living at the service when we visited.
People’s experience of using this service:
Training for staff did not match the needs of people living at the service. Staff had not received updated training in some areas for a long period. For example, some staff had not completed fire and safeguarding training since 2014.
Some people expressed mixed views about the provision of activities available. Some people told us they organised their own activities such as reading, watching TV and playing Scrabble. Others told us they were bored because there were not enough activities to occupy them and many expressed a wish to go out more.
Risks to people were not fully assessed or recognised. There were insufficient guidance in people’s care plans to direct staff as to how best to support them.
People’s medicines were managed safely and in line with best practice guidelines. Systems were in place to ensure that people were protected by the prevention and control of infection. Accidents and incidents were analysed for lessons learnt and these were shared with the staff team to reduce further reoccurrence.
People’s needs and choices were assessed and their care provided in line with their preferences. Staff received an induction process when they first commenced work at the service.
People were not always supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The principles of the Mental Capacity Act (MCA) were followed.
People received enough to eat and drink and were supported to use and access a variety of other services and social care professionals. People were supported to access health appointments including opticians and doctors, to make sure they received continuing healthcare to meet their needs.
People continued to receive care from staff who were kind and caring. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. People had developed positive relationships with staff who had a good understanding of their needs and preferences.
People and staff told us the service was well managed and had a friendly atmosphere. Staff said they felt supported by the registered manager. Quality checks looked at different areas of the service and helped to ensure the care people received was appropriate and safe. The service worked in partnership with other agencies to ensure people got the care and support they needed.
Rating at last inspection: Good (report published 9 August 2016)
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service rating has changed to Requires Improvement.
Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk