25 September 2019
During a routine inspection
The Grange Care Home is a residential care home providing personal and nursing care for 25 people. On the day of our inspection there were 23 people living at the home. The home is a one storey building divided into three wings. One of the wings has 5 rooms used to provide intermediate care services. This part of service is used to reduce the admissions to hospital and support discharge from hospital by providing rehabilitation support to enable people to return home.
People’s experience of using this service and what we found
There was good governance in the home and people were kept safe by the review of accidents and incidents including falls. However, the provider review and oversight of these measures required improvement to ensure that all risk factors were recognised and early intervention and support was provided to the home.
People continued to receive safe care. There were enough staff to support them and they were recruited to ensure that they were safe to work with people. People were protected from the risk of harm and received their prescribed medicines safely. Lessons were learnt from when mistakes happened.
People received caring and kind support from staff who respected their dignity and privacy. They were encouraged to be independent and staff understood their needs well. 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. Staff were skilled in understanding the needs of people and engaged them in meaningful activities. Staff knew them well and understood how to care for them in a personalised way. Care plans were informative and regularly reviewed to support them.
People were supported to maintain good health and nutrition; including partnerships with other organisations when needed. The registered manager was approachable and there were meetings in place which encouraged people and staff to give their feedback. People and relatives knew how to raise a concern or make a complaint.
The environment was adapted to meet people’s needs. There was a refurbishment programme in place to continue to improve it.
More information is in the full report.
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 22 November 2017)
Why we inspected
This was a planned inspection based on the previous rating.
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.