Archived: Cantley Grange

Updated 27 February 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service,and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection. This inspection took place on 11 January 2017 and was unannounced. The membership of the inspection team comprised one adult social care inspector 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. The area of expertise of the expert by experience who attended this inspection was older people.

Before our inspection, we reviewed all the information we held about the home. We spoke with the local authority to gain their view of the quality of the service. We used information the registered provider sent us in the Provider Information Return. This is information we require registered providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with nine people who used the service, and five relatives and friends of people who used the service. We spent time observing how staff interact with the people they were supporting and with each other. We spent time in both dining areas and also observed an organised activity. We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with three care workers, a cook, the activities coordinator, and the registered manager. We also spoke with a district nurse who visited the service regularly, to gain their opinion of the care provided to people.

We looked at documentation relating to people who used the service, staff and the management of the service. This included four people’s care and support records, including the assessments and plans of their care. We saw the systems used to manage people’s medication, including the storage and records kept. We also looked at the quality assurance systems to check if they were robust and identified areas for improvement.

Updated 27 February 2018

Cantley Grange is situated in the village of Cantley on the outskirts of Doncaster. The home provides care for up to 40 people. Bedroom facilities are provided on the ground and first floor level of the building. Access to the first floor is by a lift or stairs. People who require a higher level of support, because they are living with dementia are mainly cared for on the first floor. There are communal areas including lounges, and dining area on both floors. The home stands in its own grounds and there is a car park at the front of the building. At the time of the inspection 40 people were using the service.

This comprehensive inspection took place on 11 January 2018 and was unannounced. At the last inspection in November 2015, the service was rated Good, with a rating of Requires Improvement in our key question (domain) of Responsive. This was in relation to the activities available to people and how complaints were responded to.

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

We carried out the inspection a little earlier than planned due to concerns raised with us about the way the service was operating. However, we found no evidence to support the concerns and, without exception all the people we spoke with during the inspection were very happy with the service provided. We also found the areas we identified for improvement at our last inspection had been addressed. At this inspection we rated the service as Good in all domains.

Why the service is rated Good.

The service had a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider continued to protect people from abuse and people were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People were supported to make decisions about their care and their choices were respected. Care plans included information about people’s life experiences, likes and dislikes. Risk assessments highlighted any risks associated with their care and how best to manage the risks presented.

There were enough staff to ensure people’s needs were met and staff training was of a good standard and assisted them to carry out their role effectively.

People continued to receive their medicines in a safe manner and received good healthcare support. People received a nutritious and balanced diet and told us that their dietary needs and choices were particularly well catered for.

It was clear that people had good relationships with the staff, who were caring and kind. Staff respected people’s privacy and dignity and promoted their independence.

The registered provider had made sure that people were aware of the complaints procedure and any concerns or and complaints were taken seriously, responded to positively and used to improve the service.

We saw that the registered provider continued to effectively monitor and audit the quality and safety of the service. People who used the service and their relatives were involved in the development of the home and were able to contribute ideas.

Further information is in the detailed findings below