Background to this inspection
Updated
23 June 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC's response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 27 May 2021 and was announced.
Updated
23 June 2021
The inspection of Tolson Grange took place on 23 November and 4 December 2017 and was unannounced. This meant the home did not know we were coming.
Tolson Grange is a residential care home for up to 42 older people, some of whom are living with dementia or other mental health problems. Accommodation at the home is provided over three floors, which can be accessed using a passenger lift.
People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
At the last inspection, the service was rated as Good. At this inspection we found each of the key areas we looked at remained Good and the service met all relevant fundamental standards.
People remained safe at the home. People were supported by adequate numbers of staff who had the skills and knowledge to meet their needs. The process followed to recruit new staff was found to be safe.
Staff adopted a kind and compassionate approach to their work. People's involvement in decision-making was encouraged. People's rights to privacy and dignity were understood and promoted by staff. People's choices were respected.
People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible; the policies and systems in the service supported this practice.
Person centred plans were in place and people and their relatives were involved in planning the care and support they received. Care plans were regularly reviewed.
The district manager was able to demonstrate their oversight of this service and we found audits were effective as identified actions were followed up. Complaints were appropriately responded to and people and relatives were also able to give feedback through surveys and meetings.
People and relatives were complimentary about the food and drink they received. Staff enabled people to access healthcare when this was required.
Staff received ongoing support through supervision, although we recommended the management team review the consistency in recording of these meetings. Training completion rates were consistently high.
People were supported to maintain their religious beliefs and they were also assisted through the use of technology to maintain relationships with family members.
The storage, disposal and administration of medicines and topical creams was found to be safe. Staff responsible for administering medicines had received the relevant training and their competency had been recently checked.