Priory Grange Care Home Limited

Updated 28 April 2023

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Priory Grange Care Home Limited 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. Priory Grange Care Home Limited is a care home without 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 sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

The provider was not asked to complete a provider information return before this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with 6 people who used the service and 4 people’s relatives about their experience of the care provided. We spoke with 8 members of staff including the registered manager, deputy manager, a management consultant, maintenance worker, team leader and care workers.

We reviewed a range of records, this included 3 people’s care records and multiple medication records. We looked at 3 staff files in relation to recruitment, training, and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Updated 28 April 2023

About the service

Priory Grange Care Home Limited is a residential care home providing personal care for up to 41 older people who may be living with dementia. The service was supporting 33 people at the time of our inspection.

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

Since the last inspection, the provider improved the quality of care records, in relation to people’s safety. Care records contained information about people’s needs and risks. People’s preferences and choices were considered and reflected within records. There were enough staff to meet people’s needs, staffing levels had improved at night to meet people’s individual needs.

Improvements to the environment had been made to ensure effective infection prevention control.

Medicines were managed safely. Staff received training and competency checks in relation to medicines.

Staff demonstrated a good level of understanding in relation to safeguarding. Appropriate referrals to the local safeguarding team had been made.

People and their relatives were involved in the service. Care was planned around people's choices and preferred routines.

People and relatives said they felt the service was safe and that people were well supported and received good quality care. The registered manager and provider were responsive to feedback and committed to improving the service. The culture of the service was open, and people felt able to raise concerns.

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 and update

The last rating for this service was requires improvement (published 22 September 2021).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended that the provider continued to review and audit record keeping relating to the safe management of medicines. At this inspection we found improvements had been embedded in the service, to ensure effective auditing and record keeping in relation to the safe management of medicines.

This service has been in Special Measures since 11 June 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We carried out an unannounced focused inspection of this service on 14 July 2021 and 19 July 2021. Breaches of legal requirements were found. The provider completed an action plan after the inspection to show what they would do and by when to improve the safety of the care and treatment, the premises and equipment, staffing levels and their governance arrangements.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

We also 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.

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

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Priory Grange Care Home Limited 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.