Archived: Seacroft Grange Care Village

Updated 2 November 2022

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.

Inspection team

This inspection was conducted by two inspectors, a pharmacist specialist 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.

Service and service type

Seacroft Grange Care Village is a 'care home'. 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.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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

The provider was not asked to complete a provider information return prior to 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. We reviewed information we had received about the service, such as details about incidents the provider must notify CQC about, for example incidents of abuse. We reviewed all other information sent to us from stakeholders such as the local authority and members of the public. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people using the service and 7 relatives about their experience of the care provided. We spoke with 21 staff members including the registered manager. We looked at 4 care records and 9 medicine records. We looked at 3 staff files regarding recruitment. We also looked at quality monitoring records relating to the management of the service, such as audits and service improvement plans.

Updated 2 November 2022

About the service

Seacroft Grange Care Village is a care home which provides personal and nursing care for up to 95 older people. At the time of the inspection there were 77 people using the service. Accommodation is spread over six units; five of the units accommodated people in a residential setting, some of whom had dementia and one unit supported people with nursing needs.

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

There were systems in place to help keep people safe and risks were assessed appropriately. Risk assessments and care plans were up to date and contained personalised information. Staff were aware of people's risks and how to keep them safe. For example, staff we spoke with knew who was at risk of choking and how to reduce this risk.

Staffing levels were safe. During the inspection, we observed staff around the home and in communal areas. Medicines were administered safely and people’s preferences regarding how their medicines were presented to them was documented.

During the inspection we observed staff wearing masks incorrectly. This was raised with the provider during the inspection and was addressed with staff and resolved. Records were up to date and accurate. Care plans were personalised and up to date with peoples needs. Care plans and risk assessments were reviewed regularly.

There was an open and positive culture. The registered manager demonstrated a good oversight of the service and areas for ongoing improvement. Audits were completed and action plans were developed following audits to ensure improvement.

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 26 July 2021).

At the last inspection we recommended the provider reviewed their governance systems to highlight inconsistencies and recording issues to ensure records are up to date and accurate. On this inspection we found improvements had been made.

Why we inspected

The inspection was prompted in part due to high notifications received relating to choking. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe sections of this full report.

We 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.

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