Background to this inspection
Updated
12 February 2022
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 the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 28 January 2022 and was announced. We gave the service 24 hours’ notice of the inspection.
Updated
12 February 2022
We inspected Harley Grange on 25 and 26 July 2019. The first day was unannounced, we returned the following day to complete our inspection by looking at information the provider had gathered for us.
About the service
Harley Grange provides residential and nursing care to older people including people recovering from health issues and some who are living with dementia. Harley Grange is registered to provide care for up to 27 people. At the time of our inspection there were 22 people living at the home.
People’s experience of using this service and what we found
People told us they felt safe living at Harley Grange. The systems in place to monitor the quality and safety of the service being provided had revealed that staffing levels were not sufficient to meet people’s needs.
Staffing levels had recently been increased to meet people’s needs.
Risks to people had been assessed. People, and where appropriate, relatives had been involved in compiling care plans. People were supported with their medicines in a safe way. Recruitment checks had been carried out to ensure staff were suitable to work at the service. The home was well equipped, clean and tidy and good infection control practices were being followed.
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 had received training relevant to people’s support needs. The staff team felt involved in the running of the home and were supported by the registered manager. People received healthcare services when they needed them, and they were supported to eat and drink enough to remain healthy.
People were involved in making decisions about their care and support. Their consent about the care and services offered was obtained. People were supported by a staff team who were kind and caring and treated them in a considerate and respectful manner.
Care plans were well detailed reviewed regularly and staff were knowledgeable about the range of needs people had. A complaints procedure was in place and people knew what to do if they had a concern of any kind.
There were systems in place to monitor the quality and safety of the service being provided, though these were not always effective in identifying and ensuring staffing levels were in place to meet people’s needs in a timely way. People’s views of the service were sought through regular meetings, surveys and an annual questionnaire. The manager understood their roles and responsibilities as was in the process of registering with CQC. They worked in partnership with other agencies to ensure people received care and support that was consistent with their assessed needs.
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 1 August 2016).
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.