Henwick Grange

Updated 16 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.

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 team consisted of two inspectors and a specialist advisor in nursing.

Service and service type

Henwick Grange 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. Henwick Grange is a care home with 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 also requested feedback from Healthwatch to obtain their views of the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with two people who lived at the home about their experience of the care provided. We spent time seeing how people were cared for. We 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 to three relatives about their experience of the care provided.

We spoke with seven staff which included the registered manager, regional manager, deputy manager, nurse, care staff and the chef. We also spoke with a visiting healthcare professional. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. In addition, we looked at a variety of records relating to the management of the service. We reviewed additional information, policies and procedures, staff allocation, audits, staff, residents’ and manager’s meetings, surveys, safety certificates and training data the registered manager sent to us.

Updated 16 November 2022

About the service

Henwick Grange is a residential care home providing personal and nursing care to up to 56 people. The service provides support to younger and older people with a range of needs, including people with physical disabilities and people living with dementia. At the time of our inspection there were 34 people using the service.

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

Since our last inspection improvements had been made to ensure risks to people’s safety were effectively managed. Daily checks and audits were in place to ensure people received their medicines as prescribed. This included daily checks to confirm people’s pain medication patches remained in place and the administration site was being rotated. People’s risks had been identified and there was clear guidance in place for staff to follow to reduce the risks. This included in relation to people’s skin needs.

Improvements of the governance systems ensured better oversight of performance and quality. A range of audits were used to effectively monitor the service. Areas for improvement were identified and responded to so the service was continuously learning and developing.

Systems and processes were in place to safeguard people and protect them from the risk of harm or abuse. People were supported by staff who had been trained and recruited safely. Accidents and incidents were reviewed to identify themes and the actions needed to prevent them from happening again. Any learning from incidents were shared with the staff team.

People’s needs were assessed before moving into the home so their care could be planned to meet their individual needs. People’s dietary and nutritional needs were met in accordance with their needs and preferences. Staff recognised changes in people’s health and sought professional advice appropriately.

Staff knew people well and treated them with respect. People and those important to them were involved in planning their care.

People and their relatives were encouraged to provide feedback in the form of meetings and surveys. Information was used to drive through improvements.

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 16 April 2021) and there were breaches of regulation. 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.

Why we inspected

The inspection was prompted in part due to concerns received about personal care, manual handling and the management of the service. We also wanted assurances the provider had followed their action plan and to confirm they now met legal requirements. As a result, we undertook a focused inspection to review the key questions safe, effective, caring and well-led which contain those requirements.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective, caring and well-led sections of this full report.

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