The Grange Nursing & Residential Home

Updated 30 June 2021

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 Care Act 2014.

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. A second inspector carried out phone calls to people’s relatives and staff to ask for their feedback about the service.

Service and service type

The Grange Nursing and Residential Home 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.

The service had a manager registered with the Care Quality Commission. 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.

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 the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and five relatives about their experience of the care provided. We spoke with 12 members of staff including the provider, registered manager, deputy manager, qualified nurse senior care workers, care workers, domestic, administrator and the cook.

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

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 30 June 2021

About the service

The Grange Nursing & Residential Home is a residential care home providing personal and nursing care. It is registered to support up to 50 younger and older adults with dementia, physical disability or sensory impairment. At the time of inspection there were 40 people living at the service.

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

Risk was assessed and managed. Action was taken to reduce risk such as using pressure relieving equipment to prevent pressure sores and movement sensors where people were at risk of falling. Accidents and incidents were recorded and investigated. People felt safe and were confident speaking to managers and staff about any concerns they may have.

The service was clean and hygienic and staff followed national guidelines for infection prevention and control and COVID19. People had their medicines managed in a safe way. There were enough staff with the right skill mix to meet people’s needs and keep them safe.

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.

Systems and processes to monitor the quality and safety of the service were effective. People, staff and relatives were consulted and asked for their feedback and changes were made accordingly. The culture of the service was person centred. Managers were open and inclusive and listened to the views of people who used the service so that improvements were made. Staff worked in partnership with other professionals such as community nurses, doctors and the local authority.

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 requires improvement (published 15 December 2020).

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 the management of risk and staff training. 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 and well-led 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 coronavirus and other infection outbreaks effectively. This report only covers our findings in relation to the Key Questions of safe and well led.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Grange Nursing and Residential Home on our website at www.cqc.org.uk.

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.