The Grange

Updated 22 March 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 (IPC) 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 24 February 2022 and was announced. We gave the service 24 hours’ notice of the inspection.

Updated 22 March 2022

About the service

The Grange is a care home providing residential care and support to older people. The home can accommodate up to 26 people. At the time of inspection there were 22 people living in the home. There were two shared rooms but the others were all single. Accommodation was provided over two floors with a lift available. There were communal secure gardens available.

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

People were protected from the risk of abuse and avoidable harm. Staff were familiar with what might be a safeguarding concern and knew where to raise their concerns. Relatives we spoke with felt their family members were safe in the home and there were enough staff available to keep people safe.

People received planned care based on comprehensive assessments of their needs. People had been as involved as possible in their care plans. Relatives felt staff understood the needs of their family members. People complimented the food available and were supported to eat and drink enough. People were supported to have maximum choice and control in their lives and to make decisions in line with the Mental Capacity Act (MCA).

Staff were kind and caring, we observed positive interactions throughout the inspection. Staff understood people's communication needs and supported them to express their views. People's privacy and dignity were promoted. Relatives felt their family member was treated respectfully.

People received person-centred care which reflected their needs and preferences. People's needs were reviewed regularly to ensure planned care remained up to date. People could raise their concerns and complaints. No complaints had been received since the last inspection.

The service was well managed. The registered manager had a clear commitment to provide high-quality care and the team worked well together to achieve good outcomes for people. The registered manager had good oversight of the service and regularly checked on the quality of care and record keeping. Relatives felt confident the registered manager was managing the service well.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection and update

The last rating for this service was requires improvement (14 January 2019) with a breach 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

This was a planned inspection based on our 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.