Archived: Wood Hill Grange

Wood Hill Grange is a nursing and residential home, which at the time of this inspection was providing personal and nursing care to 53 adults and older adults, some of whom were living with dementia. The home comprises of four floors. The service can support up to 75 people.

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

The service had significantly improved and feedback from the previous inspection had been addressed before we came to inspect. The service had a new manager in place. They had worked for the provider for over nine years and we saw they had a positive working relationship with their staff team. One staff member said, “The manager is great, best manager we have had.”

The management team conducted audits and checks to further ensure the quality and safety of services provided to people. The operation of the quality assurance processes had significantly improved and actions arising from audits were being recorded and progressed. Most minor improvements identified during the inspection visit, the senior management team were already aware of and actively working to address.

People felt safe whilst being supported by staff who had the relevant knowledge and confidence to identify safeguarding concerns and act on these to keep people safe. Staff were recruited safely and there were enough of them to keep people safe and to meet their care needs. Risks to people's personal safety were assessed and measures put in place to minimise those risks. During the inspection we identified minor improvements to how medicines were managed and immediately after the inspection the provider sent us a list of actions they had taken to address these concerns. We were assured people’s medicines were managed safely.

The service used a number of creative methods to ensure people and relevant persons involved in their care had a voice, which was valued and listened to.

Staff were respectful, considerate and incredibly positive towards people and their relatives. It was paramount to the service to ensure people's wellbeing was respected and protected. People and relatives confirmed staff always respected their privacy and maintained their dignity. People benefitted from living at a service that had a very open and welcoming culture. One relative said, “They’re [staff] like my second family to me, I have a meal here, I have lunch, whatever they’re serving I have it”.

People received support that was individualised to their specific needs. Their needs and support plans were kept under review and promptly amended as changes occurred. Staff knew people and their needs well, and we saw caring interventions and conversations throughout our inspection. A range of meaningful activities were on offer to keep people occupied, according to their individual interests. 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 interest. 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 19 November 2018) and there were two breaches of regulations. 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 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.