Archived: Grange View

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

People remained safe at the service. There were sufficient staff available to meet people's needs and support them with activities both in and outside of the service. Risk assessments had been completed to enable people to retain their independence and receive care with minimum risk to themselves or others. People received their medicines safely.

There were enough suitably knowledgeable staff to provide people with support and guidance when they needed it. Staff had received appropriate training, support and development to carry out their role effectively. Plans were in place to further develop the skills and knowledge of the staff team.

Care plans were well organised and up to date. The plans contained information about what was important to people as well as information regarding their health needs.

The staff were very caring and people had built strong relationships with staff. We observed staff being patient and kind. People's privacy was respected. People where possible, or their representatives, were involved in decisions about the care and support people received.

Staff understood and promoted people's rights in line with the requirements of the Mental Capacity Act 2005 (MCA). Staff had received training in MCA and had good knowledge of the principles and how to support people to make decisions about their day to day living. Deprivation of Liberty Safeguards applications were made to a supervisory body when needed to ensure any restrictive practices were authorised and appropriate.

People's views were sought and the service listened to their feedback. People and their relatives had access to the complaints procedure and knew how to raise any concerns about the care provided.

Staff and relatives were positive about how the service was managed and the leadership of the registered manager. The registered manager was enthusiastic and passionate about the quality of care provided at the service and knew people and their needs well. Staff were valued at the service and shared the provider's vision and values to support people to live fulfilling lives.

There was a robust quality assurance system in place and shortfalls identified were promptly acted on to improve the service.

We found that medicines were recorded and administered safely and appropriately. People told us the staff gave them their medication when it was required and this is what they preferred.

We found there were sufficient numbers of suitably qualified and experienced staff employed to meet people's needs.

We found people were protected from unsafe or inappropriate care by means of accurate records in relation to the care and treatment provided. Records were kept securely and could be located promptly.

We saw that care records documented people's wishes and preferences and staff were knowledgeable about the people they supported. The people we met indicated they were happy with the care and support they received.

We saw people were encouraged to be involved in social activities, attended day centres and carried out day to day living skills such as food shopping.

People received well balanced meals and were involved in formulating menus. Staff promoted healthy eating and checked people were eating and drinking properly.

The home had a system in place to make sure people received their medications safely from staff who have received appropriate training.

Checks had been carried out on staff before they started to work at the home. This included ensuring staff underwent a Criminal Records Bureau (CRB) check.

We saw the complaints procedure was available in different formats for people who used and visited the service. The people who used the service did not indicate they had any concerns.