Background to this inspection
Updated
3 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 care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has 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 28 January 2022 and was announced. We gave the service 24 hours notice of the inspection.
Updated
3 March 2022
This inspection took place on 2 and 3 January 2019. The first day of the inspection was unannounced. This meant the staff and provider did not know we would be visiting.
Washington Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
Washington Grange provides accommodation and personal care for up to 40 people, some of whom may be living with dementia. On the day of our inspection there were 36 people using the service.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Accidents and incidents were appropriately recorded and risk assessments were in place. The registered manager understood their responsibilities with regard to safeguarding and had been trained in protecting vulnerable adults.
The home was clean and suitably adapted for the people who used the service. Appropriate health and safety checks had been carried out.
There were enough staff on duty to meet the needs of people. The provider had an effective recruitment and selection procedure in place and carried out relevant vetting checks when they employed staff. Staff were suitably trained and received regular supervisions and appraisals.
Appropriate arrangements were in place for the safe administration and storage of medicines.
People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
People were protected from the risk of poor nutrition. Care records contained evidence of people being supported during visits to and from external health care specialists.
People and visitors were complimentary about the standard of care at Washington Grange.
Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible. Support plans were in place that recorded people’s plans and wishes for their end of life care.
Care records showed that people’s needs were assessed before they started using the service and support plans were written in a person-centred way. Person-centred means ensuring the person is at the centre of any care or support and their individual wishes, needs and choices were considered.
Activities were arranged for people based on their likes and interests, and to help meet their social needs.
The provider had a complaints policy and procedure in place, and people were aware of how to make a complaint.
The provider had an effective quality assurance process in place. People, visitors and staff were regularly consulted about the quality of the service via meetings and surveys.