Archived: Kidsley Grange Care Home

Kidsley Grange is a residential home for up to 26 people. On the day of our inspection visit there were 18 people living in the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were protected from unnecessary harm because staff knew how to recognise abuse and understood how to report their concerns. People’s risks associated with their care were identified, assessed and managed to keep them safe.

People’s medicines were managed to ensure they received their prescribed treatments safely. There were sufficient, suitably recruited staff available to care for people and meet their needs. Staff had access to training and support to improve their knowledge of care and enhance their skills. People were provided with a choice of nutritious food and plentiful drinks. Staff supported people to retain their independence and when support was required it was provided in a kind and reassuring manner.

Staff understood the importance of gaining consent from people and supporting people when necessary to make decisions in their best interest. People received the care they preferred because staff asked them and their relatives about their likes and dislikes. People and their relatives were able to regularly review their care to ensure it was still appropriate for them.

People enjoyed a varied programme of entertainment and support with their hobbies to prevent them from becoming socially isolated. People and relatives felt empowered to discuss any concerns or complaints with staff and the registered manager.

People, their relatives and staff felt the service was well managed by the provider and registered manager. The registered manager listened to people’s opinions. Audits and checks were in place to monitor the quality of the service and make improvements where needed.

The provider had clear safeguarding procedures in place. Staff could identify potential safeguarding incidents and knew how these should be reported.

We saw that people received their medication appropriately. Medication records were completed by the nurse administering medicine and were up to date. Medicine was stored correctly.

We saw that staff received regular supervision from the home manager, enabling them to discuss any issues relating to their role. Staff received regular training through the provider and told us that they were supported through obtaining NVQs.

The provider had appropriate systems in place to gather feedback from people who use the service. They also had appropriate systems in place enabling them to audit the service that they provided.

People we spoke with told us they were happy with the care they received and felt care workers looked after their health well. One person told us 'I get on with a lot of them they are all local girls like me so we know each other'.

We saw that care plans and risk assessments are reviewed regularly but we did not see evidence that people who use the service were involved in reviews or that results of risk assessments were recorded.

All three people we spoke with told us they felt safe and had never seen anything that caused them concern. They told us they would be happy to raise an issue with staff if they were unhappy with anything.

We found that care staff did not receive regular supervision and appraisal and did not have facilities to take their rest periods away from the care setting.

Systems are in place to monitor the quality of the service but the information was difficult to find. People we spoke with told us they had the opportunity to feedback their experiences of the service to the provider. One person told us 'I did the survey and my family did too. If I've got a problem I'll tell them about it.'