Background to this inspection
Updated
24 March 2021
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 coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 11 March 2021 and was announced.
Updated
24 March 2021
This inspection took place on 3 and 7 August 2018.It was an unannounced visit to the service.
We previously inspected the service on the 21 February 2017. That was a focused inspection to follow up on a previous breach of the regulations. We found the service had met the breach of the regulation, however, we found a further breach of another regulation as the service was not ensuring all the required pre-employment checks were carried out prior to new staff commencing work. At this inspection we found significant improvements had been made.
Mandeville Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care home is a mixture of a traditional Victorian build and new build. Accommodation is located over two floors. People had access to several seating areas on the ground floor and were able to enjoy spending time in a well-established and maintained garden area.
The service is registered to provide accommodation up to 31 people. At the time of our inspection 23 people were living at the home.
The service had 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.
We received positive feedback from people, their relatives and staff on how the service was led. Comments included “I certainly wouldn’t criticise them, especially the manager, she is excellent, salt of the earth” and “This place is very well run.”
People were supported by staff who knew how to protect them from abuse. The likelihood of harm to people was reduced as potential risks were assessed and reduced.
People told us the environment replicated a traditional family home and was well maintained. People and their relatives told us Mandeville Grange was a “Home away from home” and “I see this as my home, I have freedom to move about and I can make choices.”
People told us they really enjoyed the food. There was a selection of meal options available to people.
People were cared for by staff who demonstrated compassion and kindness. People told us they liked living at the home and felt the staff provided a good service. Comments from people included “I couldn’t think of anywhere else to live,” “There is not a better place to live,” “Everyone is kind, when I mean that I mean compassionate, from the cleaner right up to the top.”
People were supported to engage in meaningful activities and keep in contact with family and friends. A wide range of activities were available to people, both in a group an individual basis.
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.