Denmead Grange Care Home

People and relatives said people were safe. Staff understood how to recognise and report abuse.

“People told us they felt safe living at Denmead Grange, relatives agreed and a relative said "I feel that [person] is safe and looked after here.” from the report

The home analysed falls and introduced extra measures, including staff deployment checks, reviews and reflective learning. Inspectors found this had reduced falls significantly.

“This had resulted in a significant reduction in people falling.” from the report

People had a broad programme based on their interests, including music, exercise, reminiscence, crafts and pet therapy. People who stayed in their rooms also received individual activities.

“There were a wide variety of activities available including physical exercise, musical events, word games and reminiscence sessions, pet therapy, cheese and wine, arts and crafts and book club.” from the report

Relatives and healthcare professionals gave positive feedback about compassionate end-of-life care. The home was also working with a hospice to develop this further.

“The service had received positive feedback from relatives about how they provided compassionate and sensitive care for people at the end of their lives.” from the report

Some people and relatives said staff were not always available quickly, especially in the morning. Inspectors saw call bells answered in a reasonable time, and the manager said this would be investigated further.

“The staff don't always come when I press the buzzer, I seem to be waiting from some time especially in the morning.” from the report

Some risk guidance, monitoring records and care plan information were incomplete or needed updating. Managers acted during or after the inspection to address these issues.

“However, care records to ensure guidance was available for staff and monitoring records were not always fully completed.” from the report

People received their medicines as prescribed, but inspectors found that staff guidance, storage arrangements and audit documentation needed improvement.

“The registered manager acted promptly when we noted some improvements were needed in relation to staff guidance to support the person-centred administration of people's medicines, medicines storage, and audit documentation.” from the report

Some people said staff did not have enough time to chat or spend time with them, making them feel staff did not always care. The home had introduced an allocated carer for one-to-one time.

“Some people told us staff didn't always have enough time to spend with them which left them feeling staff didn't always care about them.” from the report

Records for people at risk of poor nutrition were not always totalled or signed as reviewed. The home introduced a daily meeting to improve completion and checking.

“We noted the food and fluid monitoring records were not always totalled or signed as reviewed which meant they were ineffective.” from the report