The Grange

Inspectors found enough suitable staff to meet people's needs. Care was provided calmly and without rushing.

“There were sufficient numbers of suitable staff to support people's care needs.” from the report

Staff knew how to recognise and report possible abuse. People told inspectors they felt safe.

“Staff were knowledgeable about how to report abuse and how to identify possible safeguarding concerns.” from the report

The home carried out checks before employing staff to help ensure they were suitable to work with vulnerable people.

“The service undertook a range of checks to seek assurance that potential employees were safe to work with vulnerable people.” from the report

The home worked with health professionals involved in people's care, including GPs, district nurses and physiotherapists.

“The service worked closely with health professionals such as GPs, District Nurses, and physiotherapists.” from the report

Medicines were not always stored, checked or disposed of safely. Inspectors found no temperature monitoring for the medicines room and inconsistent stock control.

“The service did not always follow relevant national guidelines around storing medicines and disposing of them.” from the report

The home did not consistently investigate accidents, falls and near misses or record improvements. This meant repeated risks might not be properly addressed.

“There was no evidence of an overarching view of these.” from the report

Records about accidents, safeguarding concerns and matters reported to the local authority and CQC did not match. An earlier recommendation about safeguarding reporting had not led to improvement.

“At this inspection we found discrepancies between the provider's recording systems in relation to safeguarding concerns, concerns reported to the Local Authority, and those reported to the Care Quality Commission.” from the report

Inspectors were not assured that the home was helping people minimise infection spread or that hygiene and premises layout were promoting safety. Records for cleaning, PPE and laundry checks were also incomplete.

“We were not assured that the provider was supporting people living at the service to minimise the spread of infection.” from the report

People and relatives' views had not been gathered regularly, and questionnaires were not formally analysed. The provider was asked to review its feedback arrangements.

“Although a management feedback check had taken place, it was not evident that people or relatives' views had been sought since our last inspection visit.” from the report