Nicholl Grange

• Nicholl Grange is a small care home providing personal care and accommodation for up to 14 people who have a mental health diagnosis. At this inspection 14 people lived within the service.

What life is like for people using this service: • People continued to receive safe care. People were safe and staff knew how to keep them safe. The provider had enough staff to ensure people were supported safely and recruitment processes were in place to ensure appropriate checks were conducted before staff were employed. People took their own medicines and the provider had systems in place to monitor this was being done safely. Staff had access to personal protective equipment and Infection control guidance was in place. Accidents and incidents were noted so trends could be monitored to reduce the amount of accidents. • People continued to receive effective care. Staff were supported and had the skills and knowledge required to meet people's needs. 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 lived independently and made their own choices with support from staff as to what they had to eat and drink. People were supported when needed to attend health appointments. • People continued to receive support when needed that was caring and compassionate. People were encouraged by staff to make decisions as to how they were supported. Staff were kind and caring and people's privacy dignity and independence were promoted in the way staff supported them. • People continued to receive support that was responsive to their needs. People's support needs were assessed and a support plan showed how people wanted to be supported. People received support that was personalised and reviews took place. People lived independently and was able to do the things they wanted. The provider had a complaint process in place and people used it to share concerns they had. • The service did not continue to be well managed. The registered manager did not ensure that quality assurance audits and spot checks were effective in identifying areas for improvement. The call bell system was not always accessible to people in an emergency. The provider did not consistently carry out quality assurance audits. Provider told us they used questionnaires to gather people's views on the service, but was unable to provide evidence. The environment was welcoming, clean and tidy.

More information is in the Detailed Findings below.