Arden Grange Nursing & Residential Care Home

The home is an adapted building with all care provided on the ground floor. People have access to lounges, dining areas and outdoor spaces. Bathrooms and toilets are situated near to all communal areas.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People were supported to eat and drink but records did not always confirm how much people should be drinking to keep them well. People's care plans had been reviewed and updated since our last inspection. More work was needed to ensure these records always reflected people's preferences and wishes, including their communication needs.

Although the provider had improved their quality monitoring and oversight since our last inspection, further improvement was needed to ensure shortfalls in the service were identified.

Staff understood how to protect people from harm and followed safe hygiene practices to prevent and control infection. People were supported by enough staff who had been safely recruited. The provider had systems in place to make sure lessons could be learnt from accidents, incidents and when things went wrong.

People's needs were assessed and they had care plans in place. Staff had received the training they needed to meet people's needs. People's routine health needs were met, and referrals were made when people needed other health care support or staff were worried about a person's health.

People were supported by kind and caring staff. Staff had developed good relationships with people and their relatives, and they were treated with dignity and respect.

People and relatives felt confident to raise concerns if they needed to.

Staff and the registered manager understood their roles and responsibilities; they felt supported by management and involved in the development of the service. People and relatives praised the service and

felt staff and managers were supportive.