Birchams Grange

People's experience of using this service: Staff understood how to recognise and report abuse. Risks associated with the premises, the care equipment used and people's individual care needs had been assessed and reviewed, and plans were in place to manage these. Staffing levels meant people's needs could be met safely. Systems and procedures were in place designed to ensure people received their medicines safely. We identified the need for improved recording in relation to the use of people's topical medicines, and the management team assured us this would be addressed as a matter of priority. The provider had taken steps to protect people, staff and visitors from the risk of infections.

People's care needs were assessed before they moved into the home and then kept under review to achieve positive outcomes for them. Staff received an initial induction followed by ongoing training and supervision to enable them to fulfil their duties. People had support to choose what they ate and drink, and the risks associated with their eating and drinking were assessed and addressed. Staff and management helped people to access healthcare services and attend routine medical appointments. The home's environment was clean, fresh-smelling and well-maintained.

Staff treated people with kindness and compassion and promoted their rights to dignity and respect. Staff and management understood the need to promote equality and diversity within the service. People's individual communication needs were assessed, and they were encouraged to express their views about the service.

People's care plans were individual to them and covered key aspects of their care needs. Staff understood the need to read and follow these. People had support to participate in a range of social and recreational activities. People and their relatives understood how to raise any concerns or complaints with the provider. Procedures were in place to identify people's wishes regarding their future care.

The provider had quality assurance systems and processes in place to enable them monitor and, where necessary, improve the safety and quality of people's care. The management team promoted open communication and effective engagement with people, their relatives and community professionals. Staff felt well-supported and valued by the management team.

We found the service met the requirements for 'Good' in all areas. For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection: At the last comprehensive inspection, the service was rated as 'Good' (inspection report published on 26 July 2016). At this inspection, the overall rating of the service has remained 'Good'.