The Grange

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

This is the first assessment for this service registered under a new provider in September 2024. This key question has been rated good. This meant people were safe and protected from avoidable harm.

People were involved in care decisions and managing risk. There were sufficient trained and supportive staff to provide people with care. The provider understood the importance of safeguarding people from abuse. Medicines were managed safely. Aspects of the environment needed improving and cleanliness and infection control required further review. The home was clean and tidy, although laundry facilities were cramped and needed reviewing.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service registered under a new provider in September 2024. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

People’s needs were assessed and reviewed to ensure the service could continue to support them. Care plans were detailed and included good information about how to support people, although medical care plans were often generic in nature. Staff worked together to support people to lead individual lives. Consent and permissions were sought although some areas needed to be reviewed and updated around relative having legal authority to make decisions.

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

This is the first assessment for this service registered under a new provider in September 2024. This key question has been rated good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

People and relatives told us staff were kind, supportive and helpful. Staff recognised and understood people’s individual needs and encouraged people to be independent. People and relatives told us they would like to engage in more community activities. Staff told us they were well supported by the registered manager and the wider organisation.

Responsive – this means we looked for evidence that the provider met people’s needs.

This is the first assessment for this service registered under a new provider in September 2024. This key question has been rated good. This meant people’s needs were met through good organisation and delivery.

Care plans had good detail and clear actions for staff to follow to support people, although lacked individual detail at times. The registered manager explained a new care planning system was being installed to address this issue. People and relatives felt staff and managers listened to them and acted on any concerns they may have. People felt more activities would be helpful, along with better access to the community.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

This is the first assessment for this service registered under a new provider in September 2024. This key question has been rated good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

The registered manager had instigated several changes and a range of improvements. Monitoring systems were in place, although the registered manager acknowledged there was still more work to do. Governance systems were in place and overseen by the registered manager. Senior managers in the organisation oversaw the running of the service, although their formal audit processes need to be improved. People, staff and professionals were all highly positive about the registered manager and the improvement they had brought about at the service.