Cheadle Grange Care Home

People were protected from abuse, and staff had the skills to meet people’s needs. Staff were recruited safely and completed an induction before starting work. Ongoing training helped ensure they had the skills and knowledge to carry out their roles. The service was clean and staff knew how to manage infection control risks. Staff monitored people’s health and escalated any concerns appropriately. People were supported to access other healthcare agencies when needed. However, people, relatives and staff raised concerns about staffing levels.

People’s needs were assessed before admission and regularly reviewed to ensure care remained appropriate and met people’s needs. Consent processes were in place and, where people lacked capacity, decisions were made in line with best-interest requirements. Systems were established to monitor people’s needs and risks. Records indicated changes in people’s health were identified and acted upon. However, further work was needed to ensure records fully reflected the care provided.

People were treated with kindness, compassion and respect. Staff knew people well. People were encouraged to maintain their independence and make decisions about their daily lives, and staff generally responded appropriately to requests for support. Staff spoke positively about the support they received from colleagues and managers. However, some people and relatives raised concerns about staffing levels, particularly at weekends, and staff were not always visible in communal areas.

People generally received person-centred care that reflected their needs, preferences and life histories. Staff supported people to maintain interests, and access community opportunities. People and relatives told us they felt listened to, involved in decisions and kept informed about their care, and systems were in place to gather feedback and respond to concerns. However, further work was needed to ensure personalised end-of-life care planning was in place for people when they needed this support.

The provider, service leaders and staff shared a vision to deliver high-quality person-centred care. Leaders were knowledgeable and supportive, helping staff develop in their roles. We found robust governance and quality assurance systems in place to monitor the safety and effectiveness of the service. Regular audits were carried out to ensure standards were met.