Chatsworth Grange

We looked at all quality statements in this domain.

People were supported to receive their medicines safely. However, protocols for as when required medicines (PRN) for some people needed more detail to guide staff when to administer. The use of thickeners to reduce the risk of choking were also not consistently recorded. Action was taken by the registered manager to address the issues raised.

We shared some feedback about the recruitment procedures at the service. The registered manager took immediate action in response to the feedback.

There were enough staff available to meet people's needs and staffing levels were reviewed regularly by the registered manager. However, some relatives felt that at times staff were stretched. We also noted at busier times of the day such as mealtimes that people experienced extended wait times for support. This had already been identified by the senior team and a trial of staggered mealtimes was to be introduced on units where more people needed assistance with their meals.

People were safeguarded from abuse and avoidable harm. Staff were able to recognise possible signs of abuse and knew how to report such concerns promptly. Staff told us they felt supported and felt confident to raise any concerns and that concerns raised would be acted upon.

People were protected from the risk of infection, as staff followed safe infection prevention and control practices. The home environment and equipment were kept clean and safe.

Staff knew people’s needs and how to support them and staff took action to manage risks.

Staff received regular training to ensure their skills and knowledge were up to date and enable them to provide safe care.

People were supported to have choice and control of their lives and staff knew to support them in the least restrictive way possible. People’s capacity to make decisions was assessed and best interest decisions recorded.

We looked at 1 quality statement in this domain.

People and their relatives told us staff were kind and caring.

Staff could describe how they supported people to maintain independence and policies supported this practice.

We observed positive interactions between people and staff throughout the assessment.

People had access to activities to promote and support their independence, health, and wellbeing.

People celebrated occasions that were important to them and were able to receive visitors without restrictions.

We looked at 1 quality statements in this domain.

Relatives said communication with the home was good and they were able to raise any questions or concerns with staff and/or the registered manager. They said these would be addressed straight away.

People and relatives were also positive about the care and support they received.

Staff knew people’s needs and how to support them.

Systems were in place to make referrals to other professionals when required and professionals were positive about partnership working.

People received equal access to care, without discrimination.