Background to this inspection
Updated
16 September 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted as part of our Thematic Review of infection control and prevention in care homes.
Inspection team
Two inspectors visited the service on 13 August 2020. An inspector spoke to relatives and staff via telephone on 17 August 2020. Information sent by the registered manager was reviewed on 12 and 17 August 2020.
Service and service type
Hunningley Grange Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced. We gave the service 24 hours’ notice of the inspection because we wanted to discuss any potential risks to people from the inspection in the Covid-19 pandemic and to request documentation which could be reviewed outside the inspection visit.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We spoke with the registered manager.
We reviewed a range of records and looked at the home environment. This included two people’s care records in detail and four people’s risk assessments. We looked at numerous medication records.
After the inspection
We spoke with three relatives about their experience of the care provided. We spoke with four staff including the deputy manager, a senior care worker, a care worker and the chef.
We looked at a range of records relating to the management of the service, including checks and audits undertaken by the registered manager and the provider.
Updated
16 September 2020
About the service
Hunningley Grange Residential Home is a residential care home providing personal care to 21 people at the time of the inspection. The service can support up to 40 people. The home is an old stone building with a new extension and conservatory, with access to a secure garden. All rooms are on the ground floor.
People’s experience of using this service and what we found
People overwhelming told us they felt safe living at Hunningley Grange. People were safeguarded from abuse by appropriate systems and processes. Risks to people were assessed and people’s independence was promoted. Staff numbers were assessed according to people’s needs. Medicines were administered safely by trained and competent staff. Infection control procedures were in place. Processes were in place to analyse incidents and learn when things went wrong.
There was a clear vision and open culture. A governance framework was in place which covered all aspects of the service and the care delivered. People, relatives and staff were engaged in the home. There was evidence of continuous improvement by considering trends and themes, and by sharing best practice. The home worked in partnership with other professionals, and the community when able to do so.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 3 April 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made the provider was no longer in breach of regulations.
Why we inspected
This was a planned focused inspection based on the previous rating. We carried out an unannounced comprehensive inspection of this service on 14 and 15 February 2019. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the recording of people’s consent to care and treatment and how risks to people were assessed and mitigated against.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hunningley Grange Residential Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.