30 January 2020
During a routine inspection
Upton Grange is one of three care homes owned by the Cheshire residential Homes Trust, which is a charitable non-profit making organisation. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates the premises and the care provided, both were looked at during this inspection. It can accommodate up to 25 people. At the time of our inspection there were 20 people living there.
People’s experience of using this service and what we found
Quality assurance processes were carried out by the registered manager. However, issues regarding the management of activity records, health and safety records, risk assessments, deployment of safe staffing needs further review to improve monitoring and record keeping.
Risks to people’s health and safety were assessed and managed but paperwork was not always up to date.
People told us there were enough staff around to help them receive care and support. However, they did not always know how many staff were on duty.
Care plans were in place and generally contained the correct level of information in relation to the support people needed. Some areas of recording needed updating.
Feedback received about the support provided was positive. People received good support from a committed staff team. People and relatives told us they loved the home-made food and felt it was a lovely environment to live in and enjoy. People told us they felt safe and comfortable.
Complaints were dealt with in accordance with the organisation's complaints procedure, people said they knew how to complain.
Recruitment checks were organised and showed appropriate records to ensure staff were suitable to work at the service. The staff team were well trained and skilled in effective communication to ensure people felt supported.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was 'good' (published July 2018.) At this inspection we found a breach of regulations and rated the service as 'requires improvement.'
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified breaches in relation to good governance at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress.