Archived: Grange Cottage

Updated 3 August 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This unannounced inspection was carried out by one adult social care inspector on 8 July 2016.

During the inspection we spoke with the six people who lived at the home, the staff member on duty and five visitors. We looked at the care records for three people. We also looked at staff training and recruitment records and records that related to how the service was managed.

Before the inspection, the registered manager completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR and other information we held about the service to plan our inspection and the areas to look at. We also contacted local social work and commissioning teams and health care services to obtain their views about the home.

Updated 3 August 2016

We carried out this unannounced comprehensive inspection on 8 July 2016.

Grange Cottage provides care and accommodation for up to nine people who need personal care. The home is situated in the small town of Grange over Sands on the coast of Morecambe Bay. The property is a large six bedroom cottage, five with ensuite facilities. There are three one bedroom ensuite rooms in a bungalow in the adjoining garden. The property has been adapted and extended for its current use as a care home.

At the time of our inspection there were six people living in the home.

There was a registered manager employed. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last focused inspection of this home on 26 November 2015, we asked the provider to take action to make improvements to staffing, staff training, staff recruitment processes, how medicines were managed and fire safety. Following the inspection the registered manager took immediate action to protect people from the risk of harm. They also wrote to us detailing the actions they had taken and planned to take to ensure the quality and safety of the service.

At our inspection on 8 July 2016 we found these actions had been completed. The processes used when new staff were employed had been improved, there were enough staff to care for people and all staff had completed appropriate training. Medicines were managed safely and people had been protected against the risk of fire.

We saw that people were treated with kindness, patience and respect. They made choices about their lives and the decisions they made were respected.

People were safe living in the home. They were protected against abuse and avoidable harm. Hazards to their safety had been identified and action taken to manage the risks identified.

People were provided with a choice of meals and drinks that they enjoyed. Activities were provided to take account of people’s interests and preferences.

There were enough staff, with the skills and knowledge, to provide the support people needed. The staff knew people well and provided their support as they wanted.

People were supported to access appropriate health care services to ensure they maintained good health.

Visitors were made welcome in the home and people could maintain relationships that were important to them.

The registered manager worked with the staff in the home providing guidance and overseeing the quality of the service. People knew the registered manager and were comfortable speaking to her. They knew how they could raise concerns and were confident action would be taken if they did so.

People were asked for their views and were included in developing how the service was provided.