Hall Grange

Updated 3 December 2020

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.

As part of CQC's response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

This inspection took place on 10 November and was announced.

Updated 3 December 2020

About the service

Hall Grange provides accommodation and personal care for up to 86 people across two wings. Each has separate adapted facilities including a lounge, dining area and fully accessible showers and assisted bathrooms available for people. All bedrooms have ensuite bathroom facilities and there is lift access to all floors. One of the wings specialises in providing care to people living with dementia. There is a central hub area, coffee shop and seating. There is also an activities room, hairdressing salon and spacious level garden to the rear of the home. 82 people were using the service at the time of our inspection.

People’s experience of using this service and what we found

People were protected from the risk of abuse and avoidable harm by staff who understood how to recognise and respond to concerns. Where risks were identified, there was guidance on the best ways to keep people safe.

People told us staff were available when they needed them and they felt safe in their care. The provider undertook the correct recruitment checks to ensure staff were suitable for their role. Staff continued to receive ongoing training and support to keep their knowledge, skills and practice up to date.

The environment was clean and well maintained. People had the equipment they needed to meet their assessed needs. Health and safety checks were carried out to make sure the premises and equipment were safe.

People's needs were assessed, and care and support was planned in partnership with them, their families and the staff who knew them well. Staff had the information they required to meet people's needs. Care records were individual and kept updated with any changes in people’s health and wellbeing. People's end of life preferences and wishes had been considered.

People received the care and treatment they needed to keep healthy. They had access to appropriate health, social and medical support when it was needed. Medicines were managed safely and people received their medicines as prescribed.

People received person-centred care which was responsive to their needs. People's communication needs had been assessed and where support was required, staff knew their preferred ways of communicating.

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; the policies and systems in the service supported this practice. People told us staff were kind, caring, attentive and treated them with respect. They said staff respected their privacy and dignity and supported them to be as independent as possible.

There were varied social and leisure activities and people had opportunities to try new ones. Activities were meaningful and planned to meet people’s needs and preferences. Staff understood the importance of social interaction and ensured they offered people support and companionship when needed.

People and their relatives had opportunities to share their views and the provider listened to their feedback. Relatives knew how to raise concerns and told us they were confident to do so. Arrangements were in place to monitor, investigate and respond to complaints.

The registered manager had good oversight of the service and used effective systems to monitor quality and safety, keep checks on standards and develop the service. Where improvements were needed or lessons learnt, action was taken.

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 24 October 2018).

Why we inspected

This was a planned inspection based on the previous rating.

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.