Background to this inspection
Updated
3 March 2021
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 care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 9 February 2021 and was announced.
Updated
3 March 2021
About the service: Middlesbrough Grange is a care home which provides residential care for up to 45 people. Care is primarily provided for older people, some of whom are living with dementia. At the time of this inspection there were 40 people using the service.
People’s experience of using this service: Improvements had been made to the service following our last inspection in March 2018. At the last inspection we identified issues with risk documentation and governance. At this inspection we found the provider and registered manager had driven improvement and made positive changes. The issues identified at the last inspection with records had been addressed. Systems for overseeing the service were more effective. The changes had enabled staff to address the issues noted at previous inspections.
People told us they felt safe and happy living at the home. Staff knew how to safeguard people from abuse. Staff were recruited using systems to reduce the risk of unsuitable candidates being employed. Risks to people and for tasks carried out by staff were identified and actions were taken to mitigate these. Medicines management was effective.
Staff had the skills and knowledge to deliver care and support in a person-centred way. They received the received appropriate training, supervision and appraisal.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were cared for in a respectful manner and good relationships between people and staff had been formed.
People could access a wide range of activities.
People’s health needs were met. The service worked with a range of professionals to best meet people’s needs.
Staff said they felt supported by the management team. Governance systems and processes were in place to monitor and improve the quality of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection: Requires Improvement (report published 15 June 2018).
Why we inspected: This was a planned inspection based on the last rating of the service.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.