CQC report explained · a residential care home
What the CQC found at 109 Grange Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, testing, hygiene, visitors, admissions and outbreak management. They also reviewed staffing pressures linked to COVID-19.
- Effective?
- Good
- This area was not assessed or rated in this targeted inspection.
- Caring?
- Good
- This area was not assessed or rated in this targeted inspection.
- Responsive?
- Good
- This area was not assessed or rated in this targeted inspection.
- Well-led?
- Good
- This area was not assessed or rated in this targeted inspection.
What inspectors found, March 2022
109 Grange Road was inspected but not rated; inspectors found good infection control and support for family visits.
This was an announced, targeted inspection on 16 February 2022. It focused on infection prevention and control during the COVID-19 pandemic, and on whether staffing pressures were affecting the home.
Inspectors were assured that the home was managing infection risks. Staff used protective equipment correctly, infection control training was completed, and the home had arrangements for testing, visitors, hygiene and possible outbreaks.
The home kept families updated by phone and email. Families were supported to visit and take people into the community, with risk assessments completed for these activities.
The home was inspected but not rated. This was not a full assessment of the quality of care, so the report does not provide ratings for the other areas inspectors usually consider.
Infection control
Inspectors were assured that the home had arrangements to prevent and manage infections, including testing, hygiene and outbreak planning.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Correct use of PPE
Staff had completed infection control and PPE training, and inspectors saw them using PPE correctly.
“Staff were observed wearing PPE appropriately and in line with current government guidance.” from the report
Family communication
Families were kept informed about infection control arrangements through phone calls and emails.
“The registered manager maintained regular contact with families via phone and sent emails keep families up to date with information and processes for infection control.” from the report
Family visits and outings
Families could visit and take people into the community. The home completed risk assessments for people going out with family.
“Families visited regularly and took people out. The registered manager had completed risk assessment for people accessing the community with family.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you managing any current staffing pressures, and are they affecting people's care or support?
- 02What visiting arrangements are in place now, including testing, temperature checks and PPE?
- 03How do you currently support people to go out with their families, and how are the risks assessed?
- 04How often are staff and residents tested for COVID-19, and what happens if there is a positive result?
- 05When was the home's infection prevention and control policy last reviewed?
This was an announced, targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the home was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 3 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, February 2018
Rated Good; inspectors found kind, person-centred care, with a small medicines-record issue and a faulty stair lift being addressed.
This was an unannounced inspection on 19 January 2018. The inspector spoke with people living at the home, relatives and staff. They also observed care, reviewed care and medicines records, checked staff training and recruitment, and looked at complaints, incidents and quality checks.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough safely recruited staff, effective safeguarding, safe medicines systems, suitable training and good support with health and nutrition.
People were treated with kindness and respect. Staff knew people's preferences, supported choice and independence, and helped people take part in activities and maintain relationships. The home had improved its quality monitoring and staffing stability since the August 2015 inspection.
Person-centred support
Care was shaped around people's communication needs, preferences, routines and interests. People were supported to make choices and take part in meaningful activities.
“Care records we looked at were comprehensively detailed and person-centred.” from the report
Safe staffing and safeguarding
Inspectors found enough staff with the skills needed to support people safely. Staff understood how to report safeguarding concerns.
“People were protected from the risk of abuse and avoidable harm because safeguarding systems and processes were in place and implemented effectively.” from the report
Improved leadership
The report says quality monitoring and staffing stability had improved since the previous inspection. Relatives and staff described management as supportive and approachable.
“During this inspection, we found improvements had been made to these areas and the provider had continued to monitor and develop the service in order to provide and sustain a good standard of care.” from the report
As-required medicines records
needs fixingSome protocols for medicines given when needed used general wording, such as pain relief, rather than explaining the person's specific signs and symptoms. The manager said this information would be added without delay.
“Some of these protocols included generic terms such as 'for pain relief'.” from the report
Faulty stair lift
minorThe stair lift was faulty during the visit. Inspectors noted that this did not restrict access because another lift was working, and maintenance staff attended to investigate it.
“We also noticed that the stair lift was faulty during the inspection and we later observed maintenance personnel visiting the service to identify and diagnose the issue.” from the report
Bathroom flooring
minorSome flooring in people's en-suite facilities needed replacing. The home had identified this and had obtained a costing quote for the work.
“We saw that some of the flooring in people's en-suite facilities required replacing.” from the report
- 01Have the as-required medicines protocols been updated with person-specific signs and symptoms, especially where medicines are used for pain relief?
- 02Has the faulty stair lift been repaired and tested, and is it available as a reliable back-up?
- 03Has the flooring in the en-suite facilities been replaced?
- 04How do you check that changes in staffing stability continue to support consistent care?
- 05How are people and relatives involved in reviewing care plans, activities and end-of-life preferences?
This was a routine inspection covering the care provided, the premises and all five CQC questions. This explanation was written from the published report of 22 February 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 109 Grange Road
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2014
Registered with the Care Quality Commission on 6 June 2014.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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