CQC report explained · a residential care home
What the CQC found at Adel Grange Residential Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, December 2020
Adel Grange Residential Home was inspected but not rated; inspectors were assured about infection control during a coronavirus outbreak.
This was a targeted inspection focused on infection prevention and control during a coronavirus outbreak. The inspection was announced.
Inspectors were assured that the home managed visitors, distancing, admissions, protective equipment, testing, cleaning and outbreak planning safely. They also found that the infection control policy was up to date.
The home was clean and hygienic. Staff wellbeing was supported, and effective contingency plans meant agency staff were not used during the outbreak.
The home was inspected but not rated. This visit did not provide a new overall rating or a full rating for all five areas of care.
Clean environment
Inspectors found the environment clean and hygienic, with suitable cleaning products being used.
“The environment was clean and hygienic with appropriate cleaning products in use.” from the report
Testing arrangements
Routine testing was in place for both staff and residents.
“There was routine testing in place for staff and residents.” from the report
Outbreak planning
The home had contingency plans that meant it did not use agency staff during the outbreak.
“The service did not use agency staff during an outbreak due to effective contingency plans.” from the report
Staff wellbeing
A deputy manager had responsibility for promoting staff wellbeing.
“The deputy manager had taken on the role of promoting staff wellbeing.” from the report
Inspectors raised no specific concerns in this report.
- 01Safe
- 02What arrangements are currently in place for visitors to prevent infections spreading?
- 03How are staff and residents currently tested, and how are the results managed?
- 04What protective equipment and cleaning arrangements are currently used in the home?
- 05What contingency plans would be used if there were another infection outbreak?
This was a targeted inspection of infection prevention and control during a coronavirus outbreak, so it did not provide ratings for the other areas of care. This explanation was written from the published report of 4 December 2020 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, June 2018
Adel Grange Residential Home is rated Good; inspectors found kind, personalised care and strong improvements since the previous inspection.
Inspectors visited unannounced on 25 April 2018. They reviewed care plans and medicine records for four people, spoke with people, relatives and staff, observed care, and checked recruitment, training, safety and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were treated with dignity, staff knew their preferences, and risks linked to distressed behaviour were managed with detailed support plans.
The home supports people living with dementia. Inspectors found good leadership, activities, food and healthcare support. Improvements made after the previous inspection had been put into practice and maintained.
Improvement since the last inspection
The problems found in 2016 had been addressed. Inspectors said the improvements were established and continued in practice.
“Improvements made following the November 2016 inspection had been embedded and sustained.” from the report
Kind and respectful staff
Staff were caring and patient. They knew people well and provided personalised support while protecting privacy and dignity.
“Staff treated people with dignity and respect. They displayed a caring and compassionate attitude towards people throughout our inspection.” from the report
Support for distressed behaviour
Detailed positive behaviour support plans gave staff consistent ways to reduce anxiety and keep people and others safe without unnecessary restrictions.
“Comprehensive support plans were in place for people who tended to become anxious or upset.” from the report
Meaningful activities
People could take part in activities suited to their interests and past lives. They could also use the secure garden or go for walks with staff.
“Photographs in the activity file showed people enjoyed a wide range of interests and pursuits such as music, baking, dancing and reminiscence therapy.” from the report
Strong management systems
The manager had introduced audits, staff champions, meetings and spot checks. Feedback from people, relatives and staff was collected and acted on.
“Effective quality assurance systems were in place to ensure people's safety and wellbeing was promoted.” from the report
Some care plans were unclear about legal authority
needs fixingCare plans did not always clearly show when relatives were legally authorised to make decisions for someone. The manager said this would be addressed.
“Although staff worked to provide choice and seek consent, care plans did not always reflect a clear picture where people had relatives authorised to act legally on their behalf.” from the report
Further medicine guidance was being developed
needs fixingThe manager was still working with staff to make sure they had enough information about when to give as-needed medicines and the risks of some medicines.
“The manager was working with staff to ensure they had the information they needed to make decisions around when to administer such medicines and about the risks associated with certain medicines such as warfarin that poses a risk of bleeding.” from the report
Some staff needed more awareness of the building design
minorNot all staff understood how colour and contrast can help people with dementia move around safely. Inspectors discussed extra awareness training with the manager.
“Not all staff understood that good design can make it easier for older people with or without dementia to interpret and navigate a building in safety” from the report
- 01How do you now record which relatives are legally authorised to act for each person?
- 02How do staff decide when to give as-needed medicines, and how are the risks of medicines such as warfarin checked?
- 03What extra training have staff received about colour, contrast and helping people with dementia navigate the building safely?
- 04How are positive behaviour support plans reviewed when a person's anxiety or distressed behaviour changes?
- 05How do you use feedback from people and relatives to make further improvements?
This was an unannounced inspection covering all five key questions and the overall rating, with particular attention to improvements in Safe and Responsive after the previous inspection. This explanation was written from the published report of 13 June 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 Adel Grange Residential Home
5 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Adel Grange Residential Home →
- June 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Adel Grange Residential Home →
- February 2017Requires improvementstayed Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2016Requires improvementstayed Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- August 2015Requires improvementstayed Requires improvementSafe: InadequateWell-led: Requires improvement
- February 2015Requires improvementSafe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 January 2011.
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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