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CQC report explained · a residential care home

What the CQC found at Alder Grange

Goodpublished 28 February 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found suitable staffing, reviewed risk assessments, and found that medicines were administered, recorded and stored safely.
Effective?
Good
Care plans guided staff to meet people's needs and preferences, and staff followed advice from health professionals. Inspectors recommended improving the presentation of soft and textured food.
Caring?
Good
Staff were observed treating people kindly and respectfully. People were supported to make choices, maintain privacy and keep as much independence as possible.
Responsive?
Good
People and relatives were involved in care planning and review. There were activities, a complaints process and support based on people's preferences.
Well-led?
Good
The home had quality checks, acted when issues were found and gathered feedback from people and relatives. Staff meetings and training were used to support improvements.
The latest report, explained

What inspectors found, February 2019

Alder Grange was rated Good; inspectors found safe, kind and personalised care, with some improvement needed in the presentation of soft and textured food.

This was an unannounced planned inspection. One inspector and an Expert by Experience spoke with people, relatives and staff, observed care, checked care records and medicines, and reviewed how the home was managed.

All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found enough safely recruited staff, safe medicines management, clean surroundings and care plans that reflected people's needs and choices.

People were treated with kindness and respect. They were supported to stay independent, join activities, access healthcare and be involved in planning their care. Inspectors recommended improving how pureed or textured food was presented.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff, safe recruitment and safe systems for storing, administering and recording medicines.

    “There were enough staff available who were deployed effectively to ensure people received support when they needed it.” from the report
  • Kind and respectful care

    Staff were seen offering comfort, listening to people and protecting their privacy and dignity.

    “We observed caring interactions between people and staff. For example; people were comfortable approaching staff.” from the report
  • Personalised support

    People and relatives helped plan care, and staff knew people's preferences and diverse needs.

    “People and their relatives were involved in the planning and reviewing of their support.” from the report
  • Good oversight

    The home used audits, spot checks, feedback and staff meetings to monitor care and identify improvements.

    “There was a quality assurance system in place, which the registered manager followed in practice.” from the report
What inspectors were concerned about
  • Food presentation

    needs fixing

    Inspectors found that pureed food needed to be presented in a more appetising way. They recommended seeking guidance on soft and textured foods.

    “We recommend the provider seeks guidance on the presentation of soft and textured foods.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to the presentation of pureed, soft or textured food since the inspection?
  2. 02How will you assess and meet my relative's individual nutritional and dietary needs?
  3. 03How are my relative's care plan and preferences reviewed when their needs change?
  4. 04What activities would be suitable for my relative, and how can they choose whether to take part?
  5. 05How will you support my relative to access healthcare professionals when needed?

This was an unannounced planned inspection covering all five quality areas, with the home providing personal care and accommodation to 19 people at the time. This explanation was written from the published report of 28 February 2019 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.

The story over the years

Every inspection of Alder Grange

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. February 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Alder Grange →

  2. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 7 December 2010.

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.

Next steps

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Most charge £980 to £1,230 a week. 85 can care for a couple. 10 years' experience on average.

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