CQC report explained · a nursing home
What the CQC found at Autumn Grange Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found safeguarding systems, detailed risk assessments, enough staff and safe recruitment. Medicines and infection prevention were also managed safely.
- Effective?
- Good
- People's needs and choices were assessed, care plans were person-centred, and staff had suitable training. People were supported with nutrition, healthcare, activities and decisions about their care.
- Caring?
- Good
- This key question was not separately rated in this report.
- Responsive?
- Good
- This key question was not separately rated in this report.
- Well-led?
- Good
- Inspectors found clear management oversight, regular audits and an open, person-centred culture. Feedback from people, relatives, staff and professionals was used to identify improvements.
What inspectors found, April 2023
Autumn Grange Nursing Home was rated Good; inspectors found safe, effective and well-led care, with some tired areas needing improvement.
Inspectors made an unannounced visit on 28 March 2023. They spoke with people, relatives, staff and a healthcare professional. They reviewed care records, recruitment files and management records.
The home was rated Good overall. Inspectors found systems to protect people from abuse, suitable risk assessments, enough staff and safe medicines management. Care plans reflected people's needs, staff were trained, and people were supported with food, healthcare and activities.
The home had improved since its previous Requires Improvement rating in 2019. Improvements included falls management and people's mealtime experience. Some areas of the building were tired, but inspectors said this did not pose a risk and saw plans to improve them.
Risk management
The home had improved its approach to falls and used detailed assessments for risks such as mobility, skin integrity and nutrition.
“There was a system in place to manage falls.” from the report
Safe medicines
Electronic monitoring helped nursing staff identify missed medicines. Staff received training and regular checks of their medicines skills.
“There was a robust system in place for the management of medicines.” from the report
Individual care
Care plans included people's preferences, social histories and support needs. Inspectors saw kind interactions and found staff knew people well.
“Care plans were person-centred and included social and cultural care information on people's social history, preferences and things that were important to them.” from the report
Management and improvement
The registered manager and provider used audits, feedback and analysis of incidents to monitor the service and make changes.
“There was clear oversight of the service, both the provider and registered manager regularly completed audits of different aspects of the home.” from the report
Tired areas
minorSome parts of the home needed improvement. Inspectors said this did not pose a risk, and the manager showed them plans to address the work.
“Some areas of the home were tired and in need of improvement, however, this did not pose any risk.” from the report
- 01Which areas of the home were described as tired, and what work has been completed since the inspection?
- 02How are falls monitored for my relative, and how are changes made when patterns or triggers are identified?
- 03How will you make sure my relative receives the right support with food, drink and weight monitoring?
- 04How will you keep me informed if my relative's health, medicines or care needs change?
- 05How are relatives included in care reviews and in decisions about changes to care?
This inspection gave ratings for Safe, Effective and Well-led; the report says ratings for key questions not inspected were carried over from the previous inspection. This explanation was written from the published report of 14 April 2023 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, December 2020
Inspected but not rated; inspectors were assured that infection prevention and control measures were in place.
This was an announced, targeted inspection of infection prevention and control. Inspectors checked how the home managed visiting, isolation, cleaning, protective equipment, testing and infection control policies.
Inspectors were assured that the home was managing infection risks. They found visiting protocols, alternative ways for people to contact relatives, isolation and zoning, effective use of PPE, testing, enhanced cleaning and an up-to-date infection control policy.
The home was inspected but not rated. This visit did not give an overall rating or a full rating for the five areas of care.
Infection control
Inspectors were assured that infection risks were being managed through PPE, testing, cleaning, isolation and zoning.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Visiting arrangements
The home had visiting procedures intended to reduce the risk of infection spreading.
“The provider had introduced visiting protocols in line with government guidelines to reduce the risk of catching and spreading infection.” from the report
Contact with relatives
The home offered several ways for people to keep in touch with family and friends when normal contact may have been difficult.
“The provider had implemented a variety of alternative methods of communication, including social media, video calls, emails, and voice calls for people to keep in touch with family and friends.” from the report
Updated policy
The infection prevention and control policy had been reviewed and updated to reflect changing Covid guidance.
“The provider's infection prevention and control policy was in place and had been reviewed to meet updated Covid guidance.” from the report
Further guidance needed
minorInspectors signposted the home to additional guidance to develop its approach. The manager said changes would be made if needed.
“We have also signposted the provider to other resources to develop their approach.” from the report
- 01What changes did the home make after inspectors signposted further guidance for non-healthcare settings?
- 02How are visiting arrangements currently managed, and how can relatives keep in touch if visits are restricted?
- 03How often are residents and staff tested, and what happens when a test result is positive?
- 04How are isolation and zoning used to prevent infection spreading within the home?
- 05When was the infection prevention and control policy last reviewed, and what has changed since this inspection?
This was a targeted inspection of infection prevention and control only; no overall rating was given and the other care areas were not rated. This explanation was written from the published report of 11 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.
Every inspection of Autumn Grange Nursing Home
4 rated inspections over 7 years: the service has held its Good rating throughout.
- April 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- August 2019Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- July 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 17 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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62 live-in carers within about an hour of Derbyshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.