What the CQC found at Darnall Grange

Care plans and risk assessments had improved, including information about end of life care. New audits helped identify and fix shortfalls more quickly.

“A more robust system had been implemented to assess if the home was operating as planned.” from the report

Inspectors saw staff communicate warmly, respect privacy and dignity, and encourage people to make choices and remain independent.

“People were cared for by staff who were compassionate, caring and responsive to their needs and preferences.” from the report

There were enough staff at the inspection, call bells were answered promptly and medicines were administered by trained staff.

“There was enough staff on duty to meet the needs of people living at the home at the time of our visit.” from the report

People were offered varied meals, help to eat when needed and choices about food. Staff also provided activities and stimulation when the activities coordinator was absent.

“People had access to a varied programme of social activities and stimulation, which everyone they said they enjoyed.” from the report

Care records included people's needs, preferences, abilities and risks. Records showed that care was reviewed and delivered as planned.

“Care files sampled at this inspection demonstrated care records were more detailed and person centred.” from the report

The upstairs kitchenette was in poor repair and was identified as an infection control risk. The home said refurbishment was planned and new fittings had been bought.

“The upstairs kitchenette was in poor repair, so presented an infection control risk.” from the report

Two relatives felt some agency staff were not trained to the same standard as permanent staff. Management said agency staff completed essential training and received an induction.

“However, two relatives said they felt some agency staff were not trained to the same standard as the permanent staff.” from the report

Guidance for medicines given only when needed had improved, but inspectors said it would benefit from extra information for staff.

“We discussed with the registered manager the benefits of adding additional information to them, to make them more informative to staff.” from the report

Some planned improvements to the environment for people living with dementia had not yet been completed, including quiet areas at the ends of corridors.

“Some of the planned changes highlighted last year were still awaiting completion, such as the development of the quiet areas at the end of each corridor.” from the report

One relative said their family member had not had a shave that day and felt they should have. Managers said they would address this.

“However, one relative said their family member had not had a shave that day, and felt they should have.” from the report