CQC report explained · a nursing home
What the CQC found at Deewater Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, safe medicines systems, adequate staffing, clean premises and effective infection control arrangements.
- Effective?
- Good
- This key question was not assessed during this focused inspection.
- Caring?
- Good
- This key question was not assessed during this focused inspection, although inspectors recorded positive relationships between staff, people and relatives.
- Responsive?
- Good
- This key question was not assessed during this focused inspection.
- Well-led?
- Good
- The management team was described as approachable and visible. Audits, feedback and partnership working were used to monitor quality and make improvements.
What inspectors found, May 2023
Rated Good; inspectors found safe, well-managed care, but this was a focused inspection and did not assess every area.
Inspectors visited unannounced on 26 and 27 April 2023. They spoke with people living in the home, relatives and staff. They reviewed care, medicine and staff records, and observed care.
The home was rated Good for Safe and Well-led. Inspectors found people were protected from abuse, risks were assessed, medicines were managed safely and the building was clean and well maintained. Staff were safely recruited and there were enough staff for people's assessed needs.
Inspectors also found positive relationships between staff, people and relatives. Managers used audits and feedback to identify and address improvements. The inspection followed concerns about staff skills, behaviour support and assessments, but inspectors found no evidence that people were at risk of harm from these concerns.
This was a focused inspection of Safe and Well-led only. The other three key question ratings were not reviewed in this report and carry over from the previous comprehensive inspection.
Safe recruitment and training
Staff records showed the required checks had been completed. New staff had an induction and shadow shifts before working alone.
“The provider had robust systems in place to ensure staff were recruited safely.” from the report
Medicines management
Medicines were administered and recorded by trained staff. Inspectors found clear guidance for medicines given when needed and regular audits.
“The management and administration of medicines was robust with clear procedures in place.” from the report
Positive relationships
Staff and managers understood people's routines, preferences and individual needs. Relatives also described communication as good.
“The staff and management team had developed positive relationships with the people they supported and their relatives.” from the report
Quality monitoring
Managers used checks, audits and meetings to identify risks and improvements. They acted when audits found areas needing development.
“The management team identified and promptly addressed any areas identified for development and improvement.” from the report
Past staffing problems
minorRelatives said staffing had previously been problematic, although they did not consider staffing levels an issue at the time of this inspection. Staff also said staffing levels were improving.
“They told us staffing had previously been problematic.” from the report
- 01How are you keeping staffing levels stable, given that relatives said staffing had been problematic in the past?
- 02How do you make sure agency staff know each person's needs, routines and preferences?
- 03How are support plans for behaviour that may challenge reviewed and updated?
- 04How are medicines audits used to identify and correct any errors?
- 05How can relatives raise concerns, and how quickly will they receive a response?
This was an unannounced focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not assessed in this report. This explanation was written from the published report of 18 May 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, September 2021
Deewater Grange was rated Good in all areas; inspectors found safe, kind and personalised care.
This was the home's first inspection since it registered. Inspectors visited on 3 August 2021 and reviewed care, medicines, staffing, recruitment, safety checks, records and management audits. They spoke with people, relatives, staff and health professionals, and observed medicines being given and the lunchtime meal.
The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines processes, suitable risk assessments and good infection control. The home was clean, and staff followed COVID-19 guidance and used protective equipment appropriately.
People were treated with kindness and respect. Care plans reflected people's needs and preferences, and activities, food choices and communication support were available. The report also found that relatives were kept informed and that the management team used audits and feedback to improve the service.
Good means the inspection found that people were safe, received effective care, were treated well, had their needs met and benefited from sound management. This was a planned inspection based on the home's registration date.
Infection control
The home had systems to prevent and control infection. Inspectors found it clean, with staff using protective equipment appropriately and following COVID-19 guidance.
“Staff followed national guidance in relation to COVID-19, infection prevention and control and wore PPE appropriately.” from the report
Kind and respectful staff
People and relatives spoke positively about the staff. Inspectors saw friendly, respectful interactions and support for people's dignity and independence.
“People were treated with care, patience and kindness by the staff team.” from the report
Personalised care
Care plans reflected people's individual needs, choices and preferences. Staff reviewed plans and involved people in everyday decisions wherever possible.
“People's care and support was planned for and centred around their individual needs, choices and preferences.” from the report
Activities and relationships
People could choose from a range of activities, including one-to-one time. The home also supported people to keep in touch with important relationships.
“People had the opportunity to participate in a range of activities that were meaningful to them.” from the report
Management and improvement
The management team used audits, feedback and meetings to identify and address improvements. Staff said managers were approachable and supportive.
“The governance systems in place to assess the quality and safety of the service people received and drive improvements were effective.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you meet my relative's particular nursing, personal care or dementia-related needs?
- 02How many staff would usually be available on the shifts when my relative needs the most support?
- 03How would you support my relative to choose activities, including one-to-one time if they prefer to stay in their room?
- 04How would you monitor and respond to changes in my relative's eating, drinking, weight or nutritional needs?
- 05How would you keep our family informed about changes in my relative's condition and involve us in care decisions?
This was a planned inspection of all five CQC key questions, including a specific review of infection prevention and control measures during the COVID-19 pandemic. This explanation was written from the published report of 10 September 2021 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 Deewater Grange
2 rated inspections over 2 years: the service has held its Good rating throughout.
- May 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2021GoodSafe: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- January 2020
Registered with the Care Quality Commission on 23 January 2020.
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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84 live-in carers within about an hour of Cheshire West and Chester
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 £980 to £1,260 a week. 76 can care for a couple. 10 years' experience on average.
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
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.