CQC report explained · a residential care home
What the CQC found at Grange Cottage Residential home for Elderly Persons
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, including visitor safety, admissions, testing, protective equipment, social distancing, cleaning and outbreak management.
- Effective?
- Good
- This question was not covered by the targeted inspection.
- Caring?
- Good
- This question was not covered by the targeted inspection.
- Responsive?
- Good
- This question was not covered by the targeted inspection.
- Well-led?
- Good
- This question was not covered by the targeted inspection.
What inspectors found, February 2021
Grange Cottage Residential home for Elderly Persons was inspected but not rated; inspectors found strong infection prevention measures during a COVID-19 outbreak.
This was an announced, targeted inspection on 28 January 2021. It looked at infection prevention and control because the home had a coronavirus outbreak.
Inspectors were assured that the home had safe arrangements for visitors, admissions, testing, personal protective equipment, social distancing and cleaning. The home had an outdoor visiting area and a separate place for visitor testing.
Staff and the provider followed current guidance and supported people to isolate safely. The home was clean, and inspectors found a committed and experienced staff team. The service was inspected but not rated, so this report does not give an overall quality rating.
Visitor safety
The home had clear information for visitors, a separate testing area and a weatherproof outdoor sitting area for safer visits.
“The provider had very robust procedures for preventing visitors from catching or spreading infection.” from the report
Clean environment
Inspectors saw staff cleaning frequently touched areas and working together to maintain hygiene.
“We observed staff regularly cleaning frequently touched areas such as banisters and grab rails.” from the report
Experienced staff
The report describes an experienced and committed team. The provider also stayed on site during the outbreak to support people and staff.
“There was a very experienced and committed staff team working in the home.” from the report
Up-to-date guidance
The provider kept infection prevention procedures current and shared good practice with staff.
“The provider had kept up to date with national guidance on working safely in care homes and had shared best practice with the staff.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently tested and supported to avoid spreading infections?
- 02What arrangements are now used when someone moves into the home, including testing and self-isolation?
- 03How often are residents and staff tested, and how are outbreak risks managed?
- 04How do you make sure frequently touched areas and other parts of the home remain clean?
- 05How have the infection prevention arrangements changed since the inspection on 28 January 2021?
This was a targeted inspection of infection prevention and control during a COVID-19 outbreak; it did not rate the other areas of care. This explanation was written from the published report of 26 February 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.
What inspectors found, October 2018
Grange Cottage Residential home for Elderly Persons was rated Good; inspectors found kind, safe care, but four incidents had not been reported to CQC.
This was an unannounced inspection on 28 and 31 August 2018. Inspectors spoke with four people, a relative, the manager and three care workers. They observed care and checked care, medicines, staff, safety and quality records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines arrangements, suitable training and appropriate help from health professionals.
People were treated with respect and supported to keep their independence. Their care was reviewed, activities were tailored to their preferences, and people and relatives could share their views.
The home had not sent CQC notifications about four incidents. This was a breach of its condition of registration, but CQC said it was being dealt with outside the inspection process. The overall rating stayed Good and had not changed since the previous inspection.
Kind and respectful care
Inspectors saw warm, respectful interactions. Staff supported people's dignity, privacy and independence.
“We observed staff displayed caring and meaningful interactions with people and people were treated with respect.” from the report
Safe medicines and staffing
People received medicines as prescribed. Inspectors found enough staff and the required recruitment checks.
“Medicines were managed safely and people received their medicines as prescribed.” from the report
Good health support
The home worked with GPs, nurses, dentists, mental health teams and social services when people needed help.
“We saw from people's records that there was effective working with other health care professionals and support agencies such as local GPs, dentist, community nurses, mental health teams and social services.” from the report
Personalised support
Care plans included people's preferences and histories. People could choose activities, where to eat and how to spend their time.
“Care plans recorded people's preferences and provided information about them and their family history.” from the report
Involvement in decisions
People and relatives were involved in care reviews and discussions about improving the home.
“We saw that people and their relatives were regularly involved in consultation about the provision of the service and its quality.” from the report
Four incidents were not reported
seriousThe home did not send CQC notifications about four incidents that should have been reported. The report says this breached the provider's condition of registration.
“The failure to notify us of matters of concern as outlined in the registration regulations is a breach of the provider's condition of registration and this matter is being dealt with outside of the inspection process.” from the report
- 01What steps have you taken to make sure all incidents that must be reported to CQC are notified promptly?
- 02What were the four incidents that were not notified to CQC, and what was learned from them?
- 03How would you support my relative's particular health and nutrition needs, including referrals to outside professionals?
- 04How would you adapt activities and communication to my relative's interests, abilities and preferences?
- 05How are families involved in care reviews and decisions about end-of-life wishes?
This was an unannounced inspection covering all five key questions, including the premises and care provided; inspectors reviewed four people's care and medicines records and four staff files. This explanation was written from the published report of 16 October 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 Grange Cottage Residential home for Elderly Persons
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Grange Cottage Residential home for Elderly Persons →
- October 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Grange Cottage Residential home for Elderly Persons →
- April 2017
Registered with the Care Quality Commission on 12 April 2017.
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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9 live-in carers within about an hour of Westmorland and Furness
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.
8 can care for a couple. 10 years' experience on average.
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.