What the CQC found at Grange Court Residential Home

Inspectors saw staff treating people gently and respectfully. People appeared relaxed, and staff supported privacy, dignity and independence.

“Staff were kind and gentle with people and we saw good relationships had been developed.” from the report

Care records contained useful information about people's needs, preferences, likes and dislikes. Staff knew this information and used it in their work.

“Care records were detailed and person centred. These were up to date and regularly reviewed.” from the report

People were offered choices of nutritious food and drinks. Staff monitored nutrition and made appropriate healthcare referrals when needed.

“People were offered a varied and nutritious diet.” from the report

The home used audits, meetings and surveys to identify improvements. Inspectors saw evidence that actions from audits were dealt with promptly.

“The audits were detailed and we saw evidence which showed any actions resulting from the audits were acted upon in a timely manner.” from the report

The home offered group and one-to-one activities, including games, exercise, music, trips and celebrations, based on people's wishes.

“A range of activities was on offer according to people's wishes, including games, exercises, musical events and outside entertainers.” from the report

The medicines trolley was left open and unattended during medicines administration while people were present. Inspectors said this increased the risk of misuse or theft, although they considered it an isolated omission.

“This meant these medicines were left unsecure and increased the use of misuse or theft.” from the report

There were two care staff at night. Inspectors were concerned this might not be enough for the home's dependency levels and stretched layout, and recommended a robust staffing review.

“We recommend a robust review of staffing levels to ensure the safety of people living in the home.” from the report

Some personal emergency evacuation plans did not reflect people's current mobility needs. The manager said all plans would be reviewed.

“Personal emergency evacuation plans (PEEPs) were in place although these were not always in line with people's current mobility.” from the report

The report said some care records did not clearly evidence the involvement of people or relatives in care planning reviews.

“Reviews of people's care records needed to evidence involvement with people and/or relatives.” from the report

The provider was visible in the home, but there was no documented oversight. The operations manager said this had been identified and plans were in place to address it.

“Although we saw the provider was a visible presence within the home, there was no documented oversight.” from the report