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CQC report explained · a nursing home

What the CQC found at Innage Grange

Goodpublished 24 August 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, including visitor safety, protective equipment, testing, hygiene and outbreak management.
Effective?
Good
This area was not covered by the targeted inspection.
Caring?
Good
This area was not covered by the targeted inspection.
Responsive?
Good
This area was not covered by the targeted inspection.
Well-led?
Good
This area was not covered by the targeted inspection.
The latest report, explained

What inspectors found, May 2021

Innage Grange was inspected but not rated; inspectors found good infection prevention and control arrangements.

This was an announced, targeted inspection on 1 April 2021. Inspectors looked at how the home was prepared to prevent and control coronavirus infections.

They found clear checks for visitors, including personal protective equipment, a health declaration and temperature checks. People could keep in touch with important people through safe visiting arrangements.

Inspectors were assured that the home used protective equipment safely, supported testing, managed outbreaks and followed social distancing and shielding guidance. Staff also had emotional support and suitable spaces for breaks.

The home was inspected but not rated. This was not a full inspection of the quality of care, so the report does not give an overall rating or ratings for most areas.

What inspectors praised
  • Visitor safety

    Visitors were given protective equipment and had health and temperature checks on arrival.

    “On arrival at the home there were clear instructions for all visitors to follow.” from the report
  • Safe visiting

    People could maintain contact with important people through a designated visiting area that reduced the risk of infection spreading.

    “Use of the area meant visits took place safely which reduced the risk of cross infection.” from the report
  • Protective equipment

    Staff used protective equipment correctly and had access to more supplies when needed.

    “Staff used personal protection equipment appropriately and had access to additional supplies if needed.” from the report
  • Monitoring

    The home monitored whether staff followed its infection control policy and carried out regular compliance checks.

    “The registered manager and infection prevention leads monitored staff compliance with the provider's infection control policy.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitor health declarations, temperature checks and protective equipment managed now?
  2. 02How does the home arrange visits safely if there is an infection outbreak?
  3. 03How often are staff and residents tested, and what happens when a result is positive?
  4. 04How are staff supported emotionally during infection outbreaks or other difficult periods?
  5. 05How often are infection control checks completed, and what happens when a problem is found?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 7 May 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.

An earlier report, explained

What inspectors found, August 2018

Innage Grange was rated Good; inspectors found safe, kind and personalised care, but lunch arrangements were not always respectful.

This was an unannounced inspection on 29 June 2018. It followed concerns about emergency equipment and whether staff could respond to health emergencies. Inspectors found no risks in these areas.

Inspectors spoke with people, relatives and staff. They looked at care records, medicines, recruitment checks and management records. They also observed care and staff interactions in shared areas.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall Good rating means the home met the CQC standards at this inspection, although inspectors identified a small number of issues to improve.

What inspectors praised
  • Emergency readiness

    Inspectors checked the equipment linked to health emergencies and found it working, maintained and regularly checked. Relevant staff had been trained and assessed as competent.

    “These were working, regularly checked, serviced and safely maintained.” from the report
  • Kind and respectful staff

    People described positive relationships with staff. Inspectors observed gentle, thoughtful and unhurried support, including during meals.

    “We observed gentle, kind and thoughtful interactions between staff and people.” from the report
  • Personalised care

    Care plans reflected people's histories, preferences, anxieties and communication needs. Staff adapted support to people's pace and individual wishes.

    “We saw staff provided care to people that was person-centred.” from the report
  • Good oversight

    Managers and the provider carried out checks on care records, medicines, staff practice, health and safety and the environment. They acted on recommendations.

    “The provider had systems in place to monitor the quality and safety of care people received.” from the report
What inspectors were concerned about
  • Lunch was not always properly prepared

    minor

    On two units, tables did not have napkins, condiments or drinks before lunch. Menus were also not consistently current, and inspectors said this did not always show respect for people.

    “The dining tables had not been laid prior to people's lunch arriving, which meant people were not given visual prompts to know it was a meal time.” from the report
  • One first aid record was out of date

    minor

    Emergency first aid training was up to date for all but one staff member. That person had been booked onto the next available training day.

    “All staff received emergency first aid training which was up to date for all but one staff member.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure every unit has tables, drinks, napkins, condiments and the correct menu ready before meals?
  2. 02Has all emergency first aid training remained up to date since this inspection?
  3. 03How often are emergency equipment checks and staff competency checks completed?
  4. 04How are changes in a person's health, anxiety or care needs identified and added to their care plan?
  5. 05How will my relative and our family be involved in decisions about care and end-of-life wishes?

This was an unannounced inspection that looked at the overall quality of the home and rated all five CQC questions; it was prompted by concerns about emergency equipment and staff response to health emergencies. This explanation was written from the published report of 24 August 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.

The story over the years

Every inspection of Innage Grange

3 rated inspections over 3 years: the service has held its Good rating throughout.

  1. May 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Innage Grange →

  2. August 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Innage Grange →

  3. August 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2010

    Registered with the Care Quality Commission on 24 November 2010.

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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