CQC report explained · a nursing home
What the CQC found at Scarsdale Grange Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, medicines were managed safely, infection controls were in place and there were enough staff. The rating improved from Requires Improvement at the last inspection.
- Effective?
- Good
- People's needs and choices were assessed and reflected in care plans. Staff received training and support, and people were supported with food, drink, healthcare and decisions about their care.
- Caring?
- Good
- This key question was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Well-led?
- Good
- Inspectors found a positive, person-centred culture, visible management and systems for feedback, audits and improvement. People, relatives and staff generally felt listened to.
What inspectors found, September 2023
Rated Good; inspectors found safe, effective and well-led care, with incident reporting still needing more detail.
This was an unannounced focused inspection on 6 July 2023. Inspectors looked at Safe, Effective and Well-led after concerns about care quality, staffing and safety. They spoke with people, relatives and staff, checked the building and reviewed care, staff and management records.
The home was rated Good for Safe, Effective and Well-led. Inspectors found suitable systems for safeguarding, risk management, medicines, infection control, staffing and recruitment. They also found that people received care based on their needs and choices, and that staff were supported and trained.
The home had improved its Safe rating from Requires Improvement at the previous inspection. Caring and Responsive were not inspected during this visit. The previous ratings for questions not inspected were used when calculating the overall rating.
Safe care
Risks were assessed and reviewed, and staff had guidance about how to support people safely.
“Risks to people's safety were assessed, monitored and managed.” from the report
Medicines
Medicines were stored, given and recorded appropriately. Staff training and regular checks supported safe medicines practice.
“People received their medicines safely and as prescribed.” from the report
Staffing and training
Inspectors found enough staff to respond promptly. Staff were recruited with pre-employment checks and received training, induction and supervision.
“We observed staff interacting with people and found there were sufficient staff available to respond to people in a timely way.” from the report
Person-centred care
Staff knew people well and supported their needs and choices. People were offered choices and opportunities to express their views.
“We observed staff interacting with people and found they provided person centred care and support.” from the report
Open management
The home had systems for feedback, audits and action plans. People, relatives and staff generally felt able to raise concerns.
“People, their relatives, and staff predominantly felt involved and listened to.” from the report
Incident records
minorInspectors said some incident reports would have benefited from more detail. The manager said this was already being addressed as an area for development.
“We identified areas within incident reporting where additional detail could have been beneficial” from the report
- 01What extra detail are you now recording in accident and incident reports?
- 02How do you use accident and incident information to prevent similar events happening again?
- 03What is the current progress of the manager's application to become registered?
- 04What were the previous ratings for Caring and Responsive, which were not inspected during this visit?
- 05How can relatives give feedback, and how are concerns followed up?
This was an unannounced focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were used for the overall rating. This explanation was written from the published report of 15 September 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, March 2022
Inspected but not rated; inspectors found good infection prevention and control, with no concerns recorded about the home’s COVID-19 arrangements.
This was an announced, targeted inspection on 7 February 2022. Inspectors gave the home 24 hours’ notice. They looked at infection prevention and control, and asked about staffing pressures linked to COVID-19.
Inspectors found that infection control policies were up to date. Staff had training, used personal protective equipment correctly and followed the required procedures. People, staff and visitors were tested in line with government guidance, and visits were being supported.
The home was clean and hygienic. Inspectors were assured that the home managed admissions, outbreaks, visiting, distancing and protective equipment safely. The service was inspected but not rated, so this report does not provide a new overall rating or a full assessment of all aspects of care.
Infection control training
Staff had infection control training and were observed using protective equipment correctly and following good practice.
“Staff completed IPC training and were observed to be wearing the correct personal protective equipment (PPE) and following best practice.” from the report
Clean environment
The home was clean and hygienic, with cleaning products, schedules and infection control checks in place.
“The home was clean and hygienic throughout.” from the report
Testing and isolation
People and staff were tested regularly, and people were supported to self-isolate when needed. Visiting professionals and non-exempt staff met the vaccination requirement described in the report.
“People, visitors and staff were tested regularly in line with government guidance.” from the report
Support for visits
The home was facilitating visits in line with current guidance and had appointed a visiting coordinator to help organise them.
“The provider was facilitating visits for people living in the home in accordance with the current guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and when were they last reviewed?
- 02How are visits currently arranged, and what happens if there is an infection outbreak?
- 03How are people, staff and visitors tested now?
- 04How does the home manage staffing pressures when staff are absent because of COVID-19?
- 05How does the home make sure new admissions and people needing to self-isolate are supported safely?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it was not a full inspection of all five areas of care and the service was not rated. This explanation was written from the published report of 1 March 2022 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 Scarsdale Grange Nursing Home
3 rated inspections over 8 years: the service has held its Good rating throughout.
- September 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Scarsdale Grange Nursing Home →
- March 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Scarsdale Grange Nursing Home →
- August 2017Goodstayed GoodSafe: Requires improvementEffective: GoodWell-led: Good
- June 2015GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- January 2012
Registered with the Care Quality Commission on 26 January 2012.
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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