CQC report explained · a residential care home
What the CQC found at The New Grange Care Home Limited
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, enough staff, safe medicines processes and effective infection control arrangements.
- Effective?
- Good
- People's needs, choices and dietary requirements were assessed and recorded. Staff training was up to date, and people received appropriate healthcare and support with eating and drinking.
- Caring?
- Good
- This area was not inspected during this focused visit. The report says no concerns were identified in the information held about it, and an earlier rating was used in the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. The report says no concerns were identified in the information held about it, and an earlier rating was used in the overall rating.
- Well-led?
- Good
- The home had regular audits, clear staff roles and oversight from the provider. People, relatives and staff gave positive feedback about the home's management.
What inspectors found, June 2021
The New Grange Care Home Limited was rated Good; inspectors found safe, effective and well-led care, with extra pressure-care training put in place.
This was an unannounced focused inspection on 06 May 2021. Inspectors spoke with people living in the home, relatives and staff. They observed care and checked care plans, medicine records, staff files and quality checks.
The home was rated Good for Safe, Effective and Well-led. Inspectors found enough staff, safe medicine systems, suitable risk assessments and person-centred care plans. People were supported with food, drinks, healthcare and decisions about their care.
The inspection followed concerns about pressure care, medicines, staff training and support at mealtimes. Inspectors found no evidence that people were harmed by these concerns. Caring and Responsive were not inspected during this visit, so earlier ratings for those areas were used in the overall rating.
Safe staffing
Inspectors found enough staff with the right range of skills. People and relatives said staff responded quickly and that staffing levels were sufficient.
“If I press the button, they are here in a flash.” from the report
Safe medicines
Medicine records were accurate and complete. Staff were trained and checked as competent, and medicines were given according to people's preferences.
“Medicine administration records (MARs) were accurate and complete.” from the report
Person-centred care
Care plans described people's needs, wishes and communication preferences. Risk guidance was followed, including regular repositioning for someone at risk of pressure areas.
“Care plans were person-centred, detailing people's needs and wishes.” from the report
Strong oversight
The home used audits covering areas such as medicines, care plans, infection control and incidents. The results were used to identify improvements.
“A robust audit system was in place.” from the report
Pressure-care knowledge
needs fixingThe manager identified a gap in staff knowledge about pressure care. Extra training was arranged and the home worked with the local nursing team, but families should ask how this is now checked.
“The registered manager had recently established a gap in staff knowledge with regard to pressure care.” from the report
- 01What extra pressure-care training has staff completed, and how do you check that staff follow it correctly?
- 02How do you monitor people who are at risk of pressure areas, including repositioning records and changes in skin condition?
- 03How will you keep medicine records accurate and complete, including records for medicines given when needed?
- 04How will you involve my relative and our family in care planning and decisions?
- 05How do you review staffing levels when people's needs change?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected, and earlier ratings for those areas were used in the overall rating. This explanation was written from the published report of 11 June 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, November 2019
Rated Good; inspectors found safe, kind and personalised care, with clear improvements since the previous inspection.
This was an unannounced inspection on 24 October 2019. One inspector and an expert by experience spoke with people, relatives, staff and a health care professional. They observed care and reviewed care plans, medicines records, staff files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, kind interactions, personalised care and activities that matched people's interests.
The previous rating was Requires Improvement, published in December 2018. Effective, Responsive and Well-led improved to Good. Safe and Caring remained Good. The report says staff understanding of legal safeguards, behaviour support and the overall culture had improved.
Enough staff
Inspectors saw enough staff to keep people safe. People and relatives said call bells were answered promptly.
“We observed sufficient numbers of staff to keep people safe and staffing rotas confirmed this.” from the report
Kind, respectful care
Staff knew people well and treated them with kindness, patience and dignity. Inspectors saw staff offering reassurance and choices.
“People were treated with kindness and compassion by staff in their approach when supporting people.” from the report
Personalised support
Care plans covered people's physical, mental, emotional and social needs. Staff used life stories and regular updates to understand people better.
“People received personalised care that was responsive to their needs.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure agency staff understand each person's care plan and dementia-related needs?
- 02How will you involve our relative and family in reviewing and updating the care plan?
- 03Which activities would suit our relative's interests, and how do you support people who do not initially want to join in?
- 04How would you support our relative's food, drink, allergies, religious preferences or swallowing needs?
- 05How would you record and respect our relative's wishes about end of life care?
This was an unannounced inspection covering all five key questions, including the premises and care provided; the provider could not complete its information return because of technical problems. This explanation was written from the published report of 27 November 2019 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 The New Grange Care Home Limited
4 rated inspections over 5 years: the service has held its Good rating throughout.
- June 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The New Grange Care Home Limited →
- November 2019Goodup from Requires improvementSafe: GoodEffective: GoodWell-led: Good
Read what inspectors found at The New Grange Care Home Limited →
- December 2018Requires improvementdown from GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 1 December 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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28 live-in carers within about an hour of West Sussex
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 £1,020 to £1,170 a week. 23 can care for a couple. 11 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.