CQC report explained · a nursing home
What the CQC found at Vida Grange
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People told inspectors they felt safe. Staff understood safeguarding, recruitment checks were completed, medicines were generally managed safely and individual risks were assessed. However, some medicine records contained errors and two monitoring records were not completed robustly.
- Effective?
- Outstanding
- Inspectors found excellent dementia care, including positive behavioural support, specialist staff training and a carefully designed environment. People had good access to health professionals and were supported with food, nutrition and personal choices.
- Caring?
- Outstanding
- Staff built meaningful relationships and treated people with respect and dignity. Care was tailored to people's communication needs, preferences and life histories, and relatives were involved.
- Responsive?
- Good
- Care plans reflected people's individual needs and preferences. People had a wide range of activities and were supported to keep friendships, although a few relatives were unsure whether all their suggestions had been put into practice.
- Well-led?
- Good
- The registered manager and newly formed leadership team promoted an open culture and listened to feedback. Quality systems were in place but were still developing and did not yet capture everything, including some missed monitoring records.
What inspectors found, January 2018
Rated Outstanding; inspectors found exceptionally caring and effective support, with some medicines and monitoring records needing improvement.
Inspectors visited on 6 and 8 November 2017. The first day was unannounced. They spoke with people, relatives, staff and visiting professionals. They observed care and checked care plans, medicines records, recruitment files and management records.
The home was rated Outstanding overall. Effective care and caring were rated Outstanding. Safe, responsive and well-led were rated Good. Inspectors found highly person-centred dementia care, kind staff, strong activities and good support with health and nutrition.
There were some shortfalls. The medicines policy did not clearly explain ordering and receiving medicines, some medicine records had errors, and two risk-monitoring records were not completed robustly. The provider acted during or immediately after the inspection. This was the first inspection since the home registered in December 2016.
Person-centred care
Inspectors found that staff understood each person well and used this knowledge to provide individual support. This helped people communicate, make choices and experience better wellbeing.
“This meant people received truly person centred care from staff who were extremely caring.” from the report
Effective dementia support
The home used positive behavioural support, specialist training and reflection to reduce distress and improve people's quality of life.
“People experienced positive outcomes because the support they received was based on good practice in relation to supporting people living with dementia.” from the report
Kind and respectful staff
People were treated with dignity and staff developed trusting relationships. Inspectors saw staff adapt their communication and approach to each person.
“People were treated with high levels of respect and afforded dignity.” from the report
Activities and friendships
People could choose from activities such as music, baking, quizzes and exercise. Staff also helped people maintain friendships and take part in community outings.
“People had opportunities to take part in meaningful activities of their choice inside and outside the service.” from the report
Safety systems
Staff understood safeguarding and individual risks. The building and equipment were checked, and incidents were reviewed to reduce the chance of them happening again.
“Staff understood how to keep people safe and risks were well managed in all areas of people's support” from the report
Medicine records
needs fixingInspectors found a small number of medicine-record errors. The provider investigated them immediately, and inspectors found no evidence that anyone had been harmed.
“We found a small amount of errors of which some had already been picked up by the provider audit process.” from the report
Risk monitoring records
needs fixingTwo records used to monitor people's wellbeing were not completed robustly. The provider introduced a new checking process during the inspection.
“We found on two occasions these had not been completed robustly.” from the report
Distress between residents
needs fixingSome relatives were worried that verbal or physical aggression between people could happen again, particularly as new people moved into the home. Inspectors found the provider had responded to previous incidents and opened new houses to reduce risks.
“Relatives we spoke with were informed and saw the provider responded to reduce the risk of occurrence but they still felt worried it may happen again as new people moved into the service.” from the report
Quality checks still developing
minorThe quality assurance system was not yet fully developed. Inspectors said it did not capture every issue, including missed monitoring records.
“Although the system was emerging at this new service it was not fully evolved to capture everything” from the report
- 01How are medicine ordering, receipt and administration records checked now, following the errors found at inspection?
- 02How do you make sure risk-monitoring records are completed and reviewed on every shift?
- 03What happens when a resident becomes distressed or aggressive, and how do you prevent other residents being affected?
- 04How do you check that relatives' suggestions and complaints have been acted on?
- 05How has the quality assurance system developed since the inspection?
This was the first comprehensive inspection since registration, and inspectors considered all five quality areas. This explanation was written from the published report of 25 January 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 Vida Grange
Each visit the CQC has published, newest first, back to the day the home was registered.
- January 2018Outstandingcurrent ratingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Good
- December 2016
Registered with the Care Quality Commission on 13 December 2016.
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.
Weigh the report against the rest
Fees, photos and reviews from families
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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.