Innage Grange

Updated 7 May 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our

regulatory functions. This inspection was planned to check whether the provider is meeting the legal

requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC's response to the coronavirus pandemic we are looking at the preparedness of care homes in

relation to infection prevention and control. This was a targeted inspection looking at the infection control

and prevention measures the provider has in place.

This inspection took place on 1 April 2021 and was announced.

Updated 7 May 2021

This inspection took place on 29 June 2018 and was unannounced. At our last inspection in July 2017 we rated the service as good.

We undertook this inspection because we had received concerns about the safety of equipment available and staff competence to respond to health emergencies at the home. During our inspection we did not identify any risk relating to this.

Innage Grange is a ‘care home’ which is registered to provide nursing care. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Innage Grange accommodates 83 people within seven separate units. Each unit has their own bathrooms, kitchenette, dining area and lounge. All but one of the units are the ground floor and are connected by a wide central corridor. There is a passenger lift to the first floor. The home accommodates older people who may be living with dementia. At the time of our inspection there were 79 people were living at the home.

A registered manager was in post but they were not present for this inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were kept safe from avoidable harm and abuse. The provider had safeguarding procedures in place, which staff understood and followed. Risk assessments reflected how care should be provided to the person to minimise any risks to them; they were regularly reviewed to adapt the level of support needed in response to people's often rapidly changing needs.

People received their medicines when they needed them and these were managed safely. People were protected against the risk of infection. People were supported by sufficient numbers of staff who had been employed through safe recruitment processes.

People received care and support that was effective in meeting their needs. People's care and support needs were assessed and good practice guidance was followed. People were involved in the planning and review of their care and were encouraged to express their views, preferences and wishes regarding their care, support and treatment. This included any end of life wishes they had.

The training staff received was specific to people's individual needs. Staff practice was assessed and monitored to ensure they were competent to meet people's needs. People were supported in an environment which had been designed and adapted to meet their needs.

People were supported to eat and drink sufficient amounts and risks associated with their dietary intake were assessed and monitored to ensure people's safety. Staff worked in partnership with other professionals and people confirmed they received the support and treatment they needed to maintain their health.

People were supported to have maximum choice and control of their lives and care workers supported them in the least restrictive way possible. Staff supported people to make decisions about their care and treatment. Where people could not make their own decisions, the provider worked within the law to ensure their human rights were respected.

People had developed positive relationships with staff and agreed all staff were kind, caring and compassionate. Staff ensured people understood the information they received about their care.

People were treated with dignity and respect and staff supported people's independence.

People received care and support that was individual to them and considered their diversity. Staff understood people's routines and preferences and supported their social needs.

People understood how to make a complaint and there was a system in place to investigate these.

People, relatives and staff were all encouraged to be involved in how the home was run and to give feedback and suggestions for any improvements they felt could be done.

The provider had systems in place which supported managers to effectively monitor and review the quality of the service provided to people.