26 April 2023
During an inspection looking at part of the service
Deewater Grange is a care home providing accommodation, personal and nursing care for up to 58 older people in one adapted building. The service supports younger and older adults living with physical disabilities and dementia. The service has separate wings supporting residential dementia care, nursing dementia care and general nursing. All of people’s rooms have en-suite facilities. Communal bathing and toilet facilities are also located throughout the care home. At the time of our inspection, there were 51 people using the service.
People’s experience of using this service and what we found
Recruitment procedures were robust and demonstrated staff were safely recruited. Staff completed an induction and undertook shadow shifts to support their understanding of the role and the people they supported.
People were protected from the risk of abuse. Safeguarding policies and procedures were in place. Staff had received training and understood how to keep people safe. They knew who to report to if they had any concerns.
People’s needs had been assessed prior to living at the service. Individual risk assessments were in place to highlight areas of risk and give clear guidance to staff about how to minimise any risks identified. People living with dementia that may use behaviour to express a feeling had clear support plans and risk assessments in place where needed.
The management and administration of medicines was robust with clear procedures in place. The management of people's 'as required' medicines was safe with clear and consistent records were in place. Medicines were managed by trained and competent staff.
The staff and management team had developed positive relationships with people and their relatives. They had an excellent understanding of how to meet people’s individual needs and fully understood their routines and preferences.
Safety checks of the premises and equipment had been undertaken. All areas of the service were clean and well maintained. People had personal emergency evacuation plans (PEEPs) in place.
There were effective systems in place to monitor the quality of the care provided. The management team identified and promptly addressed any areas identified for development and improvement.
The staff and management team worked closely with health and social care professionals to ensure the best outcomes for people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Rating at last inspection
The last rating for this service was good [Published 10 September 2022].
Why we inspected
We received concerns in relation to staff skills, the management of behaviours that may challenge and the providers assessment process. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Deewater Grange on our website at www.cqc.org.uk.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.