Background to this inspection
Updated
11 August 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by four inspectors and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Halecroft Grange is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Halecroft Grange is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 6 people and 4 family members about their experience of the care provided. We spoke to 17 members of staff, including the area manager, registered manager, deputy manager, marketing coordinator, reminiscence coordinator, housekeeper, activities coordinator, the chef, concierge and 8 care staff. We reviewed a range of records, including 12 people's care records and multiple medicines records. We looked at 3 staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including quality assurance were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We received feedback from 5 health and social care professionals.
Updated
11 August 2023
About the service
Halecroft Grange is a residential care home providing personal care for up to 95 people. The home is divided into two separate neighborhoods', the 'assisted living' neighbourhood and the 'reminiscence' neighbourhood. The assisted living neighbourhood provides residential care for up to 60 people. The reminiscence neighbourhood provides residential care for up to 35 people living with dementia. At the time of this inspection 48 people were living in the assisted living neighbourhood and 26 people in the reminiscence neighbourhood.
People’s experience of using this service and what we found
The home was exceptionally well led with a strong culture and focus on providing person centred care enabling people to live their best lives. The provider and registered manager invested in and followed effective, highly robust governance systems enabling excellent oversight of the service.
The feedback about the kindness of the staff from people and their families was overwhelmingly positive. Health and social care professionals also provided glowing feedback about the care provided.
The dementia care provided to people was truly person centred and one to one work and a therapeutic approach improved people’s quality of life. The home had excellent facilities, supporting people to have fulfilled lives through the provision of an extensive and varied activities programme. These were tailored to meet peoples’ individual needs and interests. The activities team were continually searching for new opportunities and experiences to support people to be active members of their local community.
Assessments were person centred and care was very responsive to people’s needs. There was an established and motivated staff team highly trained to carry out their roles effectively. The service and home environment was accessible and had been adapted to meet people’s needs.
Staff understood how to safeguard people and when to raise concerns. People received their medicines safely. Risks associated with people’s care were regularly assessed and monitored. Staff followed infection prevention and control guidance to minimise risks related to the spread of infection. Recruitment practices were safe.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was good, published on 18 October 2018. This is the first inspection of this service since the registered provider changed on 10 December 2021.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sunrise of Hale Barns on our website at www.cqc.org.uk.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.