Archived: Cranford Grange

Cranford Grange is a residential care home providing personal and nursing care to 90 people at the time of the inspection. The service can support up to 108 people.

People’s experience of using this service and what we found

Most people and their relatives were positive about the care and support provided at Cranford Grange. During the inspection we saw sufficient staff on duty, however, feedback varied in relation to staffing levels. People told us, at times they were kept waiting for assistance. We have made a recommendation to the provider about this. Several new staff had been recruited, and staff were recruited safely. Overall, people felt safe and appropriate systems were in place to protect people from avoidable harm and abuse. Medicines were safely managed.

Staff managed the safety of the environment and equipment through checks and actions to minimise risk. The home was clean and infection prevention and control measures were in place.

People were supported by staff who received appropriate training and supervision. Systems were in place to ensure staff understood people’s dietary needs, including those requiring specialist or modified diets. Work had been undertaken to seek people’s feedback about the food and dining experience and changes had been made in response. The service worked in collaboration with other health and social care professionals to ensure people's health and social care needs were met.

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. There were various areas in the large building where people could socialise including the dining room and bistro area. The provider had a planned refurbishment programme in progress.

Staff were kind and caring, however in one example a person was not treated in line with the provider’s values, the registered manager addressed this straight away. Feedback indicated staff respected people’s dignity and privacy. People were supported to take part in decisions about their care and the running of the service. 2 people living at the home had the role of resident ambassador.

Overall, people told us they received the support they needed, and staff understood their needs and preferences. Staff had access to people’s electronic care plans, which contained person-centred information about their needs and were mostly kept up to date. The management team planned to focus more effectively on including relatives where appropriate within care planning and review meetings. People were supported to take part in numerous activities, entertainment and were able to maintain relationships with those important to them. There was an activities team, who involved people in the organisation of activities.

The provider had effective governance systems in place to monitor the quality of the service. Any issues identified within the inspection had in the main already been identified through the provider’s own oversight. The service worked in partnership with others. The provider and management team look action to learn lessons from complaints and were focused on making continual improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 10 December 2021, and this is the first inspection. The last rating for the service under the previous provider was good, published on 6 February 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Recommendations

We have made recommendations about staffing levels.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.