Hunningley Grange Residential Home

Updated 22 July 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

The inspection was carried out by 2 inspectors and an 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

Hunningley 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. Hunningley 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 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, including Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 4 people who used the service and 9 relatives about their experience of the care provided. We spoke with 6 members of staff including the registered manager, care workers and ancillary staff. We reviewed a range of records including 4 people’s care plans and multiple medication records. We looked at 3 staff files in relation to recruitment and supervision. We also reviewed a variety of management documents.

Updated 22 July 2023

About the service

Hunningley Grange is a residential care home providing personal care to up to 39 people. The service provides support to older people some of whom were living with dementia. At the time of our inspection there were 23 people living at the home.

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

Medicines were not always managed safely. Improvements were needed to ensure processes for recording people's medicines were robust and effective. A minimal number of activities were available to people. Further improvements were required in this area to ensure activities were available more often and were person-centred and meaningful to people. We have made a recommendation about the development of activity provision in the home.

Since the last inspection the provider had introduced dementia friendly signage to assist people in navigating around the home. Refurbishment and redecoration of the home was planned and ongoing.Checks were in place to ensure people lived in a safe environment.

Staff received training and support to carry out their role. There were enough staff available to meet people’s needs effectively. Risks to people had been assessed, monitored, and reviewed. People were supported to eat and drink sufficient to maintain a healthy diet.

People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff were kind and caring. People and their relatives told us staff were approachable and friendly and offered support in a caring way. Care plans were informative and described people's needs and how they liked to be supported.

Although the service had significantly improved since the last inspection, further improvements were required. The provider had a system in place to monitor the quality of the service. However, this was not always effective in identifying areas of improvement. The registered manager gave assurance these improvements would continue to be further embedded, to ensure there was a continuous approach to improving care.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 25 October 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

This is the third consecutive inspection where the provider has been in breach of the regulations relating to safe care and treatment and good governance and has failed to achieve a rating of at least good.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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 the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement and Recommendations

We have identified breaches in relation to the proper and safe use of medicines and governance.

We have made one recommendation in the responsive key question. Please see this section for further details.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.