20 June 2023
During a routine inspection
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.