This inspection took place on 24 January 2017 and was unannounced. We returned announced on 25 January 2017.

Enderby Grange is a care home that provides residential care for up to 40 people. The home specialises in caring for older people including those with physical disabilities and people living with dementia. At the time of our inspection there were 35 people who used the service.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service were safe. They were supported and cared for by staff that had been recruited under recruitment procedures that ensured only staff that were suited to work at the service were employed.

People did not have concerns about their safety and staff knew how to protect them from abuse and avoidable harm.

People's care plans included risk assessments of activities associated with their personal care and support routines. The risk assessments provided information for care workers that enabled them to support people safely but without restricting their independence.

People received their medicines as prescribed. The registered manager had made arrangements for the safe storage and handling of medicines. Only staff that were trained handled medicines.

The registered manager understood their responsibilities under the Mental Capacity Act (MCA) 2015. Staff had awareness of the MCA and understood they could provide care and support only if a person consented to it and if the proper safeguards were put in place to protect their rights. There were people at Enderby Grange who were being cared for under Deprivation of Liberty Safeguards.

People enjoyed the food that was offered to them and were supported to maintain a healthy diet. They could choose what they ate and their preferences and requirements were known and met by staff.

People had access to healthcare professionals when they needed them.

People told us they were treated with dignity and respect. People’s care plans were centred on their individual needs. Their care and support was based on these. People knew how to raise concerns if they felt they needed to. People were confident they would be taken seriously by the provider.

People had access to a variety of activities if they chose to take part.

Staff meetings and meetings for the people using the service and their relatives had been held and surveys had been completed. This provided people with the opportunity to be involved in how the service was run.

The quality assurance procedures were used to identify and implement improvements to people's experience of the service.

We spoke with four people using the service, three relatives, two visitors and a healthcare professional. We also spoke to seven staff members.

We found people were able to make informed decisions about their care and support. One person told us the staff are ”thoughtful and kind. They always ask for my consent and I feel involved in my care.”

We found people experienced care and support that met their needs and protected their rights. We found people’s care needs had been assessed. Care and support was delivered in a way that met people’s needs and ensured their safety and welfare.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines. We found the provider had robust systems in place relating to the management of medicines.

We found there was a clear and up to date recruitment procedure in place that was followed by the service. This meant that people were cared for, or supported by, suitably qualified, skilled and experienced staff.

We found systems were in place to regularly obtain people's views about the care and service they receive. We found the provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service.

We spoke with six people living at Enderby Grange one relative and three staff. People told us they were happy and felt well cared for. Two people told us they enjoyed making handy crafts and one person told us they enjoyed doing puzzles in their bedroom. A relative told us they found the staff very kind and caring and would stay for lunch with their relative. We saw staff engage positively with people throughout our visit and spent time talking individually to people about daily living. We saw monthly lists displayed of forthcoming events and activities available to people. We viewed some bedrooms and saw these areas were clean and tidy and reflected people's belongings and lifestyle. We observed staff bring some people breakfast on a tray to their bedrooms and people were offered hot and cold drinks throughout the morning.

We were introduced to most of the 36 service users who were present on the day of our visit. Service users were told of the purpose of our visit and were invited to talk with us if they wanted. We spoke with 6 service users, 3 relatives who were visiting the home and 6 members of staff.

People living at the home told us that they were pleased with the quality of the care, treatment and support they experienced at the home. They told us that they felt safe at the home and that they valued the staff who supported them.

This inspection took place on 24 January 2017 and was unannounced. We returned announced on 25 January 2017.

Enderby Grange is a care home that provides residential care for up to 40 people. The home specialises in caring for older people including those with physical disabilities and people living with dementia. At the time of our inspection there were 35 people who used the service.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service were safe. They were supported and cared for by staff that had been recruited under recruitment procedures that ensured only staff that were suited to work at the service were employed.

People did not have concerns about their safety and staff knew how to protect them from abuse and avoidable harm.

People's care plans included risk assessments of activities associated with their personal care and support routines. The risk assessments provided information for care workers that enabled them to support people safely but without restricting their independence.

People received their medicines as prescribed. The registered manager had made arrangements for the safe storage and handling of medicines. Only staff that were trained handled medicines.

The registered manager understood their responsibilities under the Mental Capacity Act (MCA) 2015. Staff had awareness of the MCA and understood they could provide care and support only if a person consented to it and if the proper safeguards were put in place to protect their rights. There were people at Enderby Grange who were being cared for under Deprivation of Liberty Safeguards.

People enjoyed the food that was offered to them and were supported to maintain a healthy diet. They could choose what they ate and their preferences and requirements were known and met by staff.

People had access to healthcare professionals when they needed them.

People told us they were treated with dignity and respect. People’s care plans were centred on their individual needs. Their care and support was based on these. People knew how to raise concerns if they felt they needed to. People were confident they would be taken seriously by the provider.

People had access to a variety of activities if they chose to take part.

Staff meetings and meetings for the people using the service and their relatives had been held and surveys had been completed. This provided people with the opportunity to be involved in how the service was run.

The quality assurance procedures were used to identify and implement improvements to people's experience of the service.