About the service: Everdale Grange is a care home that was providing personal and nursing care to 57 people aged 65 and over at the time of the inspection.

People’s experience of using this service:

¿ People told us they felt safe at the service and supported by staff who were trained in safeguarding procedures. The provider had effective safeguarding systems and policies in place.

¿ Potential risks to people’s health, safety and welfare were assessed, managed and monitored on an ongoing basis.

¿ People were supported to take their medicines safely and their health care needs were met appropriately.

¿ Staff were recruited safely and there were enough staff to meet people’s needs.

¿ People were supported by staff who had undertaken training and were knowledgeable about people’s needs and had their competency assessed.

¿ People lived within a well-maintained environment, which took account of people’s needs and provided signage to help them navigate around the service.

¿ People’s rights and choices were promoted on an ongoing basis. We saw evidence of mental capacity assessments being carried out as required. People’s family and relevant health care professionals were consulted as part of best interest decisions.

¿ People were supported to have maximum choice and control of their lives and caregivers supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

¿ People spoke positively about the meals provided and they were supported to eat and drink as required.

¿ People’s equality and diversity was respected, and their privacy and dignity maintained. Positive care relationships had been developed between people and the staff who cared for them.

¿ People’s cultural and religious needs were identified and supported.

¿ People and relatives were fully involved in all aspects of care planning where appropriate.

¿There were effective systems in place to support people when they reached the end of their lives to ensure their wishes and needs were planned for.

¿ People’s care was personalised to their individual needs and staff worked flexible to accommodate this.

¿ People and where appropriate their relatives were encouraged to contribute in the review of their care regularly.

¿ The management and staff team were creative, committed and promoted supporting people with living with dementia. We saw national best practice guidance was used effectively which had had positive impact on the lives of people living with dementia. There were a variety of meaningful activities arranged that were of interest to people. Care provided was personalised in all aspects and monitored. This was essential for people receiving rehabilitation care and support.

¿ The service encouraged people to maintain links with family, friends and the local community. Inter-generation activities and links with schools was promoted and had benefited the lives of people living with dementia.

¿ An open and transparent culture enabled people and staff to speak up if they wished to. There was a system in place to respond to complaints and advocacy support was available.

¿ People, their relatives and staff had opportunities to give feedback and influence service development.

¿ There were robust quality monitoring systems and processes in place which were supported by policies. Action was taken where areas for improvement had been found and any lessons learnt from incidents were shared with the staff.

¿ The provider, registered managers and staff team worked well with professionals and external organisations and they effectively used good practice guidance to promote people’s quality of life.

Rating at last inspection: This is the first comprehensive inspection carried out at Everdale Grange since they registered on 23 March 2018.

Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up: We will continue to mo