Grange Crescent is purpose built and registered to provide accommodation and personal care for up to 54 older people. Accommodation is provided over two floors. All of the bedrooms are single and have full en-suite bathrooms. Each floor provides communal lounges and dining rooms. A passenger lift is available and all areas of the home are accessible. The home has an enclosed garden and a car park. Grange Crescent is in a residential area close to local amenities and bus routes. At the time of this inspection 53 people were living at Grange Crescent.

At the last inspection the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good.

People living at Grange Crescent told us they felt safe and they liked the staff.

We found systems were in place to make sure people received their medicines safely so their health was maintained.

Staff recruitment procedures ensured people’s safety was promoted.

Staff were provided with relevant training and supervision to make sure they had the right skills and knowledge to support people.

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

People had access to a range of health care professionals to help maintain their health. A varied diet was provided, which took into account dietary needs and preferences so people’s health was promoted and choices could be respected.

A range of activities were available to provide people with leisure opportunities.

People living at the home, and their relatives said they could speak with staff if they had any worries or concerns and they would be listened to.

There were effective systems in place to monitor and improve the quality of the service provided.

Further information is in the detailed findings below

Grange Crescent is purpose built and registered to provide accommodation and personal care for up to 54 older people. A 12 bed extension was added to the home in 2014. Grange Crescent is in a residential area close to local amenities and bus routes. Accommodation is provided over two floors. A passenger lift is available and all areas of the home are accessible. All of the bedrooms are single and have full en-suite bathrooms. Each floor provides communal lounges and dining rooms. The home has an enclosed garden and a car park.

There was a manager at the service who was registered with CQC. 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 and associated Regulations about how the service is run.

Our last inspection at Grange Crescent took place on 18 September 2013. The home was found to be meeting the requirements of the regulations we inspected at that time.

This inspection took place on 12 January 2015 and was unannounced. On the day of our inspection there were 49 people living at Grange Crescent.

People told us they were well cared for by staff that knew them well, and they felt safe. Every person spoken with told us they were “very happy” living at Grange Crescent. Comments included, “I am very safe here. I had some falls when I was living on my own and I was reluctant to come here but now I really enjoy living here,” “I feel very safe and very well looked after” and “‘I can’t speak too highly of the staff – particularly the night staff. Nothing is too much trouble and they are totally concerned with my safety and well-being.”

Relatives told us, “[my relative] is well looked after here” and “I know that [my relative] is safe and happy here.”

We found systems were in place to make sure people received their medication safely

Staff were provided with relevant induction and training to make sure they had the right skills and knowledge for their role. Staff understood their role and what was expected of them. They were happy in their work, motivated and confident in the way the service was managed. The service followed the requirements of the Mental Capacity Act 2005 Code of practice and Deprivation of Liberty Safeguards. This helped to protect the rights of people who may not be able to make important decisions themselves.

People had access to a range of health care professionals to help maintain their health. A varied and nutritious diet was provided to people that took into account dietary needs and preferences so that health was promoted and choices could be respected.

People living at the home, and their relatives said that they could speak with staff if they had any worries or concerns and they would be listened to.

We saw people participated in a range of daily activities both in and outside of the home which were meaningful and promoted independence.

There were effective systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to. People using the service and their relatives had been asked their opinion via surveys, the results of these had been audited to identify any areas for improvement.

People living at Grange Crescent told us that they were happy and that they were satisfied with the care they received. They told us, "It's very good. I am quite happy here, it's my home," "The staff go out of their way for you, nothing is too much trouble for them" and "I have friends here, that includes staff. I feel safe."

A relative spoken with said that they were happy with the care their loved one received. They commented, "We [our family] have no worries at all. The staff are very good and always keep in touch with us. [Our relative] is well looked after."

We found that before people received any care or treatment they were asked for their consent and the staff acted in accordance with their wishes.

We found that people's care and welfare needs were assessed and each person had a written plan of care that set out their identified needs and the actions required of staff to meet these.

We found that there were systems in place to reduce the risk and spread of infection.

We saw that a satisfactory recruitment and selection procedure was in place to ensure that staff were appropriately employed.

We found that people were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.

People living at the home told us that they were happy and that they were satisfied with the care they received. They told us, "I think it is wonderful here. I am amongst friends and very happy" and "the staff are lovely, nothing is too much trouble for them."

Two relatives spoken with confirmed that they were satisfied with the care provided.

We found that people's care and welfare needs were assessed and each person had a written plan of care that set out their identified needs and the actions required of staff to meet these.

We found that safe systems were in place for the receipt, handing and administration of medication so that people's health was promoted and they were kept safe.

We found that sufficient numbers of staff were provided to meet people's needs.

Staff had received refresher training in dementia awareness to improve their skills and knowledge.

We found that a complaints policy and procedure was in place. People had been provided with information on how to make a complaint. All of the people spoken with said they had no complaints or concerns about the home.

People told us that they were happy living at the home and that they were satisfied with the care they received. They told us “I am happy and content here.” and “I am looked after very well.” They told us that their health and personal care needs were met and that they felt safe at the home. We also spoke with a relative who was visiting the home and they confirmed that they were satisfied with the care provided. They told us “I have no worries or concerns about the care given.”