This inspection took place on 10 and 12 January 2017, the first day was unannounced. At our last inspection in May 2014 the provider met the regulations we inspected.

Hall Grange is a 45 bedded purpose built home that provides residential care for older people. It is a new build property and accessible to people who use wheelchairs. Accommodation is provided on the ground and first floors with lounges and separate dining facilities on both floors and en suite bathrooms in all bedrooms. On the third floor there is a kitchen, large laundry room and staff office with passenger lift access to all floors. The ground floor consists of a central hub area, coffee shop and seating. There is also an activities room, hairdressing salon, administration and manager office. Some people use the service for respite care breaks. At the time of our inspection there were 40 people using the service.

There was a registered manager for the service. 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 using the service and their relatives told us they felt safe and well cared for at Hall Grange. Staff knew how to recognise and report any concerns they had about the care and welfare of people and how to protect them from abuse and harm. Where risks were identified, there was guidance on the ways to keep people safe. The service responded appropriately to allegations or suspicions of abuse.

The environment was safely maintained and people had the equipment they needed to meet their assessed needs. Individual bedrooms were personalised and furnished to comfortable standards.

The provider followed an appropriate recruitment process to check that staff were fit and suitable to work in a care setting. Staff received an induction and relevant training to support people with their care needs. This was followed by ongoing refresher training to update and develop their knowledge and skills.

The staff team had worked at Hall Grange for a number of years and knew people well. There were positive and caring relationships between staff and people who lived in the home and this extended to relatives and other visitors. Staff treated people who used the service and their guests with respect and courtesy. They were caring, patient and maintained people’s privacy and dignity.

People's needs were assessed and planned for and staff had personalised information about how best to meet their individual needs. People's wishes, preferences and beliefs were reflected in their care plans. There was information about people’s social relationships and they were encouraged to stay in touch with their families and receive visitors. Staff were responsive when people's support needs or circumstances changed and care records were updated appropriately.

People's care records recognised their rights and were person centred. 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 were encouraged and supported to eat and drink well. There was a varied daily choice of meals and people were able to give feedback and have choice in what they ate and drank. When people were at risk of poor nutrition or dehydration, staff involved other professionals such as the GP or dietician.

Medicines were managed safely and people had their medicines at the times they needed them. Care plans contained information about the health and social care support people needed and they were involved in making decisions about their care. Arrangements were made for people to see their GP and other healthcare professionals when they became unwell or required addition