About the service: Kidsley Grange is registered for 21 beds and provides personal care and accommodation for older people and younger adults, people with a physical disability and people living with dementia. On the day of our visit 17 people were using the service.

People’s experience of using this service:

People received support from staff who understood their role in protecting them from the risk of harm. Infection control procedures were in place to minimise the risk of people acquiring an infection. Risks were assessed and managed and people were supported to take their medicines in a safe way. The safety of people was enhanced, as the appropriate recruitment checks were done for new staff.

People enjoyed the meals available and they were supported to make decisions about the meals available, to ensure they met their preferences and dietary needs. Drinks were available to people throughout the day. Assessments were completed when people were unable to make specific decisions regarding their care. This ensured people were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible. People and their representatives were involved in their care to enable them to receive support in their preferred way. People had access to healthcare services and received coordinated support, to ensure their preferences and needs were met.

Opportunities to take part in social activities were available to enhance people’s well-being. People were supported to maintain their cultural and faith needs and were treated with consideration and respect by the staff team. Information was provided in an accessible format to support people’s understanding. People maintained relationships with their family and friends and were encouraged to give their views about the service. This included raising any concerns they had.

There were systems in place to monitor the quality of the service and drive improvement, this included; the refurbishment of the home, enhancing the service to commence electronic record keeping and ensuring that people received services that met their preferences and needs.

More information is in the full report below.

Rating at last inspection: Requires Improvement (report published 7 March 2018)

Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection we saw that improvements have been made.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Kidsley Grange provides personal and nursing care and accommodation for up to 21 people. 17 people were living at the home.

This was the first inspection of the service since its reregistration 12 months previously. The inspection took place on 28 December 2017 and 3 January 2018. The first day of the inspection was unannounced.

The home provides personal care and accommodation for older people, people with dementia, people with a physical disability and younger adults.

A registered manager was in post. This is a condition of the registration of 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 and associated Regulations about how the service is run.

People's risk assessments provided staff with information on how to support people safely, though some assessments were not always comprehensive. Following the inspection, the registered manager sent us a risk assessment to prevent someone falling. Lessons to prevent incidents occurring had been learnt from past events.

Staff had been trained in safeguarding (protecting people from abuse) and, in the main understood their responsibilities in this area, though staff needed more training about which relevant outside agencies to contact. Staff were subject to checks to ensure they were appropriate to work with the people who used the service. People were protected from the risks of infection.

People using the service and the relatives we spoke with, except one person, said they thought the home was safe.

People told us they thought their medicines were given safely to them and on time. This had been the case when we checked.

Staff had been trained to ensure they had the skills and knowledge to meet people's needs. Staff understood their main responsibility under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) to allow, as much as possible, people to have an effective choice about how they lived their lives, although they were of all their responsibilities under this law.

People had plenty to eat and drink and everyone told us they liked the food served. People's health care needs had been protected by referrals to health care professionals when necessary.

People told us they liked the staff and got on well with them. We saw many examples of staff working with people in a friendly and caring way, though there were a small number of occasions where staff had not shown respect for people. People and their representatives were involved in making decisions about their care, treatment and support.

Care plans were individual to the people and covered their health and social care needs. Activities were organised to provide stimulation for people and they had opportunities to take part in activities in the community if they chose.

People and relatives told us they were confident any concerns they expressed would be followed up.

People, relatives and staff were satisfied with how the home was run by the registered manager. Management carried out audits and checks to ensure the home was running properly to meet people's needs, though the health and safety audit was not always fully actioned.