The inspection took place on the 12 and 13 July.

The service provides accommodation and support for up to eighteen people with mental health issues. There were eighteen people living at the service at the time of our inspection.

The service had a registered manager in post. 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.

Records were regularly updated and staff were provided with the information they needed to meet people’s needs. People's care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for by staff that had been recruited and employed after appropriate checks were completed. There were enough staff available to support people.

Staff and the manager were able to explain to us what they would do to keep people safe and how they would protect their rights. Staff had been provided with training in safeguarding adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS).

People were relaxed in the company of staff. Staff were able to demonstrate they knew people well and treated people with dignity and respect.

The service worked well with other professionals to ensure that people's health needs were met. Where appropriate, support and guidance was sought from health care professionals, including people’s G.Ps and district nurses and mental health teams.

People who used the service were provided with the opportunity to participate in activities which interested them; these activities were diverse to meet people’s social needs.

The manager had a number of ways of gathering views on the service including using questionnaires and by holding meetings with people, staff and talking with relatives. People knew how to raise a concern or make a complaint; any complaints were resolved efficiently and quickly.

The manager carried out a number of quality monitoring audits to ensure the service was running effectively. These included audits on care files, medication management and the environment.

People we spoke with told us that they were happy, safe and well cared for at The Grange.

We saw that care and treatment for each person was planned and reviewed with their involvement and that care and treatment was explained in a way that people could understand so that they could give informed consent and agreement to the care they received.

Staff were trained and supported to care for people properly and to keep them safe. Risks to the health, welfare and safety of people using the service were identified and well managed.

The service was clean and there were systems in place for minimising the risks of the spread of infection.

Medicines were stored, administered and disposed of safely and people's medicines were regularly reviewed to ensure that they were appropriate and effective.

The service was well managed and there were effective systems in place for monitoring and improving the quality and safety of the service, taking into account the views and suggestions of people living there.

People told us that they were happy, well cared for and that they felt safe living at The Grange. People said that staff were very good and that they treated them well. People told us that they were able to do the things they wished, such as going out shopping, to clubs and participating in social activities and hobbies of their choice.

We saw that staff took people’s preferences and wishes into consideration when planning and providing care and treatment and people were treated with respect and supported to remain independent for as long as possible. We saw that people's needs were assessed and that staff cared for people properly. Risks to each person’s health, safety and welfare were assessed and generally these were well managed so as to minimise the risk of deteriorating health or safety. However developments were needed to ensure that where people were identified at being at risk of weight loss that staff monitored a person’s food intake as part of managing and minimising these risks.

Staff we spoke with had a good knowledge of the needs of people living in the home. Staff were aware of their responsibilities to safeguard people who were using the service from the risks of abuse. However developments were required to ensure that vulnerable people were protected from the risk of abuse by other people who were using the service.

People told us that there were enough staff available to meet their needs.