- Care home
Everdale Grange
Report from 27 January 2025 assessment
Contents
Ratings
Our view of the service
Date of assessment 10 to 25 February 2025. Everdale Grange is a care home with nursing for 68 people, some of whom may be living with dementia. The service provided 15 short term high dependency beds for people who were discharged from hospital, who required a period of reablement and rehabilitation. The service had an onsite therapy team, funded separately by the local clinical commissioning group. The assessment was triggered by concerns in relation to safeguarding incidents and risk management. At the time of our assessment, 62 people were living at the service. The last rating for this service was good (published 23 November 2023). At this inspection we found the service remained good.
The provider in response to concerns had completed a lessons learnt review of what actions were required to make improvements. This included refresher staff training and enhanced staff competency assessments, reviewing systems and processes and developing an ongoing action plan with a built in review procedure, to support further developments and to sustain improvements.
There were enough staff to meet people’s care and treatment needs. The provider had safe recruitment procedures. Staff feedback was positive, staff told us they felt well supported. Staff meetings, daily communication procedures and staff roles and responsibilities were well defined, understood and worked well.
People’s care records, risk assessments and clinical needs were assessed, planned for and regularly reviewed. Staff had detailed guidance that reflected people’s individual needs, preferences and routines. People received their prescribed medicines safely and when required. We received positive feedback from external professionals about partnership and collaborative working to support people to achieve positive outcomes. Increased communication procedures had been implemented with the onsite therapy team, and this was working well.
People's experience of this service
We received feedback from people living at the service and visiting relatives who were positive and complementary about the care and treatment provided.
Our observations of staff engagement with people included the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. Our observations found staff to be attentive, responsive, kind and compassionate. Care was provided with dignity and respect. Staff were knowledgeable about people’s care and treatment needs, including routines, preferences, what was important to them, including people’s communication needs.
People and relatives confirmed they were involved in assessments and the development and review of care plans and risk assessments. Information was displayed and provided, such as the service users guide that explained what services people could expect, including safeguarding and complaints information. People and relatives told us they felt communication procedures were good and they had no hesitation in raising any concerns or complaints.
People told us they had a choice of food and drinks, and a variety of snacks and drinks were regularly provided during the day, evening and during the night if required.
People and relatives received opportunities to share their experience of the service. Staff ensured people received opportunities to participate in a variety of group and individual activities. External organisations including religious services and nursery school children visited the service.