We inspected this service on 12 April 2018. Gracewell of Adderbury is a new 60 bedded 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The services comprises of four units across two floors, each of which have separate adapted facilities. The first floor unit specialises in providing care to people living with dementia. On the day of our inspection there were 28 people occupying three out of four units. This was our first inspection at the service.

This service has a dual registration which means there are two registered providers jointly managing the regulated activities at this single location. They are: Gracewell Healthcare Limited and Gracewell Healthcare 3 Limited. This means the service is subject to one inspection visit however the report is published on our website twice, under each provider.

At this inspection we found the service was Good in all five domains and Good overall.

We were warmly welcomed by the staff that were forthcoming in speaking to us and there was a pleasant and calm atmosphere throughout the day. Gracewell of Adderbury had a clear staffing structure in place and staff knew their roles and responsibilities.

The service’s deputy manager was acting up as a general manager and there was a recruitment process in place for a new manager. 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, relatives and staff were all complimentary about the service and how it was managed. The staff at Gracewell of Adderbury received good support from the providers’ senior management team. There were quality assurance and monitoring systems in place that effectively identified areas for improvement. The management ensured where required appropriate action was promptly undertaken.

People were safe and told us they had no concerns. Staff knew how to report safeguarding concerns and they knew how to report to external agencies if needed. People’s care files contained detailed risk assessments that included management plans to keep people safe. There was a system to manage accidents and incidents. The management ensured lessons were learnt where possible and a preventative action taken as necessary.

People were supported by sufficient number of suitable staff and providers ensured safe recruitment processes were followed. People were cared for by staff that received ongoing training and support to carry out their roles effectively.

People’s rights to make their own decisions were respected. The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and report on what we find. 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 supported to access health services. The team worked well in partnership with health and other professionals where required. People were positive about the food. They were supported to meet their nutritional needs if required and there were systems in place that ensued people’s weights and well-being were maintained.

The service was caring and people complimented the compassionate nature of staff. The providers ensured staff worked to organisational values such as kindness, empathy, integrity and respect. People were supported to maintain their independence and they were involved in their support. People’s dignity, privacy and confidentiality were respecte