Grangefield Residential Care Home provides accommodation and personal care for up to 23 people. There were 19 people living at the home care at the time of the inspection.

At the last inspection in July 2015, the service was rated Good; at this inspection we found the service remained Good.

There was a registered manager who registered with CQC in February 2016. Registered managers have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service continued to provide safe care. Staff understood their responsibilities for safeguarding people from harm and followed the provider’s policies to provide people’s prescribed medicines safely. There were enough suitably skilled staff to meet people’s needs. Staff had been recruited using safe recruitment practices.

People received care from staff that had received training to meet people’s specific needs and had supervision to assist them to carry out their roles.

People received care from staff they knew, which helped to forge positive relationships. People were supported emotionally and practically to maintain their independence and well-being.

People received a balanced diet from staff that understood their dietary needs. People were supported to pursue their hobbies and interests and continue to celebrate special days.

People were treated with respect and helped to maintain their dignity.

People were supported to access healthcare professionals and staff were prompt in referring people to health services when required.

People’s risks were assessed and staff had followed plans that were centred on the person as an individual Care plans were updated regularly and people and their relatives were involved in their care planning where possible.

Staff sought people’s consent before providing care and people’s mental capacity was assessed in line with the Mental Capacity Act 2005. The registered manager understood their responsibilities and referred people appropriately for assessment under the Deprivation of Liberty Safeguarding.

The provider and registered manager continually assessed, monitored and evaluated the quality of the service; they identified areas for improvement, and implement change where required.

We carried out an inspection to look at the way that medicines were being managed by the service. We were accompanied by a pharmacist inspector from the Care Quality Commission. At the time of our inspection there were 20 people actually using the service. We spoke with three people that used the service. They told us that they were all liked living at the service and that staff supported them with their medication. One person told us “They’re all very good”. Another person told us “They’re lovely to me”. When we asked people about their medication they all told us that the staff always made sure that they had their medication and they were unable to recall a time when they had not received their medication at the appropriate time.

We looked at the medicine administration records for eight people and how the service stored and managed medicines. We found that arrangements were in place to ensure that medicines were managed safely.

This unannounced inspection took place on the 23 and 24 July 2015. Grangefield Residential Care Home provides accommodation and personal care for up to 23 elderly people with a range of personal care needs. There were 18 people in residence during this inspection.

There was a registered manager who was no longer in post; however, there was a manager who had been in post for over a year who was in the process of registering. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 were safeguarded from physical harm or psychological distress arising from poor practice or ill treatment. Staff understood their responsibilities to respond to allegations of abuse and protect people from harm.

People were assured that staff had been appropriately recruited. Recruitment procedures were robust and protected people from being supported by staff that were unsuited to the job. There were sufficient numbers of staff that had the skills they needed to provide people with safe care and support.

People’s care plans were individualised and reflected the support they needed. People benefited from receiving care from staff that listened to them and acted upon what they said. Staff encouraged and enabled people to retain as much independence as their capabilities allowed. Appropriate risk assessments related to people’s support needs were in place and were acted upon by staff.

People’s healthcare needs were met. Healthcare professionals were appropriately consulted and their advice and prescribed treatments acted upon, to help sustain people’s health and wellbeing. There were suitable arrangements for the management of medicines.

People’s quality of care was effectively monitored by the audits regularly conducted by the registered manager and the provider. People knew how and who to complain to. They were assured that they would be listened to and that appropriate remedial action would be taken to try to resolve matters to their satisfaction.